Mobile phone use for a social strategy to improve antiretroviral refill experience at a low-resource HIV clinic: patient responses from Nigeria.
Identifieur interne : 000966 ( PubMed/Corpus ); précédent : 000965; suivant : 000967Mobile phone use for a social strategy to improve antiretroviral refill experience at a low-resource HIV clinic: patient responses from Nigeria.
Auteurs : Adedotun A. Adetunji ; Sufiyan A. Muyibi ; Martins Imhansoloeva ; Olusola M. Ibraheem ; Adegbenga Sunmola ; Olubunmi O. Kolawole ; Oluwasina O. Akinrinsola ; James O. Ojo-Osagie ; Olusola A. Mosuro ; Josephine O. Abiolu ; Achiaka E. Irabor ; Prosper Okonkwo ; Isaac F. Adewole ; Babafemi O. TaiwoSource :
- AIDS care [ 1360-0451 ] ; 2017.
English descriptors
- KwdEn :
- Adolescent, Adult, Ambulatory Care Facilities, Appointments and Schedules, Cell Phones, Cross-Sectional Studies, Drug Prescriptions, Female, Focus Groups, HIV Infections (drug therapy), Health Services Accessibility, Humans, Male, Medication Adherence, Middle Aged, Nigeria, Patient Preference, Qualitative Research, Social Support, Young Adult.
- MESH :
- drug therapy : HIV Infections.
- Adolescent, Adult, Ambulatory Care Facilities, Appointments and Schedules, Cell Phones, Cross-Sectional Studies, Drug Prescriptions, Female, Focus Groups, Health Services Accessibility, Humans, Male, Medication Adherence, Middle Aged, Nigeria, Patient Preference, Qualitative Research, Social Support, Young Adult.
Abstract
In sub-Saharan African areas where antiretroviral (ARV) drugs are not available through community pharmacies, clinic-based pharmacies are often the primary source of ARV drug refills. Social pressure is mounting on treatment providers to adjust ARV refill services towards user-friendly approaches which prioritize patients' convenience and engage their resourcefulness. By this demand, patients may be signalling dissatisfaction with the current provider-led model of monthly visits to facility-based pharmacies for ARV refill. Mobile phones are increasingly popular in sub-Saharan Africa, and have been used to support ARV treatment goals in this setting. A patient-centred response to on-going social pressure requires treatment providers to view ARV refill activities through the eyes of patients who are negotiating the challenges of day-to-day life while contemplating their next refill appointment. Using focus groups of five categories of adult patients receiving combination ARV therapy, we conducted this cross-sectional qualitative study to provide insight into modifiable gaps between patients' expectations and experiences of the use of mobile phones in facility-based ARV refill service at a public HIV clinic in Nigeria. A notable finding was patients' preference for harnessing informal social support (through intermediaries with mobile phones) to maintain adherence to ARV refill appointments when they could not present in person. This evolving social support strategy also has the potential to enhance defaulter tracking. Our study findings may inform the development of ARV refill strategies and the design of future qualitative studies on client-provider communication by mobile phones in under-resourced HIV treatment programmes.
