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Antiretroviral Treatment Literacy Among HIV Voluntary Counseling and Testing Clients in Moshi, Tanzania, 2003 to 2005

Division of Infectious Diseases and International Health, Duke University Medical Center, Durham, North Carolina, Tanzania

Nathan M. Thielman, MD, MPH

Division of Infectious Diseases and International Health, Duke University Medical Center, Durham, North Carolina, Tanzania

Anna Mgonja

Kikundi cha Wanawake Kilimanjaro Kupambana na UKIMWI, KIWAKKUKI, Women Against AIDS in Kilimanjaro, Moshi, Tanzania

Humphrey J. Shao, MD

Kilimanjaro Christian Medical Centre, Moshi, Tanzania

Dafrosa K. Itemba

Kikundi cha Wanawake Kilimanjaro Kupambana na UKIMWI, KIWAKKUKI, Women Against AIDS in Kilimanjaro, Moshi, Tanzania

Evelyn M. Ndosi

Kilimanjaro Christian Medical Centre, Moshi, Tanzania

Alison C. Tribble

Division of Infectious Diseases and International Health, Duke University Medical Center, Durham, North Carolina, Tanzania

John F. Shao, MD, PhD

Kilimanjaro Christian Medical Centre, Kilimanjaro Christian Medical College, Tumaini University, Moshi, Tanzania

John A. Bartlett, MD

Division of Infectious Diseases and International Health, Duke University Medical Center, Durham, North Carolina, Tanzania

John A. Crump, MB, ChB, DTM&H

Division of Infectious Diseases and International Health, Duke University Medical Center, Durham, North Carolina, Kilimanjaro Christian Medical Centre, Kilimanjaro Christian Medical College, Tumaini University, Moshi, Tanzania, crump017{at}mc.duke.edu

Antiretroviral treatment literacy leads to greater HIV testing and treatment and antiretroviral treatment adherence. Among northern Tanzanian subjects, antiretroviral treatment awareness was only 17%. Factors associated with low antiretroviral treatment literacy included having exchanged money or gifts for sex, living in rural areas, having more than 2 children, and having a primary education only. Previous HIV testing was protective against low antiretroviral treatment literacy. These results support refocusing HIV education efforts and increasing synergy between HIV prevention and treatment programs.

Key Words: highly active antiretroviral therapy • patient education • Tanzania • sub-Saharan Africa • HIV infections • patient acceptance of health care

Journal of the International Association of Physicians in AIDS Care (JIAPAC), Vol. 6, No. 1, 24-26 (2007)
DOI: 10.1177/1545109706298479


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