Navigating socio-ecological and institutional barriers to antiretroviral therapy adherence: qualitative insights among young men and women from Nairobi’s informal settlements
Barriers emerged at individual, socioeconomic, and health system levels. These included limited ART knowledge, pill burden, comorbidities, food insecurity, stigma, violence, and negative healthcare provider attitudes. Addressing these requires multi-level interventions that go beyond medical treatment to tackle structural and social determinants of health.
Authors
- Polycarp Sisa Waswa
- Odylia Muhenje
- Charles Owuor Olungah (ORCID: https://orcid.org/0000-0002-2708-609X)
- Adélaïde Lusambili (ORCID: https://orcid.org/0000-0001-8174-7963)
- Dalmas Ochieng Omia (ORCID: https://orcid.org/0000-0001-6060-8470)
- Raphael Ondondo (ORCID: https://orcid.org/0000-0001-5922-7208)
Institutions
- University of Nairobi (KE)
- Strathmore University (KE)
- Africa International University (KE)
- United States International University Africa (KE)
- Masinde Muliro University of Science and Technology (KE)
Publication Details
- Journal
- Frontiers in Public Health
- Published
- 2025-09-25
- DOI
- https://doi.org/10.3389/fpubh.2025.1650966
- Primary Topic
- HIV/AIDS Research and Interventions
- Type
- article
- Field-Weighted Citation Impact
- 0.00