Although recent data suggest high levels of adherence to expanding antiretroviral therapy (ART) programmes in resource-limited settings, the culture-specific barriers to adherence are poorly understood. In a prospective observational study, we found that 1.2% of patients discontinued ART because of a belief in spiritual healing. Spiritual beliefs should be an important part of ART adherence counselling in resource-limited settings, requiring close collaboration between HIV care programmes and religious leaders to identify common goals and ensure successful treatment.
aInfectious Disease Institute, Kampala, Uganda
bEpidemiology and Prevention Interventions Center, Division of Infectious Diseases and The Positive Health Program UCSF, San Francisco, California, USA
cMakerere University, Kampala, Uganda.
Received 30 March, 2007
Accepted 12 April, 2007