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Barriers to and Factors Facilitating Adherence to Antiretroviral Therapy from the Perspectives of Patients in Maqala City, T3gray Region, Ethiopia


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タイトル: Barriers to and Factors Facilitating Adherence to Antiretroviral Therapy from the Perspectives of Patients in Maqala City, T3gray Region, Ethiopia
著者: Sato, Miho / Giorgis, Belkis Wolde / O'malley, Gabrielle
発行日: 2016年
出版者: 日本ナイル・エチオピア学会 / Japan Association for Nilo-Ethiopian Studies
引用: Nilo-Ethiopian Studies, 21, pp.15-18; 2016
抄録: The decentralization and free provision of life-saving antiretroviral therapy (ART) to health centers in Ethiopia began in 2006. In the T~gray Region, the number of people who began ART increased almost tenfold between 2006 and 2010, yet treatment retention among these patients has been challenging. This qualitative analysis explores the experiences of patients who either continued or interrupted adherence to ART. Conducted at three health facilities in Maqala City from August to October 2009, the aim of this study was to document the facilitating factors and barriers to ART adherence from patients' perspectives. For both continued and interrupted adherence, the most common facilitating factors are a beliefin the efficacy of the medication, trust in the health-care providers, low level of side effects, positive treatment results, and having an HIV-positive friend. Each restarter had distinctive reasons for interrupting the ART. Major contributing factors to ART interruption were the side effects and fear of stigma or discrimination. In urban neighborhoods with a high volume of rural migration, where people lived far from their extended families, ART patients were more dependent on health workers for adherence support.
キーワード: HIV / antiretroviral therapy / adherence / lost to follow up / Tigray / Ethiopia
URI: http://hdl.handle.net/10069/37564
ISSN: 1340329X
権利: © 2016 Japan Association for Nilo-Ethiopian Studies
資料タイプ: Journal Article
原稿種類: publisher
出現コレクション:125 学術雑誌論文

引用URI : http://hdl.handle.net/10069/37564

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