Title:
Factors Influencing Adherence to Antiretroviral Therapy Among People Living with HIV in Myanmar
Authors:
Mar, Htay Thet
Year:
2015
PAGE:
ix, 55
Language:
En
Subject:
Governance & HIV and AIDS
Keywords:
Adherence, Antiretroviral Therapy, ART Adherence, Barrier, Facilitator, People Living with HIV, PLHIV, Myanmar
Abstract:
Background: The magnitude and nature of antiretroviral therapy (ART) adherence problems among people living with HIV (PLHIV), identified in other contexts and like to be present in Myanmar National AIDS Programme (NAP) as well, are largely unknown. Monitoring tools to measure adherence and interventions to address adherence-related challenges are not in place. Objective: This paper identifies factors influencing ART adherence among PLHIV and monitoring tools and promising interventions, in order to support the NAP in implementation of adherence monitoring and development of effective interventions to optimize adherence, to improve treatment outcomes and reduce transmission of HIV at individual and societal level in Myanmar. Methodology: The study is based on exploratory literature review. The conceptual framework of Wekesa (2007) was adapted and applied to identify important determinants of ART adherence in Myanmar. Findings: The study found that stigma and discrimination, legal and financial constraints and knowledge about treatment, its side effects and HIV-related diseases mainly affected ART adherence in Myanmar. A clear need for monitoring tools for adherence measurement was discovered. Evidence-based interventions to address adherence issues in the Myanmar setting were identified. Conclusions: This review highlighted important factors for optimizing ART adherence among PLHIV in Myanmar and their interrelationships. The study identified adoptable monitoring tools and effective interventions for ART adherence which were practised in comparable settings. Recommendations: Development of enabling environment for ART clients to promote adherence, provision of a package of interventions, enforcement of monitoring and evaluation system.
Organization:
KIT - Royal Tropical Institute
,
VU - Vrije Universiteit Amsterdam
Institute:
KIT (Royal Tropical Institute)
Department:
Development, Policy and Practice
Country:
Myanmar
Region:
Southeast Asia
Training:
Master of Public Health / International Course in Health Development (MPH/ICHD)
Category:
Research
Right:
© 2015 Mar
Document type:
Thesis/dissertation
File:
ZxVSOZuRDm_2016102416425557.pdf