Determinants of HIV Treatment Adherence in Ethnically Diverse and Economically Disadvantaged Patients in a Tertiary Hospital, Nigeria

Antiretroviral Therapy (ART) Has Decreased The Mortality And Morbidity Of HIV/AIDS, And High Adherence To ART (>95%) Is Necessary For A Good Therapeutic Outcome. Non-Adherence Can Lead To Drug-Resistant HIV Caused By Failure To Achieve Maximal Viral Suppression. Little Is Known About Adherence To ART And Its Determinants Among Ethnically Diverse And Economically Disadvantaged Patients. The Purpose Of The Study Was To Identify The Level Of Adherence And Describe Factors That Influence ART Adherence Among Ethnically Diverse And Economically Disadvantaged Patients. This Is With A View To Providing Information That Could Help Health Care Providers Understand Patient Motivations For Discontinuing Their Antiretroviral Treatment And Helping Patients Collaboratively Develop Treatment Regimens That Facilitate Adherence And Optimize The Outcomes Of HIV/AIDS Therapy. A Cross-Sectional Descriptive Survey Was Used. Data Were Collected Among 400 HIV-Infected Patients On ARV Who Received Pretreatment And Ongoing Adherence Counseling And Education Since 2010 Using A Self-Administered Questionnaire. The Data Were Analyzed Using Statistical Package For Social Sciences (SPSS). Findings Showed That The Self-Reported Adherence To The Specific Timing For Taking The Medications (Medication Schedule) Was Significantly Low (8.3%). The Major Factors For Non-Adherence To Medication Reported In This Study Were Being Busy At Work Or School, Forgetfulness, Fasting And Travelling Away From Home. Also, Employment Status Was Associated With Poor Adherence, Which May Be Corroborated By The Major Reason For Non-Adherence (Busy At Work Or School). This Study Is One Of The First Steps In The Exploration Of The Relationship Of Factors Responsible And Medication Adherence Among HIV Patients. This Study Used Three Different Measures Of Medication Adherence. These Are Patients’ Knowledge Of The Benefits Of Taking The Drugs, Adherence To A Medication Schedule, And The Number Of Prescribed Doses Of Medications Missed. Health Care Providers Must Identify Possible Barriers To Adherence At The Earliest And Provide Appropriate Solutions. These Factors Should Be Considered When Designing And Implementing Adherence Interventions.

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The Effect of the E-Patuh Application on HIV/Aids Patients’ Adherence in Consuming Antiretroviral

Jurnal Keperawatan Padjadjaran ◽

10.24198/jkp.v7i1.809 ◽

2019 ◽

Vol 7 (1) ◽

Author(s):

Alfian Alfian ◽

Kusman Ibrahim ◽

Imas Rafiyah

Keyword(s):

Health Care ◽

Medication Adherence ◽

Health Care Providers ◽

Antiretroviral Treatment ◽

Intervention Group ◽

Self Report ◽

Care Providers ◽

Aids Patients ◽

Antiretroviral Adherence ◽

Hiv Aids

Medication adherence is behavior that refers to client obeys in following a medication, and makes lifestyle changes in accordance of recommendations from health care providers. Antiretroviral adherence is paramount for HIV/AIDS patients. The effects were often a problem in antiretroviral treatment and toxicity and often be the reason for replacing or stopping antiretroviral treatment. This study aimed to determine the “E-Patuh” Applications effect on antiretroviral adherence in patients Of HIV/AIDS In West Java. The research design was a quasi-experimental with nonequivalent control group design. The location of this research was in RSUD Kota Bandung and in RSUD Kota Banjar. The respondents was selected without randomization and used purposive sampling technique. Respondents in this study were 30 respondents. Data were obtained using self-report questionnaires. The intervention group was monitored a 30-day android-based E-Patuh application and monitored on an E-Patuh website and then measured adherence value with self-report. Data were analyzed using SPSS 22 with chi-square test. The results showed a significant difference between adherence value before and after application of E-Patuh in the intervention group with (p <0.05) with obtained p value = 0,006. The results of this study prove a positive effect on the using of E-Patuh applications against ARV medication adherence in the intervention group with the support system of the E-Patuh application. The used of E-Patuh is helpful in improving ARV adherence in HIV/AIDS patients. The features contained in E-Patuh were directly reminiscent of the timing of taking medication for PWLH. E-Patuh should be consideration for PLHIV and health care providers in hospitals to improve ARV adherence to reduce mortality rates in people living with HIV.

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Children HIV disclosure: Should the children know their HIV status prior treatment and what are the information have to be told?

Clinical Ethics ◽

10.1177/1477750919897381 ◽

2020 ◽

Vol 15 (3) ◽

pp. 162-166

Author(s):

Krisna Yetti ◽

Linlin Lindayani ◽

Mei-Chih Huang

Keyword(s):

Health Care ◽

Health Care Providers ◽

Hiv Treatment ◽

Hiv Disclosure ◽

Care Providers ◽

Cultural Issues ◽

Hiv Status ◽

Case Scenario ◽

Potential Harm ◽

Adherence To Medication

Informing children about their HIV status is a complex challenge and the most difficult part for parents and health care providers. As more children with HIV reaching adolescence and adulthood, they begin to take part in the management of their health care and potentially initiate HIV-risk behaviours. Thus, it is increasing attention to address the concrete disclosure process. There is no clear direction regarding the disclosure process, particularly when the children starting to take HIV medication and what is the information has to be told, children. This paper was presented as an example case scenario, according to the real experiences. This case reflects an ethical dilemma faced by parents and health care providers to deal with issues related children HIV disclosure especially when the appropriate time to disclose regarding initiation of HIV treatment and the content of information have to be told to children. Parent and health care providers often lay informing the children about the medication required to take every day. In reality, they inform the children that this medicine is for fever or malaria, etc. it will have a significant impact on adherence to medication and further success of HIV treatment. The reason for making such lied information due to fear that disclosure may distress the child. Therefore, policymakers need to have consensus regardless of whether or not to disclose HIV status to children before the treatment and develop a local guideline that can accommodate specific cultural issues. There is potential to state law that more uniform for public health prevention and successful HIV treatment. Future studies can explore the most effective approach for children HIV disclosure to minimalize potential harm to children.

