Therapy and Health System-Related Factors Influencing Adherence to ART Treatment among HIV/AIDS Patients in Embu Teaching and Referral Hospital Comprehensive Care Clinic

Evangeline Kananu Njue Mugoh; Ephantus Kabiru; Joyce Mwaniki

doi:doi:10.11648/j.ajns.20160505.11

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Therapy and Health System-Related Factors Influencing Adherence to ART Treatment among HIV/AIDS Patients in Embu Teaching and Referral Hospital Comprehensive Care Clinic

Evangeline Kananu Njue Mugoh, Ephantus Kabiru, Joyce Mwaniki

Published in American Journal of Nursing Science (Volume 5, Issue 5)

Received: 26 July 2016 Accepted: 4 August 2016 Published: 21 August 2016

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Abstract

Adherence to antiretroviral therapy is a major predictor of the survival of individuals living with HIV/AIDS. Appropriate use of antiretroviral (ARV’s) has improved the health of many human immunodeficiency virus (HIV) positive individuals. The effectiveness of HIV treatment depends on sustenance of high levels of adherence to ARV; however, ARV regimens are often complicated and can be affected by varying dosing schedules, failing to have proper dietary requirements and patients developing adverse effects. The objective of this study was to determine therapy and health system related factors influencing adherence to Anti-retroviral drugs among adult HIV/ AIDS patients in Embu County Teaching and Referral Hospital Comprehensive Care Clinic. The study applied cross sectional descriptive design with stratified random sampling used to obtain relative proportion of male and female adult respondents in the sample population. 332 HIV positive patients were chosen from a total of 1694 patients who were active in ART for more than one year. A semi-structured interview schedules was used to obtain patients view on various dimension or ART services at the facility. ART adherence was at 48.2%. There was significant association between adherence to ART treatment and the type of drug a respondent was in with AZT, ddl, NFV having the highest proportion of sub-optimal adherence to treatment while respondents on D4T, 3TC, NVP had the lowest proportion of sub-optimal adherence to treatment. Convenience of the facilities for people with chronic ailments and waiting time at the facilities were reported to be good (73.0%) and excellent (75.3%) respectively.

Published in	American Journal of Nursing Science (Volume 5, Issue 5)
DOI	10.11648/j.ajns.20160505.11
Page(s)	169-174
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2016. Published by Science Publishing Group

Keywords

ART Adherence, Treatment-Related Factors, Health System Factors

References

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APA Style

Evangeline Kananu Njue Mugoh, Ephantus Kabiru, Joyce Mwaniki. (2016). Therapy and Health System-Related Factors Influencing Adherence to ART Treatment among HIV/AIDS Patients in Embu Teaching and Referral Hospital Comprehensive Care Clinic. American Journal of Nursing Science, 5(5), 169-174. https://doi.org/10.11648/j.ajns.20160505.11

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ACS Style

Evangeline Kananu Njue Mugoh; Ephantus Kabiru; Joyce Mwaniki. Therapy and Health System-Related Factors Influencing Adherence to ART Treatment among HIV/AIDS Patients in Embu Teaching and Referral Hospital Comprehensive Care Clinic. Am. J. Nurs. Sci. 2016, 5(5), 169-174. doi: 10.11648/j.ajns.20160505.11

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AMA Style

Evangeline Kananu Njue Mugoh, Ephantus Kabiru, Joyce Mwaniki. Therapy and Health System-Related Factors Influencing Adherence to ART Treatment among HIV/AIDS Patients in Embu Teaching and Referral Hospital Comprehensive Care Clinic. Am J Nurs Sci. 2016;5(5):169-174. doi: 10.11648/j.ajns.20160505.11

