Psychosocial Support as a Pillar to Improve Adherence to Treatment among Adolescents Living with HIV/AIDS in Dar es Salaam

Author(s):  
Alick Kayange
2020 ◽  
Vol 29 ◽  
Author(s):  
Silvano da Silva Cameia ◽  
Betina Hörner Schlindwein Meirelles ◽  
Veridiana Tavares Costa ◽  
Sabrina da Silva de Souza

ABSTRACT Objective: to know the challenges faced during tuberculosis coinfection treatment in people with HIV/AIDS (HIV/TB) in Huambo, Angola. Method: this is a qualitative convergent-care investigation carried out in the antituberculosis dispensary of the sanatorium hospital of Huambo, Angola. It included 18 people co-infected with HIV/TB and 11 health professionals. Data were collected from January to July 2016 through conversation interviews, participatory observation and a convergence group. In data analysis, conventional content analysis of Hsieh and Shannon was used. Results: the data originated two categories: challenges of HIV/TB coinfected people when facing the diseases and treatment adherence, and challenges due to intervening factors upon HIV/TB treatment adherence. Conclusions: people’s conception about living with HIV/TB, associated with the intervening factors upon HIV/TB treatment adherence, results in late search for health services, non-adherence to treatment and worsening of diseases, thus posing as challenges to be overcome for better control of this double epidemic.


2014 ◽  
Vol 63 (1) ◽  
pp. 8-15 ◽  
Author(s):  
Prisla Ücker Calvetti ◽  
Grazielly Rita Marques Giovelli ◽  
Gabriel José Chittó Gauer ◽  
João Feliz Duarte de Moraes

Objective: The objective of this article was to investigate the biopsychosocial factors that influence adherence to treatment and the quality of life of individuals who have been successfully following the HIV/AIDS treatment. Methods: It is a cross-sectional study carried out with 120 HIV positive participants in the south of Brazil. Among the variables studied, of note are: perceived stress, social support, symptoms of anxiety and depression and quality of life. Results: The results show that a moderate to high adherence to the treatment paired with a strong sense of social support indicate a higher quality of life. Conclusion: The combination of social support and antiretroviral treatment have an impact on physical conditions, improving immune response and quality of life.


2019 ◽  
Vol 28 ◽  
Author(s):  
Veridiana Tavares Costa ◽  
Betina Hörner Schlindwein Meirelles

ABSTRACT Objetive: to understand the adherence to treatment of young adults with HIV/AIDS treated in a specialized care service from the perspective of complex thinking. Method: a qualitative study, with the data grounded theory approach. Twelve young adults aged from 15 to 24 years old living with HIV/AIDS, nine health professionals and four mothers participated in the study. Data was obtained from interviews conducted between April and September 2016 and analyzed using the constant comparative method. Results: the adherence to treatment of young adults with HIV/AIDS has been understood as a dynamic, multifactorial and constantly changing phenomenon. This process involves multiple aspects, including fear of becoming ill, physical and social death, discrimination and stigma. It was found that even in the face of these difficulties, young adults decide to continue their treatment in search of normalization of health, a long and common life like other young people who do not live with HIV/AIDS. Conclusion: it was considered that in view of the complex and changing phenomenon, adherence to treatment of young adults with HIV/AIDS should be understood and managed by health professionals.


2021 ◽  
Vol 4 (1) ◽  
pp. 37-52
Author(s):  
Pacifique Mukangabire ◽  
Patricia Moreland ◽  
Clementine Kanazayire ◽  
Reverien Rutayisire ◽  
Aimable Nkurunziza ◽  
...  

