Exploring barriers to antiretroviral therapy adherence among pregnant women: a scoping literature review

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Kalungwe, M, Mbalinda, SN, Karonga, T, Simwanza, NR, Mtambo, CMM and Nyashanu, M ORCID: https://orcid.org/0000-0002-9231-0393, 2022. Exploring barriers to antiretroviral therapy adherence among pregnant women: a scoping literature review. International Journal of Gynecology and Obstetrics. ISSN 0020-7292

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Official URL: https://doi.org/10.1002/ijgo.14130

Abstract

Background: Antiretroviral therapy (ART) is one of the most effective ways of preventing HIV-related maternal mortality. However, the rates of retention in care and long-term adherence remain extremely low.

Objective: The aim of this study was to explore barriers to antiretroviral therapy adherence among pregnant women.

Search strategy: The search for articles was conducted using EBSCO Host, PubMed, Google scholar, and Cumulative Index of Nursing and Allied Health Literature (CINAHL).

Selection criteria: The studies included were conducted between 2000 and 2020 and covered barriers to antiretroviral therapy.

Data collection and analysis: Data was collected from 8 selected articles and analyzed using Arksey and O’Malley five stages framework.

Main results: Barriers to antiretroviral therapy adherence included side effects of the therapy and financial constraints limiting access to food, transport, and medication. Other barriers included cultural and religious factors, lack of spouse support, stigma, and discrimination.

Conclusion: There is need to support pregnant women undergoing antiretroviral therapy to mitigate barriers associated with the uptake of the therapy.

Item Type:	Journal article
Publication Title:	International Journal of Gynecology and Obstetrics
Creators:	Kalungwe, M., Mbalinda, S.N., Karonga, T., Simwanza, N.R., Mtambo, C.M.M. and Nyashanu, M.
Publisher:	Wiley
Date:	5 February 2022
ISSN:	0020-7292
Identifiers:	Number Type 10.1002/ijgo.14130 DOI 1535812 Other
Divisions:	Schools > School of Social Sciences
Record created by:	Jonathan Gallacher
Date Added:	03 May 2022 08:46
Last Modified:	05 Feb 2023 03:00
URI:	https://irep.ntu.ac.uk/id/eprint/46229