Belief in divine healing can be a barrier to antiretroviral therapy adherence in Uganda

AIDS. 2007 Jul 11;21(11):1486-7. doi: 10.1097/QAD.0b013e32823ecf7f.


Although recent data suggest high levels of adherence to expanding antiretroviral therapy (ART) programmes in resource-limited settings, the culture-specific barriers to adherence are poorly understood. In a prospective observational study, we found that 1.2% of patients discontinued ART because of a belief in spiritual healing. Spiritual beliefs should be an important part of ART adherence counselling in resource-limited settings, requiring close collaboration between HIV care programmes and religious leaders to identify common goals and ensure successful treatment.

MeSH terms

  • Adult
  • Anti-Retroviral Agents / therapeutic use*
  • Culture
  • Developing Countries*
  • Female
  • HIV Infections / drug therapy
  • HIV Infections / psychology*
  • HIV-1*
  • Humans
  • Male
  • Prospective Studies
  • Religion*
  • Treatment Outcome
  • Treatment Refusal*
  • Uganda


  • Anti-Retroviral Agents