December #97 : A for Africa - by Cindra Feuer

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Table of Contents

Born Again

Knowing When to Stop

The Divine Miss Em

Alcohol

Cocaine & Heroin

Crystal Meth

Harm Reduction

Sex

Recovery Rooms

Touchdown

A for Africa

Earthwatch

WHO’s on First

Dying for ADAP

Milestones

Bombing Gilead

Pos & Neg

Wishful Thinking

Unwrapper’s Delight

Study Hell

Tech Talk

Briefs

Diarrhea Diary

HAART to Heart

Eradication II?

2/3

Breaks: What’s Up?

Safe Spliffs

Slumber Party

Bone Loss

Gimme Shelter

Adherence

IRSA’s Rochelle advises HIVer refugees:

Editor's Letter

Mailbox

Sale of a Lifetime



Most Popular Lessons

The HIV Life Cycle

Shingles

Herpes Simplex Virus

Syphilis & Neurosyphilis

Treatments for Opportunistic Infections (OIs)

What is AIDS & HIV?

Hepatitis & HIV


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December 2003

A for Africa

by Cindra Feuer

Flouting the theory that African poverty would lead to poor HAART adherence, studies in Uganda, South Africa, Botswana and Senegal show African HIVers take 90 percent of their meds—compared to Americans’ 70 percent [see “Adherence,”]. In the U.S., the major adherence barriers—depression, cocaine and booze—are more common in poverty but no strangers to the wealthy. In Africa, money woes are an incentive: Researcher David Bangsberg, MD, cites the financial sacrifices Africans make for HAART (pooling the family’s income, for example) as motivation to pop every pill. “Many of the patients we study [in Africa] are perplexed by the question of how many pills they missed,” Bangsberg said. “They’ve asked, ‘Why would someone not take the medicine?’”




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