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Knowledge and practice on drug compliance among hypertensive patients in field practice area of a tertiary health care institute in Haryana

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20210824 ◽

2021 ◽

Vol 8 (3) ◽

pp. 1343

Author(s):

Navraj Singh ◽

Meena Rajput ◽

Pardeep Khanna ◽

Kanika Bansal ◽

Ravish Ranjan ◽

...

Keyword(s):

Health Care ◽

Medication Adherence ◽

Health Care Providers ◽

Health Centre ◽

P Value ◽

Care Providers ◽

Drug Compliance ◽

Hypertensive Patients ◽

Adherence To Medication ◽

Life Years

Background: Hypertension contributed 1.6 million deaths and 33.9 million disability-adjusted life years lost in 2015. It has been documented that decrease in systolic BP by 10 mm Hg leads to 22% reduction in CHD and 41% reduction in stroke, which can be achieved by better drug compliance. Knowledge of patients regarding hypertension and its associated complications and drug compliance in hypertension is the key to achieve compliance to medication and control of blood pressure. Aim of study was to find out the proportion of drug compliance among hypertensive patients and to identify various factors associated with non-compliance to drugs.Methods: Descriptive, cross-sectional study was done in out-patient departments of Community Health Centre Dighal and Civil Hospital Beri. 400 follow up patients of hypertension who were 30 years and above taking treatment of hypertension from last 1 year, attending OPD. Medication adherence was assessed using Morisky medication adherence scale (MMAS-8).Results: 72.5% study subjects showed low level of adherence. Low adherence was maximum in the age group of 51-60 years (77.6%) and most common reason for non-compliance to drugs was observed to be forgetfulness (59.3%). Patients unaware of the complications were having low adherence to medication as compared to counterpart and this association was observed to be statistically significant (p value≤0.05).Conclusions: The result of this study is of value to health care providers to prevent treatment failure due to noncompliance and prevent premature deaths.

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HIV/AIDS training for health care providers working with women at risk

Nursing Administration Quarterly ◽

10.1097/00006216-199401820-00016 ◽

1994 ◽

Vol 18 (2) ◽

pp. 74-80 ◽

Cited By ~ 1

Author(s):

Helen Miramontes ◽

Katie Tom ◽

Marion Gillen

Keyword(s):

Health Care ◽

At Risk ◽

Health Care Providers ◽

Care Providers ◽

Aids Training ◽

Hiv Aids

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Cost-Effectiveness Of A Care Program For Hiv/Aids Patients Insured By A Health Maintenance Organization In Colombia Comparing Three Health Care Providers Nationwide

Value in Health ◽

10.1016/j.jval.2014.03.779 ◽

2014 ◽

Vol 17 (3) ◽

pp. A134

Author(s):

NE Guarin ◽

JA Moreno ◽

JA Diaz ◽

IM Munoz Galindo ◽

HO Arevalo

Keyword(s):

Health Care ◽

Cost Effectiveness ◽

Health Care Providers ◽

Health Maintenance Organization ◽

Care Program ◽

Care Providers ◽

Aids Patients ◽

Health Maintenance ◽

Hiv Aids

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Mandatory HIV testing in China: the perception of health-care providers

International Journal of STD & AIDS ◽

10.1258/095646207781147355 ◽

2007 ◽

Vol 18 (7) ◽

pp. 476-481 ◽

Cited By ~ 12

Author(s):

Li Li ◽

Zunyou Wu ◽

Sheng Wu ◽

Sung-Jae Lee ◽

Mary Jane Rotheram-Borus ◽

...

Keyword(s):

Health Care ◽

Hiv Testing ◽

Health Care Providers ◽

Perceived Risk ◽

Ethical Issues ◽

Service Providers ◽

Risk Behaviour ◽

People Living With Hiv ◽

Care Providers ◽

Hiv Aids

Health-care providers in China are facing an exponential increase in HIV testing and HIV-positive patients. A total of 1101 service providers were recruited to examine attitudes toward people living with HIV/AIDS (PLWHA) in China. Logistic regression models were used to assess factors associated with providers' attitudes toward mandatory HIV testing. Providers were most likely to endorse mandatory HIV testing for patients with high-risk behaviour and for all patients before surgery. Over 43% of providers endorsed mandatory testing for anyone admitted to hospital. Controlling for demographics, multivariate analyses indicated that providers with higher perceived risk of HIV infection at work, higher general prejudicial attitudes toward PLWHA, and previous contact with HIV patients were more likely to endorse mandatory HIV testing for anyone admitted to hospital. Results underscore the importance of implementing universal precautions in health-care settings and call attention to social and ethical issues associated with HIV/AIDS control and treatment in China.

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