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Citation Information

Type Thesis or Dissertation - Master of Public Health
Title Factors affecting highly active anti-retroviral therapy adherence in a rural area in Botswana
Publication (Day/Month/Year) 2013
URL http://uir.unisa.ac.za/bitstream/handle/10500/11915/dissertation_tshisuyi_em.pdf?sequence=1
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
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)

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