Myanmar Health Sciences Research Journal
Volume 27, Number 3
TITLE: Antiretroviral Therapy Adherence among PLHIVs in Public and INGO Centre: Barriers and Braces
AUTHOR: Thet Wai Nwe, Saw Saw, Htun Nyunt Oo, Chomar Kaung Myint, Wai Wai Han & Myint Shwe
SOURCE: Myanmar Health Sciences Research Journal. 2015; 27(3): 169-173
ABSTRACT: Consistent adherence to antiretroviral therapy (ART) is necessary to obtain virological suppression and to achieve the vision of getting to Zero AIDS related deaths. A cross-sectional comparative mixed method study was conducted to find out ART adherence among adult people living with HIV (PLHIVs) in public and INGO centres, Yangon in 2013. Adult PLHIVs attending Out-patient Department and receiving ART not more than three years and ART adherence counselors and self-help group volunteers were included in the study. Adherence level was assessed by using multi-method tool. From each ART centre, 120 face-to-face interviews, 6 in-depth interviews and 4 key informant interviews were carried out. The study found 81.2% of high adherence level among PLHIVs in public and INGO ART centres. There were 75% adherence level at public centre and 87.5% at INGO centre (p=0.013). Adherence to ART medication (dose, schedule, instruction and follow-up adherence) was found as 71.7% in public ART centre and 77.3% in INGO ART centre. There were differences between two ART centres in current marital status, current occupation and per capita expenditure of PLHIVs. Differences between socio-demographic characteristics age, gender and education) of PLHIVs from both centres were not statistically significant. Better adherence was found in those who had pill reminder habits(p=0.042), disclosure to family (p=0.047) and social support (p=0.009). Most common barriers for ART continuation reported by PLHIVs were financial (51.7%), transportation barrier (36.8%), social barrier (26.4%) and psychological barrier (13.8%). The study recommends using pill reminder, providing proper adherence counseling and ensuring family supports.
SUBJECT HEADINGS: ART adherence, PLHIVs, Public and INGO Centre