[Difficulties of the patients to undergo their ARV treatment at the Libreville outpatient health center, Gabon]. / Les difficultés rencontrées par les malades pour suivre leur traitement antirétroviral au Centre de traitement ambulatoire de Libreville, Gabon.

The therapeutic observance is a real issue of chronic diseases. This issue is twice as much important in the case of aids treatment by antiretrovirals as a good observance is essential to avoid emergence of resistances and to improve patients' health. A research was conducted in Libreville, the capital of Gabon, at the ambulatory treatment center of HIV patients. The interviews of one hundred patients of the center, under treatment for more than two months, concerned their problems related to specific drugs intake and have helped to point out some reasons of non observance. The first reason refers to side effects inducing many difficulties in regular drugs intakes, a complete information is requested by the patients. Another main reason of non observance or bad observance is linked to material and financial problems or to treatment's reduced accessibility The research points out the importance of supplementary treatment costs (transportation, sick leave, food). At last, major observations were made on schedule management, drugs intake management, needs for more information and help for prevention, everyday life and diet.