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Exploring linkages between drought and HIV treatment adherence in Africa: A Systematic Review

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. Green open access

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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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