• Pan Afr Med J · Jan 2018

    Observance to antiretroviral treatment in the rural region of the Democratic Republic of Congo: a cognitive dissonance.

    • Simon-Decap Mabakutuvangilanga Ntela, Nathalie Goutte, Jean-Manuel Morvillers, Cyril Crozet, Mathieu Ahouah, Marie-Claire Omanyondo-Ohambe, Bernard Ntoto-Kunzi, Félicien Tshimungu Kandolo, and Monique Rothan-Tondeur.
    • Higher Institute of Medical Techniques of Kinshasa, Democratic Republic of Congo.
    • Pan Afr Med J. 2018 Jan 1; 31: 159.

    IntroductionThis study aimed to understand the influence of local media, religion and cultural beliefs on the therapeutic compliance of patients living with HIV.MethodsThis study was conducted in two rural hospitals in the Central Kongo province of the Democratic Republic of Congo. Semi-directional interviews were conducted with patients on antiretroviral therapy using a phenomenological qualitative method.ResultsOur results indicated that patients living with HIV in the rural region of the Democratic Republic of Congo are in a constant state of tension between the messages for compliance to antiretroviral treatment advocated by caregivers, and those broadcasted by audiovisual media, religious leaders and local beliefs. This dissonance constitutes a real barrier to therapeutic compliance.ConclusionCollaborative strategies between healthcare providers, patients, as well as religious, media and traditional organizations are urgently needed.

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