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The topic of adherence. Experience of access to HIV antiretroviral treatments in Ivory Coast |
Sciences Sociales et Santé. Volume 20, Number 2, 5, Juin 2002, Articles
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 Résumé
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Author(s) : Karine Delaunay, Laurent Vidal |
Summary : In the context of availability of antiretroviral treatments in Ivory Coast, this paper intends to make connections between patients’, care givers’ and health system’s attitudes and positions when it comes to ensure and improve adherence to a complex and hopeful treatment. Especially, the cost of treatments appears as a central issue: it is an important concern for patients, affecting their relationships with their family circle, as well as it moulds care givers’ strategies to select beneficiaries of the treatment, a selection process which receives here a special consideration. As part of a system which has encouraged the development of a predictive approach to patients’ adherence - although it effectively generates non-adherence -, this cost question, after all, becomes emblematic of moralistic discourses and practises in the relationships between patients and care givers. |
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