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Exploring linkages between drought and HIV treatment adherence in Africa: a systematic review
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 IwujiClimate 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 HealthISSN
2542-5196Publisher
ElsevierExternal DOI
Issue
4Volume
6Article number
e359-e370Department 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
2022-02-16First Open Access (FOA) Date
2022-04-25First Compliant Deposit (FCD) Date
2022-02-15Usage metrics
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