Background: Adherence to antiretroviral therapy (ART) is known to be challenging among adolescents living with HIV/AIDS, meanwhile it is the key to success for ART programmes. In Cameroon, although a few researchers have investigated on the quantitative aspects of adherence among adolescents, less is known about qualitative information. This study aimed at investigating the key factors that contribute to ART adherence for adolescents living with HIV in the Centre Region of Cameroon. Methods:The study was conducted in the Centre Region of Cameroon. Adolescents on ART with disclosed status was recruited from health facilities. Six focus group discussion (FGD) sessions were conducted with 56 adolescents both girls and boys aged more than 15. In addition, 3 FGD with 34 parents/guardians and 10 individual in-depth interviews with health care providers were all conducted between the months of June and September 2018.Results: A total of 56 adolescents, 34 parents and 10 health care providers were approached for participation.Results showed that a range of factors related to the individual, family, environment, medication and health system

Background: Tuberculosis (TB) remains a major health problem in Africa and more particularly in sub-Saharan countries such as Cameroon due to its impact on mortality, morbidity and socio-economic repercussions on the population in general, in this case in big cities like Douala. In 2018, the Littoral region in Cameroon recorded more than 5,000 cases of tuberculosis representing a quarter of the total number of TB patients in in the country. The application of measures to control TB infection and the regular surveillance of tuberculosis disease among health workers and at all levels of the health system constitute a public health priority, not only for health and administrative workers, but also for all users. This study assessed the adherence to preventive measures against TB by health workers of the diagnostic and treatment centers in the city of Douala. Methodology: This is a descriptive cross-sectional study carried out among health workers from 12 TB screening and treatment centers in the city of Douala. It took place from July 20, 2020 to August 15, 2020. The data were collected using an observation grid designed on the basis of the technical guidelines for health professionals 4th Edition set up by the WHO and contextualized in Cameroon through the technical guidelines for health professionals in Cameroon 2020. The data collected was analyzed using the statistical software Epi Info 7.2.3.1. Results: The implementation of preventive measures (administrative, environmental and individual) against TB by health workers in the diagnostic and treatment centers in the city of Douala was insufficient with the respective adherence average of 79.16% for management measures, 71.80% for environmental measures and 54.76% for individual protection measures. Conclusion: The poor implementation of infection control measures in the TB diagnostic and treatment centers in the city of Douala can promote exposure of health workers to Mycobacterium tuberculosis. An institutional effort required to resolve this issue and strengthen TB prevention activities.

No abstract