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@article{10.11648/j.ajns.20160505.11,
  author = {Evangeline Kananu Njue Mugoh and Ephantus Kabiru and Joyce Mwaniki},
  title = {Therapy and Health System-Related Factors Influencing Adherence to ART Treatment among HIV/AIDS Patients in Embu Teaching and Referral Hospital Comprehensive Care Clinic},
  journal = {American Journal of Nursing Science},
  volume = {5},
  number = {5},
  pages = {169-174},
  doi = {10.11648/j.ajns.20160505.11},
  url = {https://doi.org/10.11648/j.ajns.20160505.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajns.20160505.11},
  abstract = {Adherence to antiretroviral therapy is a major predictor of the survival of individuals living with HIV/AIDS. Appropriate use of antiretroviral (ARV’s) has improved the health of many human immunodeficiency virus (HIV) positive individuals. The effectiveness of HIV treatment depends on sustenance of high levels of adherence to ARV; however, ARV regimens are often complicated and can be affected by varying dosing schedules, failing to have proper dietary requirements and patients developing adverse effects. The objective of this study was to determine therapy and health system related factors influencing adherence to Anti-retroviral drugs among adult HIV/ AIDS patients in Embu County Teaching and Referral Hospital Comprehensive Care Clinic. The study applied cross sectional descriptive design with stratified random sampling used to obtain relative proportion of male and female adult respondents in the sample population. 332 HIV positive patients were chosen from a total of 1694 patients who were active in ART for more than one year. A semi-structured interview schedules was used to obtain patients view on various dimension or ART services at the facility. ART adherence was at 48.2%. There was significant association between adherence to ART treatment and the type of drug a respondent was in with AZT, ddl, NFV having the highest proportion of sub-optimal adherence to treatment while respondents on D4T, 3TC, NVP had the lowest proportion of sub-optimal adherence to treatment. Convenience of the facilities for people with chronic ailments and waiting time at the facilities were reported to be good (73.0%) and excellent (75.3%) respectively.},
 year = {2016}
}

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TY  - JOUR
T1  - Therapy and Health System-Related Factors Influencing Adherence to ART Treatment among HIV/AIDS Patients in Embu Teaching and Referral Hospital Comprehensive Care Clinic
AU  - Evangeline Kananu Njue Mugoh
AU  - Ephantus Kabiru
AU  - Joyce Mwaniki
Y1  - 2016/08/21
PY  - 2016
N1  - https://doi.org/10.11648/j.ajns.20160505.11
DO  - 10.11648/j.ajns.20160505.11
T2  - American Journal of Nursing Science
JF  - American Journal of Nursing Science
JO  - American Journal of Nursing Science
SP  - 169
EP  - 174
PB  - Science Publishing Group
SN  - 2328-5753
UR  - https://doi.org/10.11648/j.ajns.20160505.11
AB  - Adherence to antiretroviral therapy is a major predictor of the survival of individuals living with HIV/AIDS. Appropriate use of antiretroviral (ARV’s) has improved the health of many human immunodeficiency virus (HIV) positive individuals. The effectiveness of HIV treatment depends on sustenance of high levels of adherence to ARV; however, ARV regimens are often complicated and can be affected by varying dosing schedules, failing to have proper dietary requirements and patients developing adverse effects. The objective of this study was to determine therapy and health system related factors influencing adherence to Anti-retroviral drugs among adult HIV/ AIDS patients in Embu County Teaching and Referral Hospital Comprehensive Care Clinic. The study applied cross sectional descriptive design with stratified random sampling used to obtain relative proportion of male and female adult respondents in the sample population. 332 HIV positive patients were chosen from a total of 1694 patients who were active in ART for more than one year. A semi-structured interview schedules was used to obtain patients view on various dimension or ART services at the facility. ART adherence was at 48.2%. There was significant association between adherence to ART treatment and the type of drug a respondent was in with AZT, ddl, NFV having the highest proportion of sub-optimal adherence to treatment while respondents on D4T, 3TC, NVP had the lowest proportion of sub-optimal adherence to treatment. Convenience of the facilities for people with chronic ailments and waiting time at the facilities were reported to be good (73.0%) and excellent (75.3%) respectively.
VL  - 5
IS  - 5
ER  -

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Author Information

Evangeline Kananu Njue Mugoh

Department of Community Health, Kenyatta University, Nairobi, Kenya
Ephantus Kabiru

Department of Community Health, Kenyatta University, Nairobi, Kenya
Joyce Mwaniki

Department of Plant Sciences, Kenyatta University, Nairobi, Kenya

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APA Style

Evangeline Kananu Njue Mugoh, Ephantus Kabiru, Joyce Mwaniki. (2016). Therapy and Health System-Related Factors Influencing Adherence to ART Treatment among HIV/AIDS Patients in Embu Teaching and Referral Hospital Comprehensive Care Clinic. American Journal of Nursing Science, 5(5), 169-174. https://doi.org/10.11648/j.ajns.20160505.11

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ACS Style

Evangeline Kananu Njue Mugoh; Ephantus Kabiru; Joyce Mwaniki. Therapy and Health System-Related Factors Influencing Adherence to ART Treatment among HIV/AIDS Patients in Embu Teaching and Referral Hospital Comprehensive Care Clinic. Am. J. Nurs. Sci. 2016, 5(5), 169-174. doi: 10.11648/j.ajns.20160505.11

