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Barriers and Facilitators to Interventions Improving Retention in HIV Care: A Qualitative Evidence Meta-Synthesis
Hall,Brian J.1,2; Sou,Ka Lon1; Beanland,Rachel3; Lacky,Mellanye4; Tso,Lai Sze4; Ma,Qingyan4,5; Doherty,Meg3; Tucker,Joseph D.4
Source PublicationAIDS and Behavior
ISSN15733254 10907165

Retention in HIV care is vital to the HIV care continuum. The current review aimed to synthesize qualitative research to identify facilitators and barriers to HIV retention in care interventions. A qualitative evidence meta-synthesis utilizing thematic analysis. Prospective review registration was made in PROSPERO and review procedures adhered to PRISMA guidelines. Nineteen databases were searched to identify qualitative research conducted with individuals living with HIV and their caregivers. Quality assessment was conducted using CASP and the certainty of the evidence was evaluated using CERQual. A total of 4419 citations were evaluated and 11 were included in the final meta-synthesis. Two studies were from high-income countries, 3 from middle-income countries, and 6 from low-income countries. A total of eight themes were identified as facilitators or barriers for retention in HIV care intervention: (1) Stigma and discrimination, (2) Fear of HIV status disclosure, (3) task shifting to lay health workers, (4) Human resource and institutional challenges, (5) Mobile Health (mHealth), (6) Family and friend support, (7) Intensive case management, and, (8) Relationships with caregivers. The current review suggests that task shifting interventions with lay health workers were feasible and acceptable. mHealth interventions and stigma reduction interventions appear to be promising interventions aimed at improving retention in HIV care. Future studies should focus on improving the evidence base for these interventions. Additional research is needed among women and adolescents who were under-represented in retention interventions.

KeywordArv Care Continuum Hiv Meta-synthesis Retention
URLView the original
Indexed BySSCI
WOS Research AreaPublic, Environmental & Occupational Health ; Biomedical Social Sciences
WOS SubjectPublic, Environmental & Occupational Health ; Social Sciences, Biomedical
WOS IDWOS:000400976300027
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Cited Times [WOS]:48   [WOS Record]     [Related Records in WOS]
Document TypeJournal article
CollectionUniversity of Macau
Corresponding AuthorHall,Brian J.
Affiliation1.Global and Community Mental Health Research GroupDepartment of PsychologyUniversity of Macau,Taipa,E21-3040,Macao
2.Department of HealthBehavior and SocietyJohns Hopkins Bloomberg School of Public Health,Baltimore,United States
3.HIV/AIDS DepartmentWorld Health Organization,Geneva,Switzerland
4.University of North Carolina Chapel Hill Project-China,Guangzhou,510095,China
5.Guangzhou Eighth People’s Hospital,Guangzhou,China
First Author AffilicationUniversity of Macau
Corresponding Author AffilicationUniversity of Macau
Recommended Citation
GB/T 7714
Hall,Brian J.,Sou,Ka Lon,Beanland,Rachel,et al. Barriers and Facilitators to Interventions Improving Retention in HIV Care: A Qualitative Evidence Meta-Synthesis[J]. AIDS and Behavior,2019,21(6):1755-1767.
APA Hall,Brian J.,Sou,Ka Lon,Beanland,Rachel,Lacky,Mellanye,Tso,Lai Sze,Ma,Qingyan,Doherty,Meg,&Tucker,Joseph D..(2019).Barriers and Facilitators to Interventions Improving Retention in HIV Care: A Qualitative Evidence Meta-Synthesis.AIDS and Behavior,21(6),1755-1767.
MLA Hall,Brian J.,et al."Barriers and Facilitators to Interventions Improving Retention in HIV Care: A Qualitative Evidence Meta-Synthesis".AIDS and Behavior 21.6(2019):1755-1767.
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