{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T12:37:19Z","timestamp":1791463039042,"version":"4.3.4"},"reference-count":42,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2012,9,19]],"date-time":"2012-09-19T00:00:00Z","timestamp":1348012800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Int Assoc Provid AIDS Care"],"published-print":{"date-parts":[[2013,2]]},"abstract":"<jats:p>Inability to retain HIV-infected patients in care undermines the benefits of starting millions in low-income countries on antiretroviral therapy (ART). In a hospital HIV clinic in rural southern Ethiopia, we conducted focus groups of HIV-infected men and women to learn more about experiences with and barriers to attending clinic appointments. Respondents reported multiple barriers, including those that were patient related (eg, misunderstandings about ART, mistaken belief in AIDS cures, and drug\/alcohol use), clinic related (eg, negative provider interactions, lack of familiarity with patients\u2019 medical situation, and overcrowding), medication related (eg, side effects), social (eg, stigma and discrimination and lack of support), and situational\/resource related (eg, distance to clinic, lack of funds, competing domestic\/work priorities, and lack of food). Based on the lessons learned from these focus groups, we implemented a community intervention to improve retention, using trained community support workers who provide patient education, counseling, social support, problem-solving assistance, needed referrals, and improved communication\/linkage to the patients\u2019 HIV clinic.<\/jats:p>","DOI":"10.1177\/1545109712456428","type":"journal-article","created":{"date-parts":[[2012,9,20]],"date-time":"2012-09-20T20:17:38Z","timestamp":1348172258000},"page":"32-38","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":51,"title":["Barriers to Retention in Care as Perceived by Persons Living with HIV in Rural Ethiopia"],"prefix":"10.1177","volume":"12","author":[{"given":"Alan R.","family":"Lifson","sequence":"first","affiliation":[{"name":"Division of Epidemiology and Community Health, University of Minnesota, Minneapolis, MN, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Workneh","family":"Demissie","sequence":"additional","affiliation":[{"name":"Ethiopian Office, National Alliance of State and Territorial AIDS Directors, Addis Ababa, Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alemayehu","family":"Tadesse","sequence":"additional","affiliation":[{"name":"Ethiopian Office, National Alliance of State and Territorial AIDS Directors, Addis Ababa, Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kassu","family":"Ketema","sequence":"additional","affiliation":[{"name":"World Health Organization Country Office for Ethiopia, Addis Ababa, Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Randy","family":"May","sequence":"additional","affiliation":[{"name":"Global Program, National Alliance of State and Territorial AIDS Directors, Washington, DC, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bereket","family":"Yakob","sequence":"additional","affiliation":[{"name":"Ethiopian Office, National Alliance of State and Territorial AIDS Directors, Addis Ababa, Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Meka","family":"Metekia","sequence":"additional","affiliation":[{"name":"Regional Health Bureau, Southern Nations, Nationalities and People\u2019s Region, Hawassa, Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lucy","family":"Slater","sequence":"additional","affiliation":[{"name":"Global Program, National Alliance of State and Territorial AIDS Directors, Washington, DC, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tibebe","family":"Shenie","sequence":"additional","affiliation":[{"name":"Ethiopian Office, National Alliance of State and Territorial AIDS Directors, Addis Ababa, Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2012,9,19]]},"reference":[{"key":"bibr1-1545109712456428","author":"Word Health Organization","journal-title":"Global HIV\/AIDS response: epidemic update and health sector progress towards universal access, progress report 2011"},{"key":"bibr2-1545109712456428","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-3156.2010.02508.x"},{"key":"bibr3-1545109712456428","doi-asserted-by":"publisher","DOI":"10.1086\/516778"},{"key":"bibr4-1545109712456428","doi-asserted-by":"publisher","DOI":"10.1086\/595705"},{"key":"bibr5-1545109712456428","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.1000173"},{"key":"bibr6-1545109712456428","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-3156.2010.02504.x"},{"key":"bibr7-1545109712456428","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa062360"},{"key":"bibr8-1545109712456428","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(06)68887-9"},{"key":"bibr9-1545109712456428","doi-asserted-by":"publisher","DOI":"10.1097\/QAD.0b013e3282f2d760"},{"key":"bibr10-1545109712456428","doi-asserted-by":"publisher","DOI":"10.1097\/QAD.0b013e32832b7dca"},{"key":"bibr11-1545109712456428","unstructured":"Panel on Treatment of HIV-Infected Pregnant Women and Prevention of Perinatal Transmission: Recommendations for use of antiretroviral drugs in pregnant HIV-1-infected women for maternal health and Interventions to reduce perinatal HIV transmission in the United States. 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