Objective: To explore linguistic barriers to effective communication and to identify modifications in terminology to more effectively communicate the need for continuous engagement in HIV care and antiretroviral therapy in Bamako, Mali.

Methods: In-depth interviews and focus group discussions will be conducted among persons living with HIV to understand local terminology and classifications of HIV and HIV-associated modern and traditional drugs, assess individual and group influences on ART engagement, and elucidate motivators to continuous retention in care. Respondents will freelist terms for modern drugs, identify corresponding medicines from a display, evaluate terminology for HIV medicines created from Bambara component parts (morphemes), and describe perspectives of ART.

Significance: Antiretroviral therapy effectiveness is compromised by poor adherence and retention. Patient-provider communication significantly impacts adherence and retention. Clear communication about drugs and drug regiments is an effective strategy for improving patient compliance, but is often complicated by language challenges. In Mali, these challenges are especially significant. By clarifying terminology for drugs and other HIV treatments, strategies can be developed for providers to deliver clearer and more meaningful communication to promote continuous engagement in HIV care and treatment. This has implications for the therapeutic success and efficacy of ART among local language speakers throughout sub-Saharan Africa.

Global Health Project Grant Advisor/Mentor: Dr. Peter Winch