alexa The effect of Food Assistance on Adherence to Antiretroviral Therapy among HIV/AIDS Patients in Sofala Province, in Mozambique: A Retrospective Study | OMICS International | Abstract
ISSN 2155-6113

Journal of AIDS & Clinical Research
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Research Article

The effect of Food Assistance on Adherence to Antiretroviral Therapy among HIV/AIDS Patients in Sofala Province, in Mozambique: A Retrospective Study

Mariana Posse1,2*, Nyasha Tirivayi3, Unnati Rani Saha2 and Rob Baltussen2

1Faculty of Economics and Management, Catholic University of Mozambique, Beira, Mozambique

2Department of Primary and Community Care, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands

3Maastricht Graduate School of Governance, UNU-MERIT, Maastricht University, The Netherlands

*Corresponding Author:
Mariana Posse
Radboud University Nijmegen Medical Centre
P.O Box 9101, 6500 HB Nijmegen
ELG 117, The Netherlands
Tel: +31-24-366-8161
Fax: +31-24-361-9561
E-mail: [email protected]

Received Date: February 18, 2013; Accepted Date: March 22, 2013; Published Date: March 27, 2013

Citation: Posse M, Tirivayi N, Saha UR, Baltussen R (2013) The effect of Food Assistance on Adherence to Antiretroviral Therapy among HIV/AIDS Patients in Sofala Province, in Mozambique: A Retrospective Study. J AIDS Clin Res 4:198. doi:10.4172/2155-6113.1000198

Copyright: © 2013 Posse M, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Abstract

Background: The availability of Antiretroviral Treatment (ART) has changed the course of HIV/AIDS, by transforming it into a chronic condition. However, important challenges remain in the management of HIV/AIDS. These challenges are exacerbated by the fact that in resource limited settings, food insecurity and HIV/AIDS overlap. The aim of our study was to evaluate the effect of a food assistance program on adherence to ART in Sofala province, Mozambique.

Methods: In order to assess the effect of the food assistance program on adherence we used propensity score matching with difference in differences estimation. We compared food assistance recipients with controls. We measured adherence based on pill pick-up, a pharmacy adherence measure.

Results: During the food assistance programme, the adherence of food assistance recipients who received food assistance for a period of six and 12 months and non-food assistance recipients is not significantly different as the average impact is only 0.4% (p=0.94) and -2.3% (p=0.73) respectively. For the period after food assistance had been terminated, adherence is still not significantly different between the two groups, as the average impact is 5.3% (p=0.44) and 1.9% (p=0.65).

Conclusion: Our study suggests that food assistance provided to HIV/AIDS patients in Sofala province in Mozambique had no effect on their adherence to ART. Our results indicate that although efforts have been put forth to reduce food insecurity among HIV/AIDS patients, more should be done to ensure that these efforts really result in the improvement of adherence to ART.

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