Background Adolescents living with HIV are vulnerable to depression with a negative effect on treatment outcomes. However, there are little data on the factors associated with depression in adolescents with HIV infection in Rwanda.   Aim This article aims to assess the prevalence and sociodemographic factors related to depression among adolescents living with HIV/AIDS. Methodology  A cross sectional research was conducted with 102 adolescents living with HIV/AIDS. Depression was measured by Centre for Epidemiological Studies Depression Scale (CES-DC) in its latest version adapted to the context of Rwanda. Chi-square test and binary logistic regression were performed to determine the factors associated with depression. Results  The prevalence of participants who had symptoms of depression was 31%. The risk to develop depression increased among HIV infected adolescent who did not attend school or who lived with another person who is not a parent or family member. Having both parents deceased increases the risk to develop depression by 25.07 times compared to when none of them is deceased. Conclusion  The results have demonstrated that lack of social support is likely to raise the risk of development of depression symptoms among adolescent with HIV. It is clearly an urgent priority to implement programs that focus on provision and maintenance of psychosocial support to this group in order to reverse the situation. Rwanda J Med Health Sci 2021;4(1):37-52


2011 ◽  
Vol 21 (2) ◽  
pp. 177-183 ◽  
Author(s):  
Marcela Arrivillaga ◽  
Michael Ross ◽  
Bernardo Useche ◽  
Andrew Springer ◽  
Diego Correa

2020 ◽  
Vol 5 (2) ◽  
pp. 13-47
Author(s):  
Chirchir Matthew Kimeli ◽  
Eddah Cheruiyot ◽  
James Waweru ◽  
Richard Sumukwo ◽  
Nanyorri Nalama ◽  
...  

Purpose: Adolescents and youth living with HIV/AIDs experience numerous challenges and support needs, some of which occur in school and affect their quality of life. Several reasons have been advanced to explain this trend includes; stigma, peer pressure and discrimination. However, little focus has been made on socio-cultural, socioeconomic and clinical challenges facing Adolescents and Youth Living with HIV/AIDS (AYLHIV). The objective of this study was to assess the challenges influencing access to comprehensive HIV care among adolescents and youth aged 15-24 years at Nakuru county referral hospital in Kenya.Methodology: Adopting social cognitive theory, a descriptive survey research design was used. Purposive and proportionate random sampling techniques were used to obtain a sample size of 47 AYLHIV. Questionnaires and focused group discussions were used to collect data from AYLHIV; while Interview schedules were to collect data from counsellors in November 2019. Data were analyzed by the use of descriptive statistics in January 2020.Findings: The study concludes that the main socio-cultural challenges faced by AYLWA at County Referral Hospitals are stigma and frequent change of caregivers resulting in poor adherence to ARV medications. Moreover, no major socio-economic challenges were affecting AYLWA at the health facilities. Further, the main clinical challenges facing AYLWA were poor adherence and low viral suppression.Unique Contribution to Theory, Practice and Policy: The study recommends the need to offer and strengthen psychosocial support to AYLWA to enable them to cope with their status and educate the caregivers on the importance of the AYLWA having a consistent caregiver for continuity. The hospital management should avail more trained adherence counsellors for this role. Moreover, the hospital management needs to strengthen the Youth Friendly HIV services to improve responsiveness to the youth needs. This will enhance peer support.


2015 ◽  
Vol 20 (4) ◽  
pp. 1109-1118 ◽  
Author(s):  
Leonara Maria Souza da Silva ◽  
Jeane Saskya Campos Tavares

The study of HIV transmission and the implementation of AIDS prevention actions recognize the importance of social networks in the transmission of the disease, the adherence to treatment and the quality of life of those infected. For this relevance there was a review of articles on social support networks to people living with HIV /AIDS available in the Virtual Health Library (VHL) were published in Brazil between 2002 and 2012. In this study 31 articles were used from journals covering the following áreas: Nursing (n = 15), Psychology (n = 6) and Science Health / Biomedica (n = 6), were included, which some principal authors were affiliated to higher education public institutions (n = 17). In relation to the methodology used, priority wasgiven to conducting: qualitative research (n = 18), cross-sectional studies (n = 19) and studies that involved talking to people living with HIV/AIDS (n = 13). Particular importance was placed on analytic categories related to: adherence to treatment (n = 6), the family (n = 4), vulnerability (n = 3) and support from social networks (n = 5). Within this paper we argue for more investments into studies that focus on the family, carers and their households, as well as deepening the theoretical study of the themes discussed and the use of developed theories for the analysis of Social Networks.


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