Assessment of factors affecting adherence to antiretrtviral treatment among people attending HIV and AIDS clinics at Kairuki and Mwananyamala regional referral hospitals
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Date
2018-11-30
Authors
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Journal ISSN
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Publisher
Hubert Kairuki Memorial University
Abstract
This is a qualitative descriptive hospital-based study assessing factors affecting adherence
to antiretroviral treatment amongst people attending HIV and AIDS clinics at two hospitals
which are Kairuki and Mwananyamala Regional Referral Hospitals, and also to identify
actions that could be implemented to increase patients' adherence levels. Low constraint
methods were used to address the relationship between patients and adherence levels.
Data collection (February-March 2018) involved using semi-structured questionnaires, in
depth interviews, together with focus group discussions. The types of sampling used were
purposeful sampling as the information needed for the study was provided directly by the
objective group, predominantly the patients and health care workers themselves. Factors
identified to affect adherence were stigma, disclosure, alcohol consumption, poor social
support, mistaken beliefs, size of pills, time of taking medication, lack of access to
adequate food, side-effects, inadequate counseling, stigma, frequency of taking
medication, long waiting times and costs related to transport. Despite barriers to ARV
adherence, the overall self-reported adherence among recruited persons who qualified to
receive ARV drugs in the two areas surveyed were found to be relatively high (above
95%). Factors encouraging adherence include adherence counseling, disclosure to family
members, social support, religion, free availability of ARVs, motivated staff and users,
information and education.
Description
A dissertation submitted in partial fulfillment of the requirements for the Master of Social Work of Hubert Kairuki Memorial University
Keywords
HIV/AIDS, Antiretroviral treatment, ARV drugs
Citation
Mwalugeni ,A. R., 2018. Assessment of factors affecting adherence to antiretrtviral treatment among people attending HIV and AIDS clinics at Kairuki and Mwananyamala regional referral hospitals. Kairuki University