Improving adherence to highly active anti-retroviral therapy in Africa: The DREAM programme in Mozambique

M. C. Marazzi, M. Bartolo, L. Emberti Gialloreti, P. Germano, G. Guidotti, G. Liotta, M. Magnano San Lio, S. Mancinelli, M. A. Modolo, P. Narciso, C. F. Perno, P. Scarcella, G. Tintisona, L. Palombi

Research output: Contribution to journalArticle

Abstract

Ensuring high levels of adherence to highly active anti-retroviral therapy (HAART) is a priority in treating people living with AIDS. This study reports the rates of adherence of patients served by DREAM (Drug Resource Enhancement against AIDS and Malnutrition) in the city of Matola, Mozambique. DREAM, an innovative programme tailored for Africa, was implemented by the Community of Sant'Egidio in August 2001. DREAM provides patients with anti-retroviral drugs and laboratory tests at no charge, and is based on a particular strategy of health education and organization of services designed for a population that is predominantly poor and has a low level of formal education. This study analyzes the adherence of 154 patients over a period of 6 months. In evaluating adherence, two indicators were used: (1) the percentage of appointments kept for check-ups, tests and the collection of medicine, and (2) the overall change in the patients' blood chemistry over the 6-month period. Of the 154 patients, 127 (82.5%) kept more than 90% of their appointments. Adherence to the programme was further confirmed by a relevant increase of hemoglobin levels and CD4 counts, and a significant decrease in the viral loads among the 154 patients.

Original languageEnglish
Pages (from-to)34-42
Number of pages9
JournalHealth Education Research
Volume21
Issue number1
DOIs
Publication statusPublished - Feb 2006

Fingerprint

Mozambique
Malnutrition
Acquired Immunodeficiency Syndrome
AIDS
drug
Patient Compliance
resources
Pharmaceutical Preparations
Appointments and Schedules
Therapeutics
CD4 Lymphocyte Count
Viral Load
Health Education
health promotion
Hemoglobins
chemistry
Medicine
medicine
Education
organization

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Education

Cite this

Marazzi, M. C., Bartolo, M., Emberti Gialloreti, L., Germano, P., Guidotti, G., Liotta, G., ... Palombi, L. (2006). Improving adherence to highly active anti-retroviral therapy in Africa: The DREAM programme in Mozambique. Health Education Research, 21(1), 34-42. https://doi.org/10.1093/her/cyh039

Improving adherence to highly active anti-retroviral therapy in Africa : The DREAM programme in Mozambique. / Marazzi, M. C.; Bartolo, M.; Emberti Gialloreti, L.; Germano, P.; Guidotti, G.; Liotta, G.; Magnano San Lio, M.; Mancinelli, S.; Modolo, M. A.; Narciso, P.; Perno, C. F.; Scarcella, P.; Tintisona, G.; Palombi, L.

In: Health Education Research, Vol. 21, No. 1, 02.2006, p. 34-42.

Research output: Contribution to journalArticle

Marazzi, MC, Bartolo, M, Emberti Gialloreti, L, Germano, P, Guidotti, G, Liotta, G, Magnano San Lio, M, Mancinelli, S, Modolo, MA, Narciso, P, Perno, CF, Scarcella, P, Tintisona, G & Palombi, L 2006, 'Improving adherence to highly active anti-retroviral therapy in Africa: The DREAM programme in Mozambique', Health Education Research, vol. 21, no. 1, pp. 34-42. https://doi.org/10.1093/her/cyh039
Marazzi MC, Bartolo M, Emberti Gialloreti L, Germano P, Guidotti G, Liotta G et al. Improving adherence to highly active anti-retroviral therapy in Africa: The DREAM programme in Mozambique. Health Education Research. 2006 Feb;21(1):34-42. https://doi.org/10.1093/her/cyh039
Marazzi, M. C. ; Bartolo, M. ; Emberti Gialloreti, L. ; Germano, P. ; Guidotti, G. ; Liotta, G. ; Magnano San Lio, M. ; Mancinelli, S. ; Modolo, M. A. ; Narciso, P. ; Perno, C. F. ; Scarcella, P. ; Tintisona, G. ; Palombi, L. / Improving adherence to highly active anti-retroviral therapy in Africa : The DREAM programme in Mozambique. In: Health Education Research. 2006 ; Vol. 21, No. 1. pp. 34-42.
@article{169c63881e104421867af1ddc4c7b2b2,
title = "Improving adherence to highly active anti-retroviral therapy in Africa: The DREAM programme in Mozambique",
abstract = "Ensuring high levels of adherence to highly active anti-retroviral therapy (HAART) is a priority in treating people living with AIDS. This study reports the rates of adherence of patients served by DREAM (Drug Resource Enhancement against AIDS and Malnutrition) in the city of Matola, Mozambique. DREAM, an innovative programme tailored for Africa, was implemented by the Community of Sant'Egidio in August 2001. DREAM provides patients with anti-retroviral drugs and laboratory tests at no charge, and is based on a particular strategy of health education and organization of services designed for a population that is predominantly poor and has a low level of formal education. This study analyzes the adherence of 154 patients over a period of 6 months. In evaluating adherence, two indicators were used: (1) the percentage of appointments kept for check-ups, tests and the collection of medicine, and (2) the overall change in the patients' blood chemistry over the 6-month period. Of the 154 patients, 127 (82.5{\%}) kept more than 90{\%} of their appointments. Adherence to the programme was further confirmed by a relevant increase of hemoglobin levels and CD4 counts, and a significant decrease in the viral loads among the 154 patients.",
author = "Marazzi, {M. C.} and M. Bartolo and {Emberti Gialloreti}, L. and P. Germano and G. Guidotti and G. Liotta and {Magnano San Lio}, M. and S. Mancinelli and Modolo, {M. A.} and P. Narciso and Perno, {C. F.} and P. Scarcella and G. Tintisona and L. Palombi",
year = "2006",
month = "2",
doi = "10.1093/her/cyh039",
language = "English",
volume = "21",
pages = "34--42",
journal = "Health Education Research",
issn = "0268-1153",
publisher = "Oxford University Press",
number = "1",

