In what way do Nepalese cultural factors affect adherence to antiretroviral treatment in Nepal?

Sharada Prasad Wasti, Julian Randall, Padam Simkhada, Edwin van Teijlingen

Research output: Contribution to journalArticle

11 Citations (Scopus)

Abstract

Individuals' self administration of medication is an essential component of disease management because incorrect and incomplete medication can result in increased morbidity, mortality and healthcare costs and also spreads drug resistance. Its impact is necessarily wider than just medical and includes the cultural and managerial considerations which govern success in medical interventions. This review paper is aimed at how Nepalese cultural factors (beliefs, religious practices, customs and traditions) may affect adherence to antiretroviral (ARV) medication among people living with Human Immunodeficiency Virus (HIV) and Acquired Immune Deficiency Syndrome (AIDS). 

Results: Cultural factors (individual beliefs and perceptions) are notoriously complex concepts and shape people's identities and influence their attitude and behaviours. The individual behaviours and beliefs about health and seeking treatment can adversely affect health care utilization and adherence to medication. These factors create a complicated and unforgiving environment for patients who are struggling to endure a chronic, life-threatening illness with life-long treatment. We cannot disregard patients' cultural beliefs or practices in order to provide ARV treatment and their adherence because patients and clinicians come from different cultural groups. 

Conclusion: It is the purpose of this paper to contribute to the policy makers by exploring the pertinent cultural factors relating to the uptake of ARV treatment and its adherence.

Original languageEnglish
Pages (from-to)37-47
Number of pages11
JournalHealth Science Journal
Volume5
Issue number1
Publication statusPublished - 2011
Externally publishedYes

Fingerprint

Nepal
Patient Acceptance of Health Care
Self Administration
Medication Adherence
Religion
Therapeutics
Patient Compliance
Disease Management
Administrative Personnel
Drug Resistance
Health Care Costs
Acquired Immunodeficiency Syndrome
HIV
Morbidity
Mortality
Health

Cite this

Wasti, Sharada Prasad ; Randall, Julian ; Simkhada, Padam ; van Teijlingen, Edwin. / In what way do Nepalese cultural factors affect adherence to antiretroviral treatment in Nepal?. In: Health Science Journal. 2011 ; Vol. 5, No. 1. pp. 37-47.
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In what way do Nepalese cultural factors affect adherence to antiretroviral treatment in Nepal? / Wasti, Sharada Prasad; Randall, Julian; Simkhada, Padam; van Teijlingen, Edwin.

In: Health Science Journal, Vol. 5, No. 1, 2011, p. 37-47.

Research output: Contribution to journalArticle

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