Charles, Gerald
(2018)
Actors Associated with
Antiretroviral Therapy Adherence among Adolescent Living with HIV: A Case of
Kigoma Region.
Masters thesis, The Open University of Tanzania.
Abstract
It is estimated that 75% of the world ALHIV comes from 12 countries and Tanzania
ranks number three among those countries (UNAID 2016). Between 2010 to 2015
Tanzania scale up ART coverage serviced for more than 25% (UNAID 2016) which
lead to reduction of HIV/AIDS-related morbidity and mortality however the
effectiveness of ART treatment depends on optimal ART adherence of ≥95% (WHO
2003; Chesney MA (2006); Many studies in Tanzania have focused on ART
adherence among the adults and few studies covered the children and adolescents.
This is cross section quantitative study to determine the level of adherence and
factors associated with ART adherence among adolescent living with HIV aged 10-
19 years who have been on ART treatment for at last 6 months at Maweni region
hospital. ART adherence is measured by self-reporting of number of pill that ALHIV
did not take for the past one week. Simple random sampling technique was used to
obtain study participants and a structured questionnaire used for data collection.
Binary logistic analysis used with Statistical Package for Social Sciences (SPSS)
version 16.0. Results showed that independent variable “discrimination” is statistical
significant associated with poor ART adherence of < 95% (95% confidence interval
and p-value of .026). Other variable within individual, social, medical and structural
factors were not statistical associated with ART adherence. Social Cognitive Theory
have proven to work in this study as discrimination is the negative influence which
hinder ALHIV from learning good ART adherence behavior. The study recommend
that more study to be done studying ART adherence among adolescent living with
HIV in different setting composing of rural and urban areas with high sample size.
Keywords: ART adherence, Adolescents.
Actions (login required)
 |
View Item |