| Type | Thesis or Dissertation - Master of Public Health |
| Title | Factors affecting highly active anti-retroviral therapy adherence in a rural area in Botswana |
| Author(s) | |
| Publication (Day/Month/Year) | 2013 |
| URL | http://uir.unisa.ac.za/bitstream/handle/10500/11915/dissertation_tshisuyi_em.pdf?sequence=1 |
| Abstract | The purpose of this study was to determine factors affecting non-adherence to Antiretroviral therapy among AIDS patients. A cross sectional quantitative survey, was used. Structured interviews were conducted with 300 ART patients. Data were analysed using SPSS version 13 and presented in charts, graphs and frequency tables. Motivators of good adherence were identified as disclosure of HIV positive status to more than one person, frequent adherence counselling, self-efficacy to adhere to ART, positive interactions between patients and healthcare providers; and using an adherence partner. Barriers to adherence were forgetfulness, transportation costs to and from the clinic, time away from work and side effects. There was a strong positive correlation between adherence, CD4 counts and viral load. Adherence was closely tied to immunologic and virologic improvements. Respondents with poor adherence were likely to have unsuppressed viral loads (OR 12.98, 95%, CI 4.9-34) |
| » | Botswana - AIDS Impact Survey III 2008 |
| » | Botswana - Population and Housing Census 2001 |