DOI: 10.1080/09540121.2016.1226476
PubMed: 27632470
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Muyibi</name><affiliation><nlm:affiliation>a Department of Family Medicine , University College Hospital , Ibadan , Nigeria.</nlm:affiliation></affiliation></author><author><name sortKey="Imhansoloeva, Martins" sort="Imhansoloeva, Martins" uniqKey="Imhansoloeva M" first="Martins" last="Imhansoloeva">Martins Imhansoloeva</name><affiliation><nlm:affiliation>b Department of Epidemiology and Medical Statistics, College of Medicine , University of Ibadan , Ibadan , Nigeria.</nlm:affiliation></affiliation></author><author><name sortKey="Ibraheem, Olusola M" sort="Ibraheem, Olusola M" uniqKey="Ibraheem O" first="Olusola M" last="Ibraheem">Olusola M. 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Taiwo</name><affiliation><nlm:affiliation>f Division of Infectious Diseases, Feinberg School of Medicine , Northwestern University , Chicago , USA.</nlm:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2017">2017</date><idno type="RBID">pubmed:27632470</idno><idno type="pmid">27632470</idno><idno type="doi">10.1080/09540121.2016.1226476</idno><idno type="wicri:Area/PubMed/Corpus">000966</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">000966</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Mobile phone use for a social strategy to improve antiretroviral refill experience at a low-resource HIV clinic: patient responses from Nigeria.</title><author><name sortKey="Adetunji, Adedotun A" sort="Adetunji, Adedotun A" uniqKey="Adetunji A" first="Adedotun A" last="Adetunji">Adedotun A. Adetunji</name><affiliation><nlm:affiliation>a Department of Family Medicine , University College Hospital , Ibadan , Nigeria.</nlm:affiliation></affiliation></author><author><name sortKey="Muyibi, Sufiyan A" sort="Muyibi, Sufiyan A" uniqKey="Muyibi S" first="Sufiyan A" last="Muyibi">Sufiyan A. Muyibi</name><affiliation><nlm:affiliation>a Department of Family Medicine , University College Hospital , Ibadan , Nigeria.</nlm:affiliation></affiliation></author><author><name sortKey="Imhansoloeva, Martins" sort="Imhansoloeva, Martins" uniqKey="Imhansoloeva M" first="Martins" last="Imhansoloeva">Martins Imhansoloeva</name><affiliation><nlm:affiliation>b Department of Epidemiology and Medical Statistics, College of Medicine , University of Ibadan , Ibadan , Nigeria.</nlm:affiliation></affiliation></author><author><name sortKey="Ibraheem, Olusola M" sort="Ibraheem, Olusola M" uniqKey="Ibraheem O" first="Olusola M" last="Ibraheem">Olusola M. Ibraheem</name><affiliation><nlm:affiliation>c APIN Plus , University College Hospital , Ibadan , Nigeria.</nlm:affiliation></affiliation></author><author><name sortKey="Sunmola, Adegbenga" sort="Sunmola, Adegbenga" uniqKey="Sunmola A" first="Adegbenga" last="Sunmola">Adegbenga Sunmola</name><affiliation><nlm:affiliation>d Department of Psychology , University of Ibadan , Ibadan , Nigeria.</nlm:affiliation></affiliation></author><author><name sortKey="Kolawole, Olubunmi O" sort="Kolawole, Olubunmi O" uniqKey="Kolawole O" first="Olubunmi O" last="Kolawole">Olubunmi O. Kolawole</name><affiliation><nlm:affiliation>c APIN Plus , University College Hospital , Ibadan , Nigeria.</nlm:affiliation></affiliation></author><author><name sortKey="Akinrinsola, Oluwasina O" sort="Akinrinsola, Oluwasina O" uniqKey="Akinrinsola O" first="Oluwasina O" last="Akinrinsola">Oluwasina O. Akinrinsola</name><affiliation><nlm:affiliation>c APIN Plus , University College Hospital , Ibadan , Nigeria.</nlm:affiliation></affiliation></author><author><name sortKey="Ojo Osagie, James O" sort="Ojo Osagie, James O" uniqKey="Ojo Osagie J" first="James O" last="Ojo-Osagie">James O. Ojo-Osagie</name><affiliation><nlm:affiliation>c APIN Plus , University College Hospital , Ibadan , Nigeria.</nlm:affiliation></affiliation></author><author><name sortKey="Mosuro, Olusola A" sort="Mosuro, Olusola A" uniqKey="Mosuro O" first="Olusola A" last="Mosuro">Olusola A. Mosuro</name><affiliation><nlm:affiliation>a Department of Family Medicine , University College Hospital , Ibadan , Nigeria.</nlm:affiliation></affiliation></author><author><name sortKey="Abiolu, Josephine O" sort="Abiolu, Josephine O" uniqKey="Abiolu J" first="Josephine O" last="Abiolu">Josephine O. Abiolu</name><affiliation><nlm:affiliation>c APIN Plus , University College Hospital , Ibadan , Nigeria.</nlm:affiliation></affiliation></author><author><name sortKey="Irabor, Achiaka E" sort="Irabor, Achiaka E" uniqKey="Irabor A" first="Achiaka E" last="Irabor">Achiaka E. Irabor</name><affiliation><nlm:affiliation>a Department of Family Medicine , University College Hospital , Ibadan , Nigeria.