Marseille 2007
| Abstract #43 - High risk infected women by HIV/aids alternate recourses therapeutics and antiretroviral treatments observance of in Burkina Faso | ||||
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Session: 26.11: Posters B (Poster) on Tuesday in Chaired by Authors: Presenting Author: Ms Ramata DIALLO - Centre Muraz, Burkina Faso |
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| Additional Authors: Mr Anselme SANON, Mr Abdoulaye OUEDRAOGO, Mr Issouf KONATE, Mr Isidore TRAORE, Mr Nicolas NAGOT, | ||||
| Aim: Resents nationals and internationals initiatives made access to antiretroviral treatments (ARV) easy . That posed some problems of long treatments observance in the population that is habit of short time treatment.. The place of alternate recourses (traditional medicine, cure prier,) can complicate the relation with modern medicine and here is the interest of understanding in one part, the impact of psychological and cultural determinants on alternate recourses behaviours and in the other part, the relation between therapeutics recourses and ARV treatments. | ||||
| Method / Issue: This qualitative study has concerned the 41 first HIV infected women of a cohort of high risks women followed in Bobo-Dioulasso. They answered to a questioner about their interpretation of diseases in relation with HIV, about the psychological problems they meet, the type of therapeutics recourses they use and their ARV observance for some who were taken. | ||||
| Results / Comments: For 41 women included, 27 of them had a total of 36 alternate recourses (traditional auto medication = 4 ; Herbalist = 9 ; Soothsayer = 4; Modern Herbalist = 3 ; Charismatic Prier = 15 ; Urino-therapeutic = 1). Therapeutic recourse was determined by the disease interpretation: More the patient thought her disease was in relation with witchcraft, fate or possession, and more she used an alternate recourse. For women drinking ARV, (n = 16), observance seemed deteriorated by alternate therapeutics (6/9 women who didnt drink one or more time their medicine in a month were using alternate recourse) and psychological problems (70% of psychological problems were by women who had observance difficulties). | ||||
| Discussion: The choice of the therapeutic recourse type is more influenced by the way of interpreting the disease. Alternate recourse and high number of psychological problems have a negative impact on ARV treatment observance, and here is the importance of psychological help for people living with HIV in Africa. It may help them to modulate their disease interpretation and so, their ARV observance. | ||||
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