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- W2943313008 abstract "Background: Over the past decade, South Africa has scaled-up its antiretroviral treatment(ART) programme in an effort to control the HIV epidemic. Interventions to support the rolloutof ART include task shifting ART initiation to nurses at primary health care level and ensuringHIV adherence counselling at every visit by lay counsellors. Furthermore, community-basedoutreach teams work at the community level to follow up on patients and ensure that patientsremain in care and are adhering to ART. Despite all these efforts, poor adherence to ARTremains a pertinent problem. In 2016, the national adherence to ART rate among adult patientswas estimated at 35% compared to 39% in Pule Sefatsa clinic in Mangaung district, Free-stateProvince.Aim: The aim of the study was to explore the factors that influence poor adherence to ARTamong patients receiving ART at Pule Sefatsa primary health care clinic in Mangaung district,South Africa.Methodology: A descriptive qualitative research approach was used. Two focus groupdiscussions were conducted with health workers and community caregivers and 16 in-depthinterviews were conducted with ART patients who are in care and those who had defaulted ontheir treatment. Audio recorded data obtained from these sources were transcribed verbatimand prepared for analysis. Thematic analysis was used for data analysis and the results wereclassified under various categories.Findings: Adherence to ART in Pule Sefatsa clinic was found to be influenced by medicalrelated factors, socio-economic factors, health system factors and individual factors. Themedical-related factor was the side effects of the medication. The socio-economic factors werestigma and discrimination, lack of family support, poverty and food insecurity. Health systemfactors that hindered adherence to ART were medication stock-outs, long waiting times andpoor service delivery. The final group of barriers to ART adherence was related to theindividuals using ART and these include patients forgetting to take treatment and feelingdepressed." @default.
- W2943313008 created "2019-05-09" @default.
- W2943313008 creator A5032296485 @default.
- W2943313008 date "2019-01-01" @default.
- W2943313008 modified "2023-09-26" @default.
- W2943313008 title "Exploration of factors that influence poor adherence to antiretroviral therapy amongst patients at Pule Sefatsa primary health care clinic in Mangaung district, South Africa." @default.
- W2943313008 hasPublicationYear "2019" @default.
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