Factors that affect adherence to anti-retroviral therapy in HIV positive clients at Comboni Hospital Kyamuhunga Bushenyi Uganda

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Kampala International University, School of Allied Health Sciences
HIV continues to be a global public health issue, in 2015 an estimated 36.7 million people were leaving with HIV including 1.8 million children. The majority of this number live in low and middle income countries. In the same year 1.1 million people died of AIDS related illnesses (UNAIDS 2016). Antiretroviral therapy (ART) has shown to delay progression to AIDS, resulting in a greater and more sustained virologic and immunologic response (Chi, et al., 2009.) and improve survival (Mills, 2011). Two sub-Saharan Africa countries, Botswana and Rwanda, have achieved universal access target (treatment coverage of 80% or more of patients in need) at the end of 2009, while countries such as Ethiopia, Zambia, Namibia, and Senegal are moving closer to the same target having covered 50–80% of patients in need of treatment(WHO, 2010). Methodology; The study was a descriptive cross sectional study, involving HIV patients on ART attending Comboni Hospital Kyamuhunga from 12st to 30thjune 2017. The study aimed understanding factors associated with poor adherence to ART among HIV positive patients attending ComboniHospitaKyamuhunga Results;Number of adherent ART clients in CHK; Out of the 57clients, 41(71.9%) had good adherence, 16(28.10%) had a poor adherence to Anti retro viral therapyFactors that influence adherence to anti-retroviral therapy; Forgetting accounted for (27)47% of the poor adherence, travel problems accounted for (14)25%, drug stock outs (7)12% and stigma, disclosure or privacy issues accounted for (9)16%. Conclusion; Despite results showing that most patients had good adherence, a significant number still had poor adherence to Anti retro viral therapy, the most common contributor to poor adherence being forgetting there doses and travel problems. RECOMMENDATION • There is a need to strengthen Continuous monitoring of both adherence and correlating it with clinical outcomes of the clients this will create an interactive feedback mechanism that could lead to optimal clinical states and improved quality of life of clients.
Research report submitted in partial fulfillment for the award of Diploma In Clinical Medicine and Community Health Kampala International University
Anti-retroviral therapy, HIV positive clients, Comboni Hospital Kyamuhunga, Bushenyi, Uganda