Title:
Identifying the Factors Influencing the Adherence to Antiretroviral Therapy in Nigeria
Authors:
Khan, Haleem
Place:
Amsterdam
Publisher:
KIT - Royal Tropical Institute [etc.]
Year:
2017
PAGE:
viii, 49
Language:
En
Subject:
Health and Poverty
Keywords:
Adherence, factors, antiretroviral therapy, people living with HIV, Nigeria.
Abstract:
Background: The introduction of ART treatment has reduced the HIV related mortality and morbidity in people living with HIV. Significant adherence (95%) to ART is also required to achieve the viral suppression. Adherence with ART is a key for successful treatment. Failure to achieve the adherence with ART results in poor virological and immunological outcomes. The study investigates the adherence of the people living with HIV and the factors influence the adherence to Anti Retroviral Therapy (ART). The use of ART raised new issues and challenges, one of which is adherence. Therefore adherence is an essential element for success of ART. Objective: To identify the factors and measures to improve the adherence to ART in Nigeria. Literature review: Publications and scientific articles are collected on adherence barriers and interventions strategies to improve ART adherence. Results: Factors that are acting as a barriers in ART adherence are mainly the use of traditional medicines, Alcohol/illicit drug use, Stigma and disclosure, pill burden, insufficient treatment monitoring, economic hardship, and sufficient drug supply. The factors that can improve ART adherence are social support, accepting the HIV positive status and disclosure. The key interventions includes HBC, Task shifting, Medication reminders. Conclusion: The adherence of the HIV Positive patients can be improved using the appropriate interventions. Recommendations: The Ministry of Health should collaborate with mobile companies to streamline the texting services to solve the problem of forgetfulness and increase social support to PLWHIV. Ministry of health should also conduct research on the effectiveness and concomitant use of traditional medicines with antiretroviral drugs.
Organization:
KIT - Royal Tropical Institute
,
VU - Vrije Universiteit Amsterdam
Institute:
KIT (Royal Tropical Institute)
Country:
Pakistan
Region:
South Asia
Training:
Master in International Health
Category:
Research
Right:
@ 2017 Khan
Document type:
Thesis/dissertation
File:
DsY6gMXNSJ_20180415090905417.pdf