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Background
To design effective, tailored interventions to support antiretroviral therapy (ART) adherence,
a thorough understanding of the barriers and facilitators of ART adherence is required.
Factors at the individual and interpersonal level, ART treatment characteristics and health
care factors have been proposed as important adherence determinants.
Methods
To identify the most relevant determinants of adherence in northern Tanzania, in-depth
interviews were carried out with 61 treatment-experienced patients from four different
clinics. The interviews were ad-verbatim transcribed and recurrent themes were coded.
Results
Coding results showed that the majority of patients had basic understanding of adherence, but
also revealed misconceptions about taking medication after alcohol use. Adherence
motivating beliefs were the perception of improved health and the desire to live like others, as
well as the desire to be a good parent. A de-motivating belief was that stopping ART after
being prayed for was an act of faith. Facilitators of adherence were support from friends and
family, and assistance of home based care (HBC) providers. Important barriers to ART
adherence were the use of alcohol, unavailability of food, stigma and disclosure concerns,
and the clinics dispensing too few pills. Strategies recommended by the patients to improve
adherence included better Care and Treatment Centre (CTC) services, recruitment of patients
to become Home Based Care ( HBC) providers, and addressing the problem of stigma
through education.
Conclusion
This study underscores the importance of designing tailored, patient-centered adherence
interventions to address challenges at the patient, family, community and health care level. |
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