With increased availability of ART, HIV-positive individuals are living healthier lives and continuing or resuming sexual activity. However, optimism related to ART’s success in slowing disease progression, reducing viral load, and improving health status may lead to more risky sexual practices and a possible increase in transmission of infections. To determining the sexual behavior of HIV-positive persons on ART, the Horizons program, in collaboration with research partners in Delhi and Pune, conducted a study to assess current levels of adherence to ART among a sample of people living with HIV/AIDS, identify the factors that influence their adherence to treatment, and determine their sexual risk behaviors. The study also examined the economic burden of ART on the household. The findings from the study presented in this report provide important insights that are immediately relevant to the scale-up of the national ART program, including a need to expand the scope of prevention programs to include HIV-positive populations, with a special focus on facilitating disclosure of HIV status and consistent condom use with regular partners.
Sarna, Avina, Indrani Gupta, Sanjay Pujari, A.K. Sengar, Rajiv Garg, and Ellen Weiss. 2006. "Examining adherence and sexual behavior among patients on antiretroviral therapy in India," Horizons Final Report. Washington, DC: Population Council.
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