The perceptions of patients on antiretroviral therapy (ART) and treatment supporters with regard to their role towards ART adherence, at ART clinics in the intermediate hospital Oshakati, Namibia

  • Authors

    • Olivia Ningeninawa Tuhadeleni University of Namibia
    • Linda Ndeshipandula Lukolo University of Namibia
    2017-01-13
    https://doi.org/10.14419/ijm.v5i1.6999
  • Adherence, Anti-Retroviral Therapy (ART) ART Patients, HIV/AIDS, Treatment Supporters.

  • Abstract

    Background: The benefits of antiretroviral therapy (ART) are undeniable: decreased morbidity and mortality, improved clinical outcomes, and decreased HIV transmission. In recent years, there have been remarkable efforts to roll out HIV support and treatment programs, resulting in ART access to nearly 4 million people in sub-Saharan Africa. However, a decisive step in improving outcomes of these programs relies on ART adherence. This study was conducted by aiming at exploring and describing the perceptions of patients on ART and treatment supporters about their roles in ART adherence. It was carried out at Oshakati ART clinic in the Intermediate Hospital Oshakati in Oshana region, Northern Namibia.

    Methods: The qualitative investigation was carried out on patients on ART and treatment supporters by means of unstructured interviews through convenient sampling technique. The data were analysed by content analytical method.

    Results: The study results from all respondents were consolidated, which gave a clear understanding regarding adherence at the ART clinic in Intermediate Hospital Oshakati. The perceptions of patients on ART and treatment supporters with regard to their role towards ART adherence were classified based on participants’ experiences into two main themes and sub-themes, including: 1) ART patients’ perceptions around their current roles in ART adherence comprise of four sub-themes of ART patients’ perceptions about taking medication daily, perceptions about collection of medicine supply and follow-up visits, perceptions about food and medication and perceptions about support in ART treatment; 2) Treatment supporters’ perceptions about their role in ART adherence consist of four sub-themes of perceptions about follow-up visits and collection of medicine, perceptions about psychosocial and emotional support, perceptions about giving food and medication and perceptions about encouraging personal hygiene.

    Conclusion: Patients and treatment supporters perceived adherence as an important aspect in the success of antiretroviral treatment. Giving patients correct information, personal motivation, patients understanding of treatment, traditional and religious beliefs were among other factors perceived by treatment supporters to be impacting on ART adherence.

  • References

    1. [1] Arnsten SH, Demas PA, Farzadegan H, Grant RH, Sourevitch MN, Chang CJ, Buono D, Eckholdt H, Howard AA & Schoenbaum EE (2001) antiretroviral therapy adherence and viral suppression in HIV infected drug users: Comparison of self-report and electronic monitoring. Clinical infections Disease, 33: 1417 – 1423. https://doi.org/10.1086/323201.

      [2] Artlett JA, De Masi R, Quinn J, Moxham C & Qousseau F ( 2001) Overview of the effectiveness of triple combination therapy in antiretroviral – naïve HIV-1 infected adults. AIDS, 15: 1369-1377. https://doi.org/10.1097/00002030-200107270-00006.

      [3] Brink HI (1996) Fundamentals of research methodology for health care professionals. Cape Town: Creda Press.

      [4] Bowling a (2002) Research method in health: Investigating Health and Health Services. Second edition: United States of America. Resource Centre. The Johns HopkinsUniversity. [Online], Available: http://baletthiv.com/page68.htm[accessed 7 July 2009].

      [5] Clinical manual for management of the HIV infected adult (2005) Antiretroviral Therapy Adherence. Chapter 3. file://f:/ART. adherence/ARV search 5/getc.htm downloaded 04/11/2016.

      [6] De Vos, AS & Fouche CB (2000) General introduction to research design, data collection methods and data analysis in Research at grass roots: A primer for caring professions, edited by De Vos, AS. Pretoria: Van Schaik.

      [7] Machtinger EL & Bangsberg DR (2005) Adherence to HIV antiretroviral therapy. HIV insite knowledge Base Chapter. File://f:/ART adherence/insite.hmt downloaded 07/10/2016.

      [8] Ministry of Health and Social Services (2007) National guideline for antiretroviral therapy. Republic of Namibia (second edition). Windhoek.

      [9] Ministry of Health and Social Services (2008) ART Adherence Counseling Training for Health care Workers. Republic of Namibia, Windhoek.

      [10] Ministry of Health and Social Services (2009) Integrated management of adolescent and adult Illness. Comprehensive HIV Care with ART. Republic of Namibia, Windhoek

      [11] Ministry of Health and Social Services (2008) Report of Windhoek 2008 National HIV Sentinel Survey. Republic of Namibia, Windhoek.

      [12] Ministry of Health and Social Services (2014) National guidelines for Antiretroviral Therapy. Republic of Namibia,Windhoek

      [13] Paterson DL, Swindells S, Motir J, Brester M, Vergis EN, Squier C, & Signh N ( 2000). Adherence to Protease inhibitor Therapy and outcomes in patients with HIV infection. Annals internal medicine, 133(1):21-30. https://doi.org/10.7326/0003-4819-133-1-200007040-00004.

      [14] Robson C (1993) Ch9-interview and questionnaire in Robson C really world Research. Blackwell, 227-243

      [15] Taher E & Abdelhai R (2011) Nurses knowledge, perceptions, and attitudes towards HIV/AIDS: Effect of a health education intervention on two nursing groups in Cairo University, Egypt. Journal of Public Health and Epidemiology, 3(4), 144-151).

      [16] Turner BJ (2002) Adherence to antiretroviral therapy by human immonodefiency virus infected patients. The journal of infectious disease, 185 supplements 2:5143-5151. https://doi.org/10.1086/340197.

      [17] UNAIDS & WHO (2007) Report on global AIDS epidemic. Executive summary, Geneva: Switzerland.

      [18] UNAIDS (2012) Report on the Global AIDS Epidemic.

      [19] http://www.unaids.org/en/media/unaids/contentassts/docments/epidemiology/2012/gr2012/20121120_UN AIDS_Global_Report_2012_en.pdf

      [20] UNAIDS (2013) Report on the Global AIDS Epidemic. Retrieved from http://www.unaids.org/en/resources/campaign/globalreport2013/factsheet/.

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  • How to Cite

    Tuhadeleni, O. N., & Lukolo, L. N. (2017). The perceptions of patients on antiretroviral therapy (ART) and treatment supporters with regard to their role towards ART adherence, at ART clinics in the intermediate hospital Oshakati, Namibia. International Journal of Medicine, 5(1), 17-21. https://doi.org/10.14419/ijm.v5i1.6999

    Received date: 2016-11-23

    Accepted date: 2016-12-19

    Published date: 2017-01-13