</nlm:affiliation></affiliation></author><author><name sortKey="Okonkwo, Prosper" sort="Okonkwo, Prosper" uniqKey="Okonkwo P" first="Prosper" last="Okonkwo">Prosper Okonkwo</name><affiliation><nlm:affiliation>e AIDS Prevention Initiative in Nigeria Ltd. Gte ., Abuja , Nigeria.</nlm:affiliation></affiliation></author><author><name sortKey="Adewole, Isaac F" sort="Adewole, Isaac F" uniqKey="Adewole I" first="Isaac F" last="Adewole">Isaac F. Adewole</name><affiliation><nlm:affiliation>c APIN Plus , University College Hospital , Ibadan , Nigeria.</nlm:affiliation></affiliation></author><author><name sortKey="Taiwo, Babafemi O" sort="Taiwo, Babafemi O" uniqKey="Taiwo B" first="Babafemi O" last="Taiwo">Babafemi O. Taiwo</name><affiliation><nlm:affiliation>f Division of Infectious Diseases, Feinberg School of Medicine , Northwestern University , Chicago , USA.</nlm:affiliation></affiliation></author></analytic><series><title level="j">AIDS care</title><idno type="eISSN">1360-0451</idno><imprint><date when="2017" type="published">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Ambulatory Care Facilities</term><term>Appointments and Schedules</term><term>Cell Phones</term><term>Cross-Sectional Studies</term><term>Drug Prescriptions</term><term>Female</term><term>Focus Groups</term><term>HIV Infections (drug therapy)</term><term>Health Services Accessibility</term><term>Humans</term><term>Male</term><term>Medication Adherence</term><term>Middle Aged</term><term>Nigeria</term><term>Patient Preference</term><term>Qualitative Research</term><term>Social Support</term><term>Young Adult</term></keywords><keywords scheme="MESH" qualifier="drug therapy" xml:lang="en"><term>HIV Infections</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Ambulatory Care Facilities</term><term>Appointments and Schedules</term><term>Cell Phones</term><term>Cross-Sectional Studies</term><term>Drug Prescriptions</term><term>Female</term><term>Focus Groups</term><term>Health Services Accessibility</term><term>Humans</term><term>Male</term><term>Medication Adherence</term><term>Middle Aged</term><term>Nigeria</term><term>Patient Preference</term><term>Qualitative Research</term><term>Social Support</term><term>Young Adult</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">In sub-Saharan African areas where antiretroviral (ARV) drugs are not available through community pharmacies, clinic-based pharmacies are often the primary source of ARV drug refills. Social pressure is mounting on treatment providers to adjust ARV refill services towards user-friendly approaches which prioritize patients' convenience and engage their resourcefulness. By this demand, patients may be signalling dissatisfaction with the current provider-led model of monthly visits to facility-based pharmacies for ARV refill. Mobile phones are increasingly popular in sub-Saharan Africa, and have been used to support ARV treatment goals in this setting. A patient-centred response to on-going social pressure requires treatment providers to view ARV refill activities through the eyes of patients who are negotiating the challenges of day-to-day life while contemplating their next refill appointment. Using focus groups of five categories of adult patients receiving combination ARV therapy, we conducted this cross-sectional qualitative study to provide insight into modifiable gaps between patients' expectations and experiences of the use of mobile phones in facility-based ARV refill service at a public HIV clinic in Nigeria. A notable finding was patients' preference for harnessing informal social support (through intermediaries with mobile phones) to maintain adherence to ARV refill appointments when they could not present in person. This evolving social support strategy also has the potential to enhance defaulter tracking. Our study findings may inform the development of ARV refill strategies and the design of future qualitative studies on client-provider communication by mobile phones in under-resourced HIV treatment programmes.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">27632470</PMID><DateCreated><Year>2016</Year><Month>09</Month><Day>15</Day></DateCreated><DateCompleted><Year>2017</Year><Month>07</Month><Day>07</Day></DateCompleted><DateRevised><Year>2017</Year><Month>08</Month><Day>11</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1360-0451</ISSN><JournalIssue CitedMedium="Internet"><Volume>29</Volume><Issue>5</Issue><PubDate><Year>2017</Year><Month>May</Month></PubDate></JournalIssue><Title>AIDS care</Title><ISOAbbreviation>AIDS Care</ISOAbbreviation></Journal><ArticleTitle>Mobile phone use for a social strategy to improve antiretroviral refill experience at a low-resource HIV clinic: patient responses from Nigeria.