Barriers to adherence to antiretroviral treatment in a regional hospital in Vredenburg, Western Cape, South Africa
Southern African Journal of HIV Medicine
| Field | Value | |
| Title | Barriers to adherence to antiretroviral treatment in a regional hospital in Vredenburg, Western Cape, South Africa | |
| Creator | Azia, Ivo N. Mukumbang, Ferdinand C. van Wyk, Brian | |
| Description | Background: South Africa currently runs the largest public antiretroviral treatment (ART) programme in the world, with over 80% of people living with HIV and/or AIDS on ART. However, in order to appreciate the benefits of using ART, patients are subject to uncompromising and long-term commitments of taking at least 95% of their treatment as prescribed. Evidence shows that this level of adherence is seldom achieved because of a multilevel and sometimes interwoven myriad of factors.Objective: We described the challenges faced by patients on ART in Vredenburg with regard to ART adherence.Methods: A descriptive qualitative research design was used. Eighteen non-adhering patients on ART in the Vredenburg regional hospital were purposefully selected. Using a semistructured interview guide, we conducted in-depth interviews with the study participants in their mother tongue (Afrikaans). The interviews were audio-taped, transcribed verbatim and translated into English. The data were analysed manually using the thematic content analysis method.Results: Stigma, disclosure, unemployment, lack of transport, insufficient feeding, disability grants and alternative forms of therapy were identified as major barriers to adherence, whereas inadequate follow-ups and lack of patient confidentiality came under major criticisms from the patients.Conclusion: Interventions to address poverty, stigma, discrimination and disclosure should be integrated with group-based ART adherence models in Vredenburg while further quantitative investigations should be carried out to quantify the extent to which these factors impede adherence in the community. | |
| Publisher | AOSIS | |
| Date | 2016-09-30 | |
| Identifier | 10.4102/sajhivmed.v17i1.476 | |
| Source | Southern African Journal of HIV Medicine; Vol 17, No 1 (2016); 8 pages 2078-6751 1608-9693 | |
| Language | eng | |
| Relation |
The following web links (URLs) may trigger a file download or direct you to an alternative webpage to gain access to a publication file format of the published article:
https://sajhivmed.org.za/index.php/hivmed/article/view/476/875
https://sajhivmed.org.za/index.php/hivmed/article/view/476/876
https://sajhivmed.org.za/index.php/hivmed/article/view/476/877
https://sajhivmed.org.za/index.php/hivmed/article/view/476/874
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