Actors Associated with Antiretroviral Therapy Adherence among Adolescent Living with HIV: A Case of Kigoma Region

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.

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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.

Item Type: Thesis (Masters)
Subjects: 600 Technology > 658 Gerneral management
Divisions: Faculty of Arts and Social Sciences > Centre for Economics and Community Economic Development
Depositing User: Mr. Administrator OUT
Date Deposited: 22 Nov 2019 12:40
Last Modified: 22 Nov 2019 12:40
URI: http://repository.out.ac.tz/id/eprint/2349

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