</ArticleTitle><Pagination><MedlinePgn>575-578</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1080/09540121.2016.1226476</ELocationID><Abstract><AbstractText>In sub-Saharan African areas where antiretroviral (ARV) drugs are not available through community pharmacies, clinic-based pharmacies are often the primary source of ARV drug refills. Social pressure is mounting on treatment providers to adjust ARV refill services towards user-friendly approaches which prioritize patients' convenience and engage their resourcefulness. By this demand, patients may be signalling dissatisfaction with the current provider-led model of monthly visits to facility-based pharmacies for ARV refill. Mobile phones are increasingly popular in sub-Saharan Africa, and have been used to support ARV treatment goals in this setting. A patient-centred response to on-going social pressure requires treatment providers to view ARV refill activities through the eyes of patients who are negotiating the challenges of day-to-day life while contemplating their next refill appointment. Using focus groups of five categories of adult patients receiving combination ARV therapy, we conducted this cross-sectional qualitative study to provide insight into modifiable gaps between patients' expectations and experiences of the use of mobile phones in facility-based ARV refill service at a public HIV clinic in Nigeria. A notable finding was patients' preference for harnessing informal social support (through intermediaries with mobile phones) to maintain adherence to ARV refill appointments when they could not present in person. This evolving social support strategy also has the potential to enhance defaulter tracking. Our study findings may inform the development of ARV refill strategies and the design of future qualitative studies on client-provider communication by mobile phones in under-resourced HIV treatment programmes.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Adetunji</LastName><ForeName>Adedotun A</ForeName><Initials>AA</Initials><AffiliationInfo><Affiliation>a Department of Family Medicine , University College Hospital , Ibadan , Nigeria.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Muyibi</LastName><ForeName>Sufiyan A</ForeName><Initials>SA</Initials><AffiliationInfo><Affiliation>a Department of Family Medicine , University College Hospital , Ibadan , Nigeria.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Imhansoloeva</LastName><ForeName>Martins</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>b Department of Epidemiology and Medical Statistics, College of Medicine , University of Ibadan , Ibadan , Nigeria.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Ibraheem</LastName><ForeName>Olusola M</ForeName><Initials>OM</Initials><AffiliationInfo><Affiliation>c APIN Plus , University College Hospital , Ibadan , Nigeria.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Sunmola</LastName><ForeName>Adegbenga</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>d Department of Psychology , University of Ibadan , Ibadan , Nigeria.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Kolawole</LastName><ForeName>Olubunmi O</ForeName><Initials>OO</Initials><AffiliationInfo><Affiliation>c APIN Plus , University College Hospital , Ibadan , Nigeria.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Akinrinsola</LastName><ForeName>Oluwasina O</ForeName><Initials>OO</Initials><AffiliationInfo><Affiliation>c APIN Plus , University College Hospital , Ibadan , Nigeria.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Ojo-Osagie</LastName><ForeName>James O</ForeName><Initials>JO</Initials><AffiliationInfo><Affiliation>c APIN Plus , University College Hospital , Ibadan , Nigeria.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Mosuro</LastName><ForeName>Olusola A</ForeName><Initials>OA</Initials><AffiliationInfo><Affiliation>a Department of Family Medicine , University College Hospital , Ibadan , Nigeria.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Abiolu</LastName><ForeName>Josephine O</ForeName><Initials>JO</Initials><AffiliationInfo><Affiliation>c APIN Plus , University College Hospital , Ibadan , Nigeria.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Irabor</LastName><ForeName>Achiaka E</ForeName><Initials>AE</Initials><AffiliationInfo><Affiliation>a Department of Family Medicine , University College Hospital , Ibadan , Nigeria.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Okonkwo</LastName><ForeName>Prosper</ForeName><Initials>P</Initials><AffiliationInfo><Affiliation>e AIDS Prevention Initiative in Nigeria Ltd. Gte ., Abuja , Nigeria.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Adewole</LastName><ForeName>Isaac F</ForeName><Initials>IF</Initials><AffiliationInfo><Affiliation>c APIN Plus , University College Hospital , Ibadan , Nigeria.