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Factors Influencing ART Adherence Among Persons Living with HIV Enrolled in Community Client-Led Art Delivery Groups in Lira District, Uganda: A Qualitative Study

BACKGROUND: Community client-led ART delivery groups (CCLADs) were introduced as one of the strategies to better serve individual needs and reduce unnecessary burdens on the health system. However, limited data adequately explained the factors influencing ART adherence among HIV/AIDS patients in CCL...

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Autores principales: Isabirye, Rogers, Opii, Didan Jacob, Opio Ekit, Sharon, Kawomera, Alice, Lokiru, Luke, Isoke, Robert, Ssenkaali, Joachim, Puleh, Sean Steven
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dove 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10278655/
https://www.ncbi.nlm.nih.gov/pubmed/37342282
http://dx.doi.org/10.2147/HIV.S414971
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author Isabirye, Rogers
Opii, Didan Jacob
Opio Ekit, Sharon
Kawomera, Alice
Lokiru, Luke
Isoke, Robert
Ssenkaali, Joachim
Puleh, Sean Steven
author_facet Isabirye, Rogers
Opii, Didan Jacob
Opio Ekit, Sharon
Kawomera, Alice
Lokiru, Luke
Isoke, Robert
Ssenkaali, Joachim
Puleh, Sean Steven
author_sort Isabirye, Rogers
collection PubMed
description BACKGROUND: Community client-led ART delivery groups (CCLADs) were introduced as one of the strategies to better serve individual needs and reduce unnecessary burdens on the health system. However, limited data adequately explained the factors influencing ART adherence among HIV/AIDS patients in CCLAD’s model of care. The study aimed to assess the factors influencing ART adherence among HIV-positive patients attending CCLADs in Lira District, Uganda. MATERIALS AND METHODS: We employed a qualitative method of data collection recruiting 25 study participants (expert clients) between July and August 2020. The study purposefully chose 25 participants to participate in with HIV/AIDS patients enrolled in community-based HIV care models. The interviews were recorded on audiotape, transcribed, and translated verbatim. We used a thematic approach to analyze the data. RESULTS: Our study shows that social support among group members, patient self-motivation, counselling, and guidance were the major facilitators of adherence. From the analysis of results, our study found the following themes: Lack of food, stigma, forgetfulness, stress, unfair staff at the hospital, and socio-cultural beliefs were among the major barriers identified in this study. CONCLUSION: The study emphasizes that CCLADs improve ART adherence for HIV-positive clients by providing a supportive environment and medication access. Peer influence on alternative medicine usage hinders adherence. We recommend that continued support, funding, and education are necessary to address misconceptions and sustain CCLADs’ effectiveness.
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spelling pubmed-102786552023-06-20 Factors Influencing ART Adherence Among Persons Living with HIV Enrolled in Community Client-Led Art Delivery Groups in Lira District, Uganda: A Qualitative Study Isabirye, Rogers Opii, Didan Jacob Opio Ekit, Sharon Kawomera, Alice Lokiru, Luke Isoke, Robert Ssenkaali, Joachim Puleh, Sean Steven HIV AIDS (Auckl) Original Research BACKGROUND: Community client-led ART delivery groups (CCLADs) were introduced as one of the strategies to better serve individual needs and reduce unnecessary burdens on the health system. However, limited data adequately explained the factors influencing ART adherence among HIV/AIDS patients in CCLAD’s model of care. The study aimed to assess the factors influencing ART adherence among HIV-positive patients attending CCLADs in Lira District, Uganda. MATERIALS AND METHODS: We employed a qualitative method of data collection recruiting 25 study participants (expert clients) between July and August 2020. The study purposefully chose 25 participants to participate in with HIV/AIDS patients enrolled in community-based HIV care models. The interviews were recorded on audiotape, transcribed, and translated verbatim. We used a thematic approach to analyze the data. RESULTS: Our study shows that social support among group members, patient self-motivation, counselling, and guidance were the major facilitators of adherence. From the analysis of results, our study found the following themes: Lack of food, stigma, forgetfulness, stress, unfair staff at the hospital, and socio-cultural beliefs were among the major barriers identified in this study. CONCLUSION: The study emphasizes that CCLADs improve ART adherence for HIV-positive clients by providing a supportive environment and medication access. Peer influence on alternative medicine usage hinders adherence. We recommend that continued support, funding, and education are necessary to address misconceptions and sustain CCLADs’ effectiveness. Dove 2023-06-15 /pmc/articles/PMC10278655/ /pubmed/37342282 http://dx.doi.org/10.2147/HIV.S414971 Text en © 2023 Isabirye et al. https://creativecommons.org/licenses/by-nc/3.0/This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/ (https://creativecommons.org/licenses/by-nc/3.0/) ). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (https://www.dovepress.com/terms.php).
spellingShingle Original Research
Isabirye, Rogers
Opii, Didan Jacob
Opio Ekit, Sharon
Kawomera, Alice
Lokiru, Luke
Isoke, Robert
Ssenkaali, Joachim
Puleh, Sean Steven
Factors Influencing ART Adherence Among Persons Living with HIV Enrolled in Community Client-Led Art Delivery Groups in Lira District, Uganda: A Qualitative Study
title Factors Influencing ART Adherence Among Persons Living with HIV Enrolled in Community Client-Led Art Delivery Groups in Lira District, Uganda: A Qualitative Study
title_full Factors Influencing ART Adherence Among Persons Living with HIV Enrolled in Community Client-Led Art Delivery Groups in Lira District, Uganda: A Qualitative Study
title_fullStr Factors Influencing ART Adherence Among Persons Living with HIV Enrolled in Community Client-Led Art Delivery Groups in Lira District, Uganda: A Qualitative Study
title_full_unstemmed Factors Influencing ART Adherence Among Persons Living with HIV Enrolled in Community Client-Led Art Delivery Groups in Lira District, Uganda: A Qualitative Study
title_short Factors Influencing ART Adherence Among Persons Living with HIV Enrolled in Community Client-Led Art Delivery Groups in Lira District, Uganda: A Qualitative Study
title_sort factors influencing art adherence among persons living with hiv enrolled in community client-led art delivery groups in lira district, uganda: a qualitative study
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10278655/
https://www.ncbi.nlm.nih.gov/pubmed/37342282
http://dx.doi.org/10.2147/HIV.S414971
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