Africa Centre for HIV/AIDS Management

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Browsing Africa Centre for HIV/AIDS Management by Subject "Adherence to treatment"

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    Adherence counselling improves adherence to antiretrovirals
    (Stellenbosch : University of Stellenbosch, 2010-03) Chokoe, Fridah Lesiba; Qubuda, Thozamile; University of Stellenbosch. Faculty of Economic and Management Sciences. Dept. of Industrial Psychology. Africa Centre for HIV/AIDS Management.
    ENGLISH ABSTRACT: The study investigate if adherence counselling improves adherence to antiretrovirals. The aim of the study is to improve adherence to antiretrovirals and reduce morbidity and mortality rate due to HIV/AIDS. The study used One Group Post Test -only design. The participants in the study were measured on adherence to antiretrovirals after they have received three seessions of adherence counselling. The objectives of the study was to : To explore the adherence behaviour of patient on antiretrovirals To deterrmine the adherence rate of patient on antiretrovvirals To determine the impact of adherence on adherence counselling To explore relationship between different demographic variables and adherence To explore relationship between different adherence measures The study brings to the front the HIV/AIDS picture.The crippling of the parts of the society by HIV/AIDS. The prevalence of HIV and the impacts HIV has on, nations, individuals ,household and industries are brought into perspective. The study goes back to the origin of HV/AIDS and further tackles issues related to HIV/AIDS and adherence, which are the anatomy, physiology, basic knowledge and discription of HIV/AIDS.The study tackles antiretrovirals, their classes, regimen side effect and important consideration while on antiretrovirals. The effectiveness of the antiretroviral therapy in reducing morbidity and mortality is discussed as well as the efforts by different countries globally in the roll out of antiretrovirals to fight the pandemic. The study explores the challenges to adherence to antiretrovirals and possible intervention. In this study adherence, adherence to antiretrovirals, predictors of adherence, barriers to adherence, adherence strategies and measures of adherence are explored.Assesment and intervention durring adherence counselling are discussed. The study results supported our hypothesis, that adherence counselling improves adherence to antiretrovirals.
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    Factors which affect optimal adherence to antiretroviral medications
    (Stellenbosch : University of Stellenbosch, 2010-03) Usman, Samuel; Munro, G. D.; University of Stellenbosch. Faculty of Economic and Management Sciences. Dept. of Industrial Psychology. Africa Centre for HIV/AIDS Management.
    ENGLISH ABSTRACT: The advent of anti-retroviral therapy (ART) has bought hope and reprieve in a previously hopeless situation where there was no available drug to combat the virus with the result that AIDS deaths from chronic, untreated HIV infection became the major cause of morbidity and mortality especially in sub-Saharan Africa where the disease burden is highest. Since March 19, 1987, when the FDA approved Zidovudine for the treatment of AIDS, there has been great improvement in the prognosis and quality of life of HIV infected persons especially in sub- Saharan countries like Nigeria where the burden of HIV disease is high. Even though the treatment of HIV looked promising to all HIV sufferers, there were strict requirements for taking the ARVs, that meant patients had to be able to take the medication more than 95% of the prescribed time. The requirements also involved strict dietary restrictions that further made adherence to these medications very difficult indeed. In addition, the potential for side effects of the medications and its requirement for life-style modifications like abstinence from excess alcohol made sticking to the required regimen very cumbersome and rather patient unfriendly. Therefore, as the use of ARVs became more popular and effective, so did the problem of nonadherence continue to fester and deteriorate even further. Therefore, the problem of lack of optimum adherence to ARVs is one that potentially threatens all the gains of the discovery and use of potent, life-saving ARVs. Hence, there is now a need to look at how best to improve adherence to ARVs in the most innovative, cost-effective and patient-friendly manner. This study argues for the use of simple, locally-driven adherence strategies that overcome the low literacy and excessive alcoholism that are major factors preventing optimal adherence to ARVs amongst patients.