Factors influencing ART adherence, acceptability and potential use of “Call for life IVR tool” among young people in rural Uganda

Naggirinya, Agnes Bwanika; Waiswa, Peter; Meya, David B.; Parkes-Ratanshi, Rosalind; Rujumba, Joseph

doi:10.1016/j.ssaho.2022.100311

Cited by 3 publications

(2 citation statements)

References 37 publications

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“…Having drugs on a monthly basis saved adolescents from transport expenses they would incur if they were to collect the drugs on a bi-weekly basis. Similar results were reported in the Ministry of Health report where adolescents who had timely drug refills were more adherent to ART as compared to those who never had timely drug refills [41]…”

Section: Drug-related Factors Associated Withsupporting

confidence: 88%

Factors Influencing Adherence to Antiretroviral Therapy among HIVpositive Youth Patients Attending ART Clinic in Kiryandongo General Hospital Kiryandongo District

Jethro

2023

IDOSR JBCP

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This research aimed to assess the factors influencing adherence to antiretroviral therapy (ART) among HIV-positive youth patients attending the ART Clinic in Kiryandongo General Hospital, Kiryandongo District. The study utilized a descriptive cross-sectional research design, with a sample of 355 respondents between the ages of 10 and 25 who were receiving antiretroviral treatment. The study found a low level of adherence to antiretroviral treatment (33%), significantly lower than the national target of 90%. Adherence was influenced by various individual, drug-related, and healthcare factors. Individual factors included gender, age, marital status, education, place of residence, family size, and religion. Drug-related factors included having all the required drugs, challenges with the drugs, the frequency of taking ARV pills, challenges during medication intake, and accessibility to ARV drugs. Health-related factors encompassed routine education and counseling, sources of information, proximity to healthcare facilities, distance from home to the facility, availability of ARVs on appointment days, availability of healthcare workers, frequency of ARV refill visits, and waiting time during appointments. The low adherence was attributed to missing doses due to stigma, forgetfulness, drug stockouts, lack of routine education about ART, long distances to healthcare facilities, inadequate information, and extended waiting times. Keywords: HIV, Antiretroviral therapy, Adherence, Youths, Stigma

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Section: Drug-related Factors Associated Withsupporting

confidence: 88%

Factors Influencing Adherence to Antiretroviral Therapy among HIVpositive Youth Patients Attending ART Clinic in Kiryandongo General Hospital Kiryandongo District

Jethro

2023

IDOSR JBCP

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“…People with HIV persistently exhibit a substantial prevalence of cases, and the level of adherence with adherence to antiretroviral therapy (ART) has yet to reach full saturation [1][2][3]. The lack of consistent ART adherence might result in a rise in viral population within the patient's body [4][5][6][7]. Consequently, the viral load will exhibit an elevated count, while CD4 count will continue to diminish, causing a gradual deterioration in the individual's immune system [8][9][10].…”

Section: Introductionmentioning

confidence: 99%

Factors related ART adherence and quality of life in PLHIV: Mediating role of positive self-care management and brain gym

Nursalam,

Sukartini,

Abdullah

et al. 2024

ELECTRON J GEN MED

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Objectives: To investigate the factors affecting adherence to antiretroviral therapy (ART) and the quality of life in people living with human immunodeficiency virus (HIV), with a focus on evaluating the mediating roles of positive self-care management (PSCM) and brain gym. Methods: This is a descriptive study with a cross-sectional design. The data collected from June to August 2023. There are 262 respondents selected through convenience sampling. We used various research instruments, including questionnaires, which have undergone validity and reliability testing. The data were analyzed using the SEM-PLS analysis method. Results: Our data analysis shows that condition factors, physical and social environmental factors, and individual and family factors affect HIV individuals’ PSCM and brain gym combination, ART adherence, and quality of life. Findings show that condition-specific factors indirectly affect antiretroviral drug adherence. This impact is mediated by PSCM and brain gym. Conclusions: Specific condition variables, namely complexity of the disease, barriers, and stability of conditions indirectly influence ART adherence, mediated through the combined influence of PSCM and brain gym. This finding suggests that to enhance adherence and the quality of life among PLHIV, it is important to adopt an approach that encompasses a range of internal and external individual factors.

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Factors influencing adherence to antiretroviral therapy among young adults in Limpopo province

Mashele,

Marincowitz,

Marincowitz

2024

South African Family Practice

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Background: South Africa is among the countries with the greatest burden of human immunodeficiency virus (HIV) in the world. The introduction of antiretroviral therapy (ART) has made HIV a manageable chronic health condition with a return to normal life expectancy. Adherence to ART is a prerequisite to realising these benefits.Methods: A qualitative study was conducted using individual semi-structured interviews to understand factors influencing adherence to ART among young adults. The study was conducted at three busy primary care clinics around Mankweng Hospital. Participants aged 18–35 years who had been on ART for more than a year were purposefully selected. Open-ended questions were used to explore factors that influence ART. Recorded interviews were transcribed verbatim and translated. The coded transcripts were thematically analysed.Results: Eight major themes were identified to influence ART adherence among young adults: medication-related factors, healthcare system factors, attitudes of healthcare workers, economic factors, disclosure, acceptance, mobile phone reminders and family support.Conclusion: Adherence to ART is a major problem in our communities, and people living with HIV are still finding it challenging to optimally adhere to their ART medication because of the identified factors that influence ART adherence. Family support is a significant factor that was identified to positively influence ART as it leads to disclosure and acceptance of HIV-positive status, better emotional well-being and subsequently improved ART adherence.Contribution: This study underscores the importance of a family-oriented, patient-centred care approach in managing HIV and ART adherence.

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Factors influencing ART adherence, acceptability and potential use of “Call for life IVR tool” among young people in rural Uganda

Cited by 3 publications

References 37 publications

Factors Influencing Adherence to Antiretroviral Therapy among HIVpositive Youth Patients Attending ART Clinic in Kiryandongo General Hospital Kiryandongo District

Factors Influencing Adherence to Antiretroviral Therapy among HIVpositive Youth Patients Attending ART Clinic in Kiryandongo General Hospital Kiryandongo District

Factors related ART adherence and quality of life in PLHIV: Mediating role of positive self-care management and brain gym

Factors influencing adherence to antiretroviral therapy among young adults in Limpopo province

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