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Taiwo</LastName><ForeName>Babafemi O</ForeName><Initials>BO</Initials><AffiliationInfo><Affiliation>f Division of Infectious Diseases, Feinberg School of Medicine , Northwestern University , Chicago , USA.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><GrantList CompleteYN="Y"><Grant><GrantID>D43 TW007995</GrantID><Acronym>TW</Acronym><Agency>FIC NIH HHS</Agency><Country>United States</Country></Grant><Grant><GrantID>D43 TW009608</GrantID><Acronym>TW</Acronym><Agency>FIC NIH HHS</Agency><Country>United States</Country></Grant></GrantList><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2016</Year><Month>09</Month><Day>15</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>AIDS Care</MedlineTA><NlmUniqueID>8915313</NlmUniqueID><ISSNLinking>0954-0121</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><CitationSubset>X</CitationSubset><CommentsCorrectionsList><CommentsCorrections RefType="Cites"><RefSource>J Acquir Immune Defic Syndr. 2011 Feb 1;56(2):e39-44</RefSource><PMID Version="1">21084990</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Trop Med Int Health. 2008 Mar;13(3):328-33</RefSource><PMID Version="1">18298607</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>BMC Public Health. 2013 Oct 21;13:987</RefSource><PMID Version="1">24143931</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Lancet. 2010 Nov 27;376(9755):1838-45</RefSource><PMID Version="1">21071074</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Trop Med Int Health. 2010 Jun;15 Suppl 1:70-5</RefSource><PMID Version="1">20586963</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>BMC Public Health. 2014 Apr 15;14:364</RefSource><PMID Version="1">24735550</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>AIDS Care. 2010;22 Suppl 1:35-43</RefSource><PMID Version="1">20680859</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>AIDS. 2011 Mar 27;25(6):825-34</RefSource><PMID Version="1">21252632</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Trials. 2011 Jan 07;12:5</RefSource><PMID Version="1">21211064</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>AIDS Patient Care STDS. 2008 Jun;22(6):495-504</RefSource><PMID Version="1">18462071</PMID></CommentsCorrections></CommentsCorrectionsList><MeshHeadingList><MeshHeading><DescriptorName UI="D000293" MajorTopicYN="N">Adolescent</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000554" MajorTopicYN="N">Ambulatory Care Facilities</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D001071" MajorTopicYN="Y">Appointments and Schedules</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D040421" MajorTopicYN="Y">Cell Phones</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D003430" MajorTopicYN="N">Cross-Sectional Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011307" MajorTopicYN="Y">Drug Prescriptions</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D017144" MajorTopicYN="N">Focus Groups</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015658" MajorTopicYN="N">HIV Infections</DescriptorName><QualifierName UI="Q000188" MajorTopicYN="Y">drug therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006297" MajorTopicYN="N">Health Services Accessibility</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D055118" MajorTopicYN="N">Medication Adherence</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D009549" MajorTopicYN="N">Nigeria</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D057240" MajorTopicYN="N">Patient Preference</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D036301" MajorTopicYN="N">Qualitative Research</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012944" MajorTopicYN="N">Social Support</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D055815" MajorTopicYN="N">Young Adult</DescriptorName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">ARV refill</Keyword><Keyword MajorTopicYN="N">Antiretroviral therapy</Keyword><Keyword MajorTopicYN="N">focus groups</Keyword><Keyword MajorTopicYN="N">mobile phone</Keyword><Keyword MajorTopicYN="N">social support</Keyword><Keyword MajorTopicYN="N">sub-Saharan Africa</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pmc-release"><Year>2018</Year><Month>05</Month><Day>01</Day></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2016</Year><Month>9</Month><Day>16</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate 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HfdIndexSelect -h $EXPLOR_AREA/Data/PubMed/Corpus/RBID.i -Sk "pubmed:27632470" \
| HfdSelect -Kh $EXPLOR_AREA/Data/PubMed/Corpus/biblio.hfd \
| NlmPubMed2Wicri -a SidaSubSaharaV1
| This area was generated with Dilib version V0.6.32. |  |