Exploring the Factors and Effects of Non-Adherence to Antiretroviral Treatment by People Living with HIV/AIDS

Kheswa, J.G.

doi:10.1080/20797222.2017.1280923

Cited by 16 publications

(19 citation statements)

References 32 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Some were persuaded to switch to herbal medicine (Chirambo et al, 2019). In line with other studies, the lack of literacy in treatment, stigma and discrimination from families and close relations, and the weariness in taking the drugs are other factors that might facilitate treatment non-adherence in PL-HIV (Oku et al, 2013;Kheswa, 2017;Bukenya et al, 2019). This shows that comprehensive education and adequate counseling should be available in ARV treatment service (Chirambo et al, 2019).…”

Section: Monitoring Treatment Successmentioning

confidence: 59%

Challenges and Support to HIV Care and Treatment of Female Sex Workers Living with HIV in Indonesia: A Mixed Method Study

Andriyani

Arina

Widihastuti

et al. 2021

UJPH

View full text Add to dashboard Cite

This study aims to describe the experience of female sex workers (FSWs) living with HIV in Indonesia during the care and treatment cascade, including the challenges and support associated with them. It was initiated by a trained community study team from OPSI, a national network for FSW community in the country. A mixed-method design was used, consisting of a cross-sectional survey and qualitative interviews conducted in four large cities in May and June 2019. Quantitative data were collected from 80 FSWs living with HIV, while qualitative interviews were conducted for 9 FSWs previously involved in the survey. Most of the FSWs were diagnosed with HIV at facility-based HIV testing services. While most FSWs delayed initiating their treatment, majority eventually commenced it. Overall treatment retention was fairly good, but some were being inconsistent or even stopped. However, individuals that have access to viral load test was low, leading to a small number of those confirming their viral suppression status. Conclusively, interventions directed to strengthen individuals’ literacy in HIV treatment and stigma management is recommended, as well as identification of maximum potential support systems around the FSWs.

show abstract

Section: Monitoring Treatment Successmentioning

confidence: 59%

Challenges and Support to HIV Care and Treatment of Female Sex Workers Living with HIV in Indonesia: A Mixed Method Study

Andriyani

Arina

Widihastuti

et al. 2021

UJPH

View full text Add to dashboard Cite

show abstract

“…HIV treatment and care requires consistency and discipline to maintain medication effectiveness for PLHIV to prevent virological failure and drug resistance which increases morbidity and mortality for individuals and is costlier for the broader economy [ 26 ]. As the HIV treatment literature demonstrates, barriers to effective ART adherence are very interconnected [ 27 , 28 , 29 ]. For instance, the economic situation of PLHIV can impact their food security, access to health facilities, access to sufficient water, or their quest to seek out employment—all of which can impose an adverse effect on optimal adherence [ 19 , 30 , 31 , 32 ].…”

Section: Discussionmentioning

confidence: 99%

Institutional Responses to Drought in a High HIV Prevalence Setting in Rural South Africa

Orievulu

Iwuji

2021

IJERPH

View full text Add to dashboard Cite

In 2015, South Africa experienced one of the worst (El Niño-induced) droughts in 35 years. This affected economic activities, individual and community livelihoods and wellbeing especially in rural communities in northern KwaZulu-Natal. Drought’s direct and indirect impacts on public health require urgent institutional responses, especially in South Africa’s stride to eliminate HIV as a public health threat by 2030 in line with the UNAIDS goals. This paper draws on qualitative data from interviews and policy documents to discuss how the devastating effect of the 2015 drought experience in the rural Hlabisa sub-district of uMkhanyakude, a high HIV prevalence area, imposes an imperative for more proactive institutional responses to drought and other climate-related events capable of derailing progress made in South Africa’s HIV/AIDS response. We found that drought had a negative impact on individual and community livelihoods and made it more difficult for people living with HIV to consistently engage with care due to economic losses from deaths of livestock, crop failure, food insecurity, time spent in search of appropriate water sources and forced relocations. It also affected government institutions and their interventions. Interviewed participants’ reflections on drought-related challenges, especially those related to institutional and coordination challenges, showed that although current policy frameworks are robust, their implementation has been stalled due to complex reporting systems, and inadequate interdepartmental collaboration and information sharing. We thus argue that to address the gaps in the institutional responses, there is a need for more inclusive systems of drought-relief implementation, in which government departments, especially at the provincial and district levels, work with national institutions to better share data/information about drought-risks in order to improve preparedness and implementation of effective mitigation measures.

show abstract

“…Financial insecurity is a common problem amongst most of the population in SA; thus, it is unsurprising that the results show finances as one of the major contributing factors to poor adherence in both the hypertensive and HIV-positive population. 12,21,23,25,31,34,37,40,42,43,44,45,46,47 Three studies named cost of transport, cost of a healthy diet and cost of a workday lost as deterrents for treatment adherence in patients with HTN. 12,31,42 Lack of food amongst some PLWH also increased the likelihood of treatment side effects and therefore undermined adherence, as patients on ARVs observed that they often did not have money for food and therefore could not take their treatment because of bad side effects when taken on an empty stomach (p = 0.003).…”

Section: Financementioning

confidence: 99%

“…12,31,42 Lack of food amongst some PLWH also increased the likelihood of treatment side effects and therefore undermined adherence, as patients on ARVs observed that they often did not have money for food and therefore could not take their treatment because of bad side effects when taken on an empty stomach (p = 0.003). 27,45…”

Section: Financementioning

confidence: 99%

Factors influencing treatment adherence in hypertension and HIV management in South Africa: A comparative literature review

Enslin

Mallya

2022

S Afr Fam Pract

View full text Add to dashboard Cite

Methods: A comprehensive literature review was carried out. PubMed, ScienceDirect, Cochrane and Embase were searched for English publications between 2000 and 2021.Results: A total of 50 articles covering quantitative and qualitative studies were included. Many studies identified poor adherence levels to antihypertensive treatment, reaching a substandard adherence rate of 41.9%, whilst most studies on the HIV-positive population reported good levels of adherence, with adherence rates of more than 90%. Being of the male gender, advanced age, low socioeconomic status and a low level of education were associated with unsatisfactory adherence rates in both groups. Within the HIV group, more participants had better knowledge concerning the extent of their disease and its required treatments. Conclusion:The results present substandard adherence levels to antihypertensives compared with antiretroviral (ARV) adherence, despite the influence of more non-adherence factors in the HIV group. The authors recommend better adherence counselling for patients with HTN during every clinic visit, regular healthcare worker training and the implementation of ART adherence programmes in patients with hypertension.

show abstract

Exploring the Factors and Effects of Non-Adherence to Antiretroviral Treatment by People Living with HIV/AIDS

Cited by 16 publications

References 32 publications

Challenges and Support to HIV Care and Treatment of Female Sex Workers Living with HIV in Indonesia: A Mixed Method Study

Challenges and Support to HIV Care and Treatment of Female Sex Workers Living with HIV in Indonesia: A Mixed Method Study

Institutional Responses to Drought in a High HIV Prevalence Setting in Rural South Africa

Factors influencing treatment adherence in hypertension and HIV management in South Africa: A comparative literature review

Contact Info

Product

Resources

About