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Factors contributing to non adherence among pregnant women on antiretroviral treatment at Amathole District, Eastern Cape

During the beginning of the HIV epidemic in 1981 25 million people have died. The introduction of ART therefore has promising developments to reduce mortality rates and new infections. Nevertheless there is still a challenge with adherence to ART worldwide and in South Africa. The purpose of the study was to determine the factors contributing to non-adherence to ART among HIV positive pregnant women. The study involved a non- probability sample of 70 HIV pregnant women on ART attending antenatal care clinics at the tertiary hospital and two community health centres,in Buffalo City, Amathole District, Eastern Cape. A coded questionnaire was used as an instrument for data collection. Ethical procedure was followed and a consent form was signed by each participant. Data was collected for a period of two months The demographic data reveals that the majority of the participants were knowledgeable about ART and employed. That is evident in the adherence to ART in all age groups except age 40 and above. The majority of HIV positive pregnant women on ART who participated in the study were single 50% (n=35) which suggests that they may lack emotional support from partners and may have difficulty in disclosing their status. Level of adherence revealed that 27% (n=19) of participants missed ART because of forgetfulness, and 16% (n=12) and others were feeling healthy due to frequent follow ups and complying with the ART. Poor follow up, too sick, side effects pill burden, fear of stigma, lack of finances and taking alcohol hinders the proper management of HIV positive pregnant women and is risky to the unborn baby. HIV positive pregnant women on ART exhibited a good knowledge and use of ART. This is encouraging and should be sustained by continuous community awareness campaigns to empower the communities about HIV/AIDS, PMTCT programme and ART and extensive training of health care providers.

Identiferoai:union.ndltd.org:netd.ac.za/oai:union.ndltd.org:ufh/vital:11921
Date January 2014
CreatorsDekeda, Kolelwa Felicia
PublisherUniversity of Fort Hare, Faculty of Science & Agriculture
Source SetsSouth African National ETD Portal
LanguageEnglish
Detected LanguageEnglish
TypeThesis, Masters, MSc (Nursing Science)
Format82 leaves; 30 cm, pdf
RightsUniversity of Fort Hare

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