“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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| Veröffentlicht in: | The International journal of drug policy 2016-04, Vol.30, p.59-65 |
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| container_title | The International journal of drug policy |
| container_volume | 30 |
| creator | Saleem, Haneefa T Mushi, Dorothy Hassan, Saria Douglas Bruce, R Cooke, Alexis Mbwambo, Jessie Lambdin, Barrot H |
| description | 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. |
| doi_str_mv | 10.1016/j.drugpo.2015.12.009 |
| format | Article |
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| ispartof | The International journal of drug policy, 2016-04, Vol.30, p.59-65 |
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| source | Applied Social Sciences Index & Abstracts (ASSIA); MEDLINE; PAIS Index; Elsevier ScienceDirect Journals |
| subjects | 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 |
| title | “Can’t you initiate me here?”: Challenges to timely initiation on antiretroviral therapy among methadone clients in Dar es Salaam, Tanzania |
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