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Exploring linkages between drought and HIV treatment adherence in Africa: a systematic review

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Version 2 2023-06-12, 07:41
Version 1 2023-06-10, 02:38
journal contribution
posted on 2023-06-12, 07:41 authored by Kingsley Stephen Orievulu, Sonja Ayeb-Karlsson, Sthembile Ngema, Kathy Baisley, Frank Tanser, Nothando Ngwenya, Janet Seeley, Willem Hanekom, Kobus Herbst, Dominic KnivetonDominic Kniveton, Collins IwujiCollins Iwuji
Climate change is directly and indirectly linked to human health, including through access to treatment and care. Our systematic review presents a systems understanding of the nexus between drought and antiretroviral therapy (ART) adherence in HIV-positive individuals in the African setting. Narrative synthesis of 111 studies retrieved from Web of Science, PubMed/MEDLINE, and PsycINFO suggests that livelihoods and economic conditions, comorbidities and ART regimens, human mobility, and psychobehavioural dispositions and support systems interact in complex ways in the drought–ART adherence nexus in Africa. Economic and livelihood-related challenges appear to impose the strongest impact on human interactions, actions, and systems that culminate in non-adherence. Indeed, the complex pathways identified by our systems approach emphasise the need for more integrated research approaches to understanding this phenomenon and developing interventions.

History

Publication status

  • Published

File Version

  • Published version

Journal

The Lancet Planetary Health

ISSN

2542-5196

Publisher

Elsevier

Issue

4

Volume

6

Article number

e359-e370

Department affiliated with

  • Global Health and Infection Publications

Research groups affiliated with

  • Sussex Sustainability Research Programme Publications

Full text available

  • Yes

Peer reviewed?

  • Yes

Legacy Posted Date

2022-02-16

First Open Access (FOA) Date

2022-04-25

First Compliant Deposit (FCD) Date

2022-02-15

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