“Can’t you initiate me here?”: Challenges to timely initiation on antiretroviral therapy among methadone clients in Dar es Salaam, Tanzania

Highlights • We explored challenges to ART initiation among methadone clients in Tanzania. • Health system factors, stigma, and limited social support hinder ART initiation. • On-site CD4 testing, HIV providers and peer support could enable ART initiation.

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Bibliographische Detailangaben
Veröffentlicht in:	The International journal of drug policy 2016-04, Vol.30, p.59-65
Hauptverfasser:	Saleem, Haneefa T, Mushi, Dorothy, Hassan, Saria, Douglas Bruce, R, Cooke, Alexis, Mbwambo, Jessie, Lambdin, Barrot H
Format:	Artikel
Sprache:	eng
Schlagworte:	Anti-HIV Agents - administration & dosage Antiretroviral drugs Antiretroviral therapy Barriers CD4 Lymphocyte Count Clients Clinics Constraints Content analysis Drug policy Drugs Facilitators Female Health care policy Health Knowledge, Attitudes, Practice Health Services Accessibility HIV HIV Infections - drug therapy Human immunodeficiency virus Humans Immune response Initiation Integrated services Internal Medicine Interviews as Topic Male Medical Education Medical treatment Methadone Methadone - administration & dosage Opiate Substitution Treatment - methods Perceived social support Point-of-Care Systems Qualitative Sexes Social Stigma Social Support Specialists Stigma Substance abuse treatment Tanzania Time Factors Treatment programs
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Beschreibung
Zusammenfassung:	Highlights • We explored challenges to ART initiation among methadone clients in Tanzania. • Health system factors, stigma, and limited social support hinder ART initiation. • On-site CD4 testing, HIV providers and peer support could enable ART initiation.
ISSN:	0955-3959 1873-4758
DOI:	10.1016/j.drugpo.2015.12.009