Orievulu, K;
Ayeb-Karlsson, S;
Ngema, S;
Baisley, K;
Tanser, F;
Ngwenya, N;
Seeley, J;
... Iwuji, C; + view all
(2020)
Exploring linkages between drought and HIV treatment adherence in Africa: A Systematic Review.
MedRxiv: Cold Spring Harbor, NY, USA.
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Abstract
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 treatment (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 economic and livelihoods conditions, comorbidities and ART regimens, human mobility, and psycho-behavioural 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 develop interventions.
| Type: | Working / discussion paper |
|---|---|
| Title: | Exploring linkages between drought and HIV treatment adherence in Africa: A Systematic Review |
| Open access status: | An open access version is available from UCL Discovery |
| DOI: | 10.1101/2020.09.03.20187591 |
| Publisher version: | https://doi.org/10.1101/2020.09.03.20187591 |
| Language: | English |
| Additional information: | The copyright holder for this preprint is the author/funder, who has granted medRxiv a license to display the preprint in perpetuity. It is made available under a CC-BY-NC-ND 4.0 International license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
| UCL classification: | UCL UCL > Provost and Vice Provost Offices > UCL BEAMS UCL > Provost and Vice Provost Offices > UCL BEAMS > Faculty of Maths and Physical Sciences UCL > Provost and Vice Provost Offices > UCL BEAMS > Faculty of Maths and Physical Sciences > Inst for Risk and Disaster Reduction |
| URI: | https://discovery.ucl.ac.uk/id/eprint/10141494 |
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