Opinion Paper

Do disability grants influence adherence to antiretroviral therapy?

Ashraf Kagee
African Journal of Disability | Vol 3, No 1 | a100 | DOI: https://doi.org/10.4102/ajod.v3i1.100 | © 2014 Ashraf Kagee | This work is licensed under CC Attribution 4.0
Submitted: 12 November 2013 | Published: 23 April 2014

About the author(s)

Ashraf Kagee, Department of Psychology, Stellenbosch University, South Africa


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Abstract

Anecdotal data suggest that some South Africans living with HIV who receive disability grants from the state deliberately default on their antiretroviral medication in an attempt to lower their CD4 count to remain eligible for grants. No actual empirical data however exist to show that disability grants act as such perverse incentives and are a valid reason for non-adherence. This article examines some of the complexities of antiretroviral adherence in the context of a resource-constrained environment. The multitude of structural barriers, including sometimes difficult patient-doctor conversations about the renewal of disability grants, shape patients’ experiences of the clinic environment and influence their adherence to care.

Keywords

disability grants; HIV

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Crossref Citations

1. People with disabilities and income-related social protection measures in South Africa: Where is the gap?
Jill Hanass-Hancock, Tamlyn C. McKenzie
African Journal of Disability  vol: 6  year: 2017  
doi: 10.4102/ajod.v6i0.300