Factors affecting highly active anti-retroviral therapy adherence in a rural area in Botswana

Tshisuyi, Emmanuel Tshibanda

dc.contributor.advisor	Ehlers, Valerie Janet, 1948-
dc.contributor.author	Tshisuyi, Emmanuel Tshibanda
dc.date.accessioned	2013-10-24T06:44:48Z
dc.date.available	2013-10-24T06:44:48Z
dc.date.issued	2012-11
dc.identifier.citation	Tshisuyi, Emmanuel Tshibanda (2013) Factors affecting highly active anti-retroviral therapy adherence in a rural area in Botswana, University of South Africa, Pretoria, <http://hdl.handle.net/10500/11915>	en
dc.identifier.uri	http://hdl.handle.net/10500/11915
dc.description.abstract	The purpose of this study was to determine factors affecting non-adherence to Anti-retroviral therapy among AIDS patients. A cross sectional quantitative survey, was used. Structured interviews were conducted with 300 ART patients. Data were analysed using SPSS version 13 and presented in charts, graphs and frequency tables. Motivators of good adherence were identified as disclosure of HIV positive status to more than one person, frequent adherence counselling, self-efficacy to adhere to ART, positive interactions between patients and healthcare providers; and using an adherence partner. Barriers to adherence were forgetfulness, transportation costs to and from the clinic, time away from work and side effects. There was a strong positive correlation between adherence, CD4 counts and viral load. Adherence was closely tied to immunologic and virologic improvements. Respondents with poor adherence were likely to have unsuppressed viral loads (OR 12.98, 95%, CI 4.9-34).	en
dc.format.extent	1 online resource (xv, 121 leaves) : illustrations, graphs	en
dc.language.iso	en	en
dc.subject	Adherence to anti-retroviral therapy (ART)	en
dc.subject	ART in Botswana	en
dc.subject	CD4 cell counts	en
dc.subject	HIV/AIDS	en
dc.subject	Viral load	en
dc.subject	Perceived self-efficacy	en
dc.subject	Perceived stigmatisation	en
dc.subject	Social cognitive theory	en
dc.subject.ddc	616.979206096883
dc.subject.lcsh	Antiretroviral agents -- Botswana	en
dc.subject.lcsh	HIV infections -- Treatment -- Botswana	en
dc.subject.lcsh	AIDS (Disease) -- Treatment -- Botswana	en
dc.subject.lcsh	Highly active antiretroviral therapy	en
dc.subject.lcsh	HIV-positive persons -- Botswana	en
dc.title	Factors affecting highly active anti-retroviral therapy adherence in a rural area in Botswana	en
dc.type	Dissertation	en
dc.description.department	Health Studies	en
dc.description.degree	Masters of Public Health