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AMA Style

Evangeline Kananu Njue Mugoh, Ephantus Kabiru, Joyce Mwaniki. Therapy and Health System-Related Factors Influencing Adherence to ART Treatment among HIV/AIDS Patients in Embu Teaching and Referral Hospital Comprehensive Care Clinic. Am J Nurs Sci. 2016;5(5):169-174. doi: 10.11648/j.ajns.20160505.11

Copy | Download

@article{10.11648/j.ajns.20160505.11,
  author = {Evangeline Kananu Njue Mugoh and Ephantus Kabiru and Joyce Mwaniki},
  title = {Therapy and Health System-Related Factors Influencing Adherence to ART Treatment among HIV/AIDS Patients in Embu Teaching and Referral Hospital Comprehensive Care Clinic},
  journal = {American Journal of Nursing Science},
  volume = {5},
  number = {5},
  pages = {169-174},
  doi = {10.11648/j.ajns.20160505.11},
  url = {https://doi.org/10.11648/j.ajns.20160505.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajns.20160505.11},
  abstract = {Adherence to antiretroviral therapy is a major predictor of the survival of individuals living with HIV/AIDS. Appropriate use of antiretroviral (ARV’s) has improved the health of many human immunodeficiency virus (HIV) positive individuals. The effectiveness of HIV treatment depends on sustenance of high levels of adherence to ARV; however, ARV regimens are often complicated and can be affected by varying dosing schedules, failing to have proper dietary requirements and patients developing adverse effects. The objective of this study was to determine therapy and health system related factors influencing adherence to Anti-retroviral drugs among adult HIV/ AIDS patients in Embu County Teaching and Referral Hospital Comprehensive Care Clinic. The study applied cross sectional descriptive design with stratified random sampling used to obtain relative proportion of male and female adult respondents in the sample population. 332 HIV positive patients were chosen from a total of 1694 patients who were active in ART for more than one year. A semi-structured interview schedules was used to obtain patients view on various dimension or ART services at the facility. ART adherence was at 48.2%. There was significant association between adherence to ART treatment and the type of drug a respondent was in with AZT, ddl, NFV having the highest proportion of sub-optimal adherence to treatment while respondents on D4T, 3TC, NVP had the lowest proportion of sub-optimal adherence to treatment. Convenience of the facilities for people with chronic ailments and waiting time at the facilities were reported to be good (73.0%) and excellent (75.3%) respectively.},
 year = {2016}
}

Copy | Download

TY  - JOUR
T1  - Therapy and Health System-Related Factors Influencing Adherence to ART Treatment among HIV/AIDS Patients in Embu Teaching and Referral Hospital Comprehensive Care Clinic
AU  - Evangeline Kananu Njue Mugoh
AU  - Ephantus Kabiru
AU  - Joyce Mwaniki
Y1  - 2016/08/21
PY  - 2016
N1  - https://doi.org/10.11648/j.ajns.20160505.11
DO  - 10.11648/j.ajns.20160505.11
T2  - American Journal of Nursing Science
JF  - American Journal of Nursing Science
JO  - American Journal of Nursing Science
SP  - 169
EP  - 174
PB  - Science Publishing Group
SN  - 2328-5753
UR  - https://doi.org/10.11648/j.ajns.20160505.11
AB  - Adherence to antiretroviral therapy is a major predictor of the survival of individuals living with HIV/AIDS. Appropriate use of antiretroviral (ARV’s) has improved the health of many human immunodeficiency virus (HIV) positive individuals. The effectiveness of HIV treatment depends on sustenance of high levels of adherence to ARV; however, ARV regimens are often complicated and can be affected by varying dosing schedules, failing to have proper dietary requirements and patients developing adverse effects. The objective of this study was to determine therapy and health system related factors influencing adherence to Anti-retroviral drugs among adult HIV/ AIDS patients in Embu County Teaching and Referral Hospital Comprehensive Care Clinic. The study applied cross sectional descriptive design with stratified random sampling used to obtain relative proportion of male and female adult respondents in the sample population. 332 HIV positive patients were chosen from a total of 1694 patients who were active in ART for more than one year. A semi-structured interview schedules was used to obtain patients view on various dimension or ART services at the facility. ART adherence was at 48.2%. There was significant association between adherence to ART treatment and the type of drug a respondent was in with AZT, ddl, NFV having the highest proportion of sub-optimal adherence to treatment while respondents on D4T, 3TC, NVP had the lowest proportion of sub-optimal adherence to treatment. Convenience of the facilities for people with chronic ailments and waiting time at the facilities were reported to be good (73.0%) and excellent (75.3%) respectively.
VL  - 5
IS  - 5
ER  -

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