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Predictors of Adherence to Antiretroviral Therapy by Adults Living with Hiv and Aids in Kisumu County, Kenya

Show simple item record Ng'oda, A. Maurine 2021-05-10T06:10:02Z 2021-05-10T06:10:02Z 2018
dc.description.abstract Adherence to Antiretroviral Therapy (ART) by people living with HIV/AIDS (PLWHAs) is integral to their survival. However, majority of Kenya's patients are still non-compliant to , the approved care routine in spite of the ART scale up. Previous studies in the country have demonstrated varying factors that influence ART adherence in different regions thus necessitating context specific adherence-enhancing strategies. However, the current national treatment guidelines indicate very little focus towards developing county-specific adherence profiles that would even fit well with the devolved healthcare. With an ART patients' enrollment rate of 89%, Kisumu County has an overall viral suppression rate of 62% against the United Nations' target of 90%. The county has in the last two years reported a constant increase in the number of adult patients transitioning from 1st to 2 nd line regimen therapy, a probable indicator of resistance to first line drugs that would mostly be as a result of nonadherence. Understanding the county-specific underlying factors behind patients' noncompliance to care guidelines is a critical corrective step in care. Through systematic and purposive sampling of patients and care providers respectively, this study reports patient factors, health facility factors and medication factors that influence adherence to ART regimen by adults living with HIV/AIDS in Kisumu County. A sample of386 patients were interviewed and their adherence rate estimated at 67.4%. From the findings, older patients were 1.5 times less likely to adhere to ART (OR = 1.473, 95% CI = 1.004 - 1.147, P = 0.0378), alcoholism reduced the likelihood of adhering to ART 3.8 times (OR = 3.848,95% CI = 1.477 - 17.312, p = 0.0099), patients who were more knowledgeable on ART were twice likely to adhere to ART (OR = 1.956,95% CI = 1.299 - 11.395,p = 0.0150), and long facility waiting times reduced the likelihood of ART adherence 3.5 times (OR = 3.473,95% CI = 2.673 - 29.949, P = 0.0004). The study thus recommends extensive outreach health education focusing on how ART works, benefits of adherence, alongside creating awareness on HIV/AIDS predisposing and risk factors such as alcohol use. Such an outreach program should put more focus on elderly ART patients. Predictor factors not proximal to the patient, like facility waiting time, should equally be addressed by exploring opportunities to adjust the current service delivery model to implement well coordinated community ART services in order to decongest the health facilities. en_US
dc.publisher Maseno University en_US
dc.title Predictors of Adherence to Antiretroviral Therapy by Adults Living with Hiv and Aids in Kisumu County, Kenya en_US
dc.type Article en_US

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