}

TY - JOUR

T1 - Improving adherence to highly active anti-retroviral therapy in Africa

T2 - The DREAM programme in Mozambique

AU - Marazzi, M. C.

AU - Bartolo, M.

AU - Emberti Gialloreti, L.

AU - Germano, P.

AU - Guidotti, G.

AU - Liotta, G.

AU - Magnano San Lio, M.

AU - Mancinelli, S.

AU - Modolo, M. A.

AU - Narciso, P.

AU - Perno, C. F.

AU - Scarcella, P.

AU - Tintisona, G.

AU - Palombi, L.

PY - 2006/2

Y1 - 2006/2

N2 - Ensuring high levels of adherence to highly active anti-retroviral therapy (HAART) is a priority in treating people living with AIDS. This study reports the rates of adherence of patients served by DREAM (Drug Resource Enhancement against AIDS and Malnutrition) in the city of Matola, Mozambique. DREAM, an innovative programme tailored for Africa, was implemented by the Community of Sant'Egidio in August 2001. DREAM provides patients with anti-retroviral drugs and laboratory tests at no charge, and is based on a particular strategy of health education and organization of services designed for a population that is predominantly poor and has a low level of formal education. This study analyzes the adherence of 154 patients over a period of 6 months. In evaluating adherence, two indicators were used: (1) the percentage of appointments kept for check-ups, tests and the collection of medicine, and (2) the overall change in the patients' blood chemistry over the 6-month period. Of the 154 patients, 127 (82.5%) kept more than 90% of their appointments. Adherence to the programme was further confirmed by a relevant increase of hemoglobin levels and CD4 counts, and a significant decrease in the viral loads among the 154 patients.

AB - Ensuring high levels of adherence to highly active anti-retroviral therapy (HAART) is a priority in treating people living with AIDS. This study reports the rates of adherence of patients served by DREAM (Drug Resource Enhancement against AIDS and Malnutrition) in the city of Matola, Mozambique. DREAM, an innovative programme tailored for Africa, was implemented by the Community of Sant'Egidio in August 2001. DREAM provides patients with anti-retroviral drugs and laboratory tests at no charge, and is based on a particular strategy of health education and organization of services designed for a population that is predominantly poor and has a low level of formal education. This study analyzes the adherence of 154 patients over a period of 6 months. In evaluating adherence, two indicators were used: (1) the percentage of appointments kept for check-ups, tests and the collection of medicine, and (2) the overall change in the patients' blood chemistry over the 6-month period. Of the 154 patients, 127 (82.5%) kept more than 90% of their appointments. Adherence to the programme was further confirmed by a relevant increase of hemoglobin levels and CD4 counts, and a significant decrease in the viral loads among the 154 patients.

UR - http://www.scopus.com/inward/record.url?scp=32644449298&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=32644449298&partnerID=8YFLogxK

U2 - 10.1093/her/cyh039

DO - 10.1093/her/cyh039

M3 - Article

C2 - 15947022

AN - SCOPUS:32644449298

VL - 21

SP - 34

EP - 42

JO - Health Education Research

JF - Health Education Research

SN - 0268-1153

IS - 1

ER -