, Volume 13, Issue 5, pp 969-972
Date: 07 Aug 2009

The Role of Depression in Predicting Antiretroviral Adherence in Ugandan Parents and Their Children Initiating HAART in the MTCT-Plus Family Treatment Model: Commentary on Jayne Byakika-Tusiime et al. 2009

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Sub-Saharan Africa remains the region most heavily affected by HIV, accounting for 67% of all people living with HIV [1]. There remains a need for more comprehensive HIV treatment and prevention programs in this region. In Uganda, ~56% of HIV positive individuals who need treatment have access to anti-retroviral therapy (ART). Activities to scale up provision of ART are taking place country wide with support from Ministry of Health working with various non governmental organizations. The benefits of these efforts critically depend on patients achieving and maintaining high levels of adherence [2]. Therefore, ART programs in Uganda need to ake a holistic approach in addressing all potential barriers to adherence.

We commend Jayne Byakika-Tusiime et al. [3] for investigating the association between depression and adherence to ART because the literature on mental health related risk factors for adherence are limited in Uganda. Their study adds to the growing epidemiological literature on m ...