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- W1497687441 abstract "This study aimed to investigate the adherence rate for patients on ART after more than three months, via a pill count, and to explore reasons for non adherence. The study was carried out at the Wellness Clinic, Tshepong Hospital, Klerksdorp, North West Province, South Africa. Method:The study was designed as a cross sectional survey of patients under treatment at the HIV Clinic in Tshepong Hospital. A sample size of 150 patients out of the 7,000 patients was considered adequate by the Centre for Statistical Consultation. Patients needed to be on ART for 3 months or more, willing to give written consent and over the age of 18 years. Every consecutive patient that met the inclusion criteria was invited to participate until the sample size was obtained over a 5 month period (November 2008 to March 2009)Discussion:Main findings of the study:Overall 87.3% of patients were adherent to ART during the previous month. The main challenges to adherence identified by patients were socio-economic and related to a lack of income and food. Medication related issues such as side effects and complex regimens were also important along with a range of more personal behavioural issues. Mental disorders, substance abuse and family-related issues were also identified as relevant.Recommendation and Conclusion:The study implies that improving socio-economic conditions through job creation, skills development, social grants and food parcels may be beneficial to adherence. Access to treatment for those who are employed also needs to be improved and health services should look at ways of accommodating the needs of this group as well as interacting with employers to improve their understanding of the ART requirements.Attempts should be made to keep prescriptions as simple as possible and to monitor closely for side effects. Cell phones and other technologies should be promoted as ways of coping with complex and chronic regimens.Counselling should be open to discuss personal behaviour, beliefs and concerns and to motivate behaviour change. Counselling should also be family orientated and willing to assist where possible with family related issues that impair adherence.Health workers should be vigilant for mental problems, alcohol and substance abuse and be in a position to assist patients with these problems." @default.
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- W1497687441 date "2009-12-01" @default.
- W1497687441 modified "2023-09-26" @default.
- W1497687441 title "“Causes of non-adherence to antiretroviral therapy in Wellness Clinic, Tshepong Hospital, Klerksdorp”" @default.
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