Abstract

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Highlights

  • In addition to these mental disorders, neurocognitive disorders (NCDs) are emerging as a new challenge in the era of ARVs

  • Approximately 40% are people lost to follow-up (LTFU)

  • In South Africa, it is a requirement that patients enrolled onto ARVs receive some form of screening for both depression and alcohol abuse

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Summary

Introduction

In addition to these mental disorders, neurocognitive disorders (NCDs) are emerging as a new challenge in the era of ARVs. The impact of mental disorders on outcomes in PLWHA is undisputed. They affect adherence, mortality and quality of life.[7] In addition, many mental disorders increase the probability of engaging in risk behaviours,[8] and are aggravated by or caused by ARV treatment.[9] In the context of the large numbers of PLWHA in South Africa who are infected and who access ARV care, this burden is substantial.

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