The Impact of Geospatial Barriers on Adherence to HIV Treatment in Kampala, Uganda

Authors: Gabrielle Bruser*, University of Western Ontario
Topics: Medical and Health Geography, Africa, Geographic Information Science and Systems
Keywords: Africa, HIV, Adherence, Geospatial, Antiretroviral
Session Type: Lightning Paper
Day: 4/10/2020
Start / End Time: 11:10 AM / 12:25 PM
Room: Director's Row E, Sheraton, Plaza Building, Lobby Level
Presentation File: No File Uploaded


The introduction of antiretroviral therapy (ART) for the treatment of HIV infections has made it possible to slow the progression of the virus in patients and to therefore improve the health of millions of people living with HIV in developing countries. However, failure to adhere to first-line ART can lead to drug resistance, increasing the risk of treatment failure. In low- to middle-income countries such as Uganda, inadequate access to treatment facilities, cost of transportation and inconsistency of drug supply can increase the difficulty in adhering to drug regimens. The aim of this study is to therefore analyze the influence of geospatial factors on HIV ART treatment adherence in Kampala, Uganda. Data was collected from a geospatial survey administered to two cohorts of HIV+ patients receiving care from the Joint Clinical Research Center (JCRC) in Kampala. The control group consists of individuals successfully treated on ART, while the second cohort consists of individuals who have experienced treatment failure on first-line ART. The identification of geospatial barriers to ARV treatment adherence will provide guidance for future public health initiatives targeting the HIV/AIDS epidemic.

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