Table 4.
Analytical framework to explore factors influencing ART adherence
| Influences on ART | ||||||
|---|---|---|---|---|---|---|
| Contextual dimensions | Psychosocial dimensions | |||||
| Material | Symbolic | Relational | Institutional support | Patient motivation | Patient participation | Psychosocial responsesto ART |
| For example | ||||||
| • Access to food | • Fear and stigma | • Social support | • Support from churches | • Seeing improvements | • Status and need for treatment | • Alcohol abuse |
| • Distance to clinic | • Gender constructions | • Family support and treatment partners | • Support from NGOs | • Hope and desire for life | • Mobilising social support | • Spiritual advice |
| • Transport costs | • AIDS and ART in public sphere | • Quality of health services | • Habit and complacency | • Constructing empowering social identities | ||
| • Treatment related costs | • Influence of traditional healers | • Patient/nurse relationships | • Experiencing side effects | • Engaging in income-generating activities | ||
ART, antiretroviral therapy; NGOs, non-governmental organisations.