Attitudes and practices towards HAART among people living with HIV/AIDS in a resource-limited setting in northern Burkina Faso

Objectives: To assess the perception of human immunodeficiency virus/acquired immunodeficiency syndrome (HIV/AIDS), and attitudes and practices towards highly active antiretroviral treatment (HAART) among patients living in a resource-poor region of northern Burkina Faso, where HAART has only become available in recent years. Study design: A clinic-based cross-sectional survey of 306 patients taking HAART and 106 patients not yet on HAART. Methods: Face-to-face interview with a structured questionnaire at the clinic or at participants' homes. Results: Most patients were illiterate, but overall, they had adequate knowledge and positive attitudes towards HAART, and self-reported that their adherence was good. However, AIDS carried a psychological burden, as 27% of respondents were concerned that others might discover they were on HAART. The majority of respondents expressed concerns about transmitting HIV to others, but only 22% had disclosed their HIV status to their partners, and condom use was suboptimal. Approximately one-third of participants in the HAART group reported that they could no longer work in the same way as before they had AIDS. Multivariate logistic regression found that education and living with someone were positively associated witha favourable functioning status, and distance from clinic and lack of general support from family or friends were negatively associated with a favourable functioning status. Conclusions: HAART was well accepted in this resource-poor region. Community education and supportive approaches may be critical for an effective preventive programme. (C) 2011 The Royal Society for Public Health. Published by Elsevier Ltd. All rights reserved.