Achievement of adherence to antiretroviral medications in HIV positive patients as part of preventive and anti-epidemic measures

Antiretroviral treatment (ART) becomes the core element of contemporary specific HIV prevention arrangements. But its efficaciousness depends on a high level adherence above 95%. It takes the proper arrangement of both pre/post HIV test counseling and follow up observations to achieve and support such high adherence in HIV positive patients. The article gives coverage of predictive factors having concern with the successful achievement of high adherence to ART. There are given two forms of questionnaire able to optimize counseling to achieve and support the adherence. The authors pay heed to conceptual duality in the medical thoughts concerning the terms of compliance with and adherence to ART that results in improper and inadequate actions of HIV clinics personnel during the counseling and following up the patients. It is noticed the necessity to distinguish three consecutive kinds of adherence: to health support, to follow up observation, and, actually, to ART. The authors give guidance to achieve the high adherence taking into account the main predictors of it.

профилактика ВИЧ-инфекции, лечение как профилактика, приверженность АРВТ, предикторы приверженности, консультирование по формированию приверженности, HIV prevention, antiretroviral treatment as prevention, adherence to ART, adherence predictors, adherence counseling

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