Thesis (MPhil (Industrial Psychology. Africa Centre for HIV/AIDS Management))--University of Stellenbosch, 2010. / ENGLISH ABSTRACT: Chronic drug therapy has been fraught with many issues such as adherence, drug intolerance,
long-term toxicity and resistance. In HIV/AIDS care, adherence is a major problem due to the
fact that for success of the therapy, adherence must be in the region of ninety five percent. If
this is not maintained the virus begins to mutate and resistant moieties appear, and this in turn
leads to failure of the therapy. This high level of adherence is very difficult to maintain
especially in patients who begin antiretroviral therapy (ART) for various reasons such as
persuasion by health workers and family, and not due to their own conviction. They usually
tend not to adhere to the therapy when symptoms resolve and they start feeling better. There
are a number of factors that promote adherence and these are incorporated into HIV care for
the programme to succeed.
The research was intended to explore and describe factors causing patients to default ART on
the Copper belt in Ndola at Ndola Central Hospital and to ultimately propose appropriate
interventions to ensure improved return rates of patients on ART.
Qualitative tools i.e. interviews and focus group discussions respectively were used, taking
into account ethical considerations and data collected was then analyzed.
Factors causing patients to default on ART were found to be poor social economic
background, inadequate finance, unavailability of food, poor or little understanding of
instructions, poor quality of counseling or low literacy levels, high pill burden, unpalatability
of drugs and patient readiness to life time commitment to taking ARVS. / AFRIKAANSE OPSOMMING: Chroniese medisyneterapie is gepaard gaande met vele kwessies soos trou bly,
weerstandsgebrek aan medisyne, langtermyn toksisiteit en weerstand. In MIV/Vigs sorg, is
trou bly 'n groot probleem weens die feit dat vir sukses in terapie moet dit oor vyf-en-negentig
persent wees. As dit nie gehandhaaf word nie sal die virus begin verander en weerstand
weestandbiedende gedeeltes sal verskyn, en dit op sy beurt lei tot die mislukking van die
terapie. Hierdie hoë vlak van trou bly is baie moeilik om te handhaaf veral in pasiente wie
antiretrovirale terapie (ART) vir verskeie redes begin het soos oorreeding deur gesondheids
werkers en familie, en nie deur hul eie oortuiging nie. Hulle neig gewoonlik om die terapie te
laat vaar wanneer simptome verminder en hulle begin beter voel. Daar is verskeie faktore wat
trou bly bevorder en wat ingelyf word in MIV sorg om die program te laat slaag.
Die doel van hierdie navorsing was om die faktore te beskryf wat veroorsaak dat pasiente op
die Copperbelt in Ndola by Ndola Sentrale Hospitaal hul ART verpligtinge nie nakom nie en
om uiteindelik geskikte intervensies voor te stel om verbeterde terugkeer koerse van pasiente
op ART te verseker.
Kwalitatiewe insrumente, dit is, onderhoude en fokusgroupe is gebruik, met in agneming
etiese kwessies, en data is daarna geanaliseer.
| Identifer | oai:union.ndltd.org:netd.ac.za/oai:union.ndltd.org:sun/oai:scholar.sun.ac.za:10019.1/4120 |
| Date | 03 1900 |
| Creators | Chisa, Sume Percival |
| Contributors | Eva, Gary, University of Stellenbosch. Faculty of Economic and Management Sciences. Dept. of Industrial Psychology. Africa Centre for HIV/AIDS Management. |
| Publisher | Stellenbosch : University of Stellenbosch |
| Source Sets | South African National ETD Portal |
| Language | English |
| Detected Language | English |
| Type | Thesis |
| Rights | University of Stellenbosch |
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