Barriers and facilitators to antiretroviral medication adherence among HIV-infected paediatric patients in Ethiopia: A qualitative study
Barriers and facilitators to antiretroviral medication adherence among HIV-infected paediatric patients in Ethiopia: A qualitative study
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DOI：
10.1080/17290376.2009.9724943
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发表时间：
2009-12-01
影响因子：
1.1
通讯作者：
Deribe, Kebede
中科院分区：
文献类型：
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作者：
Biadgilign, Sibhatu;Deribew, Amare;Deribe, Kebede
服药依从性是一种具有多个决定因素的复杂行为。了解遵守的障碍和促进者对于改进方案非常宝贵，这有助于为遵守干预战略奠定基础。2008年，在亚的斯亚贝巴选定的六家医院进行了一项定性研究，以探索在感染艾滋病毒的儿科患者中遵守抗逆转录病毒药物治疗的障碍和促进者。这项研究包括五家医院的12名依附儿童和非依附儿童的照顾者和14名关键告密者。研究结果显示，过量服药(沉重的避孕药负担)、对耻辱和歧视的恐惧、费用和交通工具、缺乏对服药益处的了解、家庭经济问题以及缺乏营养支持是坚持HAART的障碍。流动/墙壁警报器的存在、后续咨询的存在、儿童健康状况的改善、艺术诊所的设置以及艾滋病毒血清状况的披露都是促进者之一。这项研究表明，儿科坚持抗逆转录病毒治疗面临着巨大的挑战。它建议向照顾者提供创收计划，以帮助感染艾滋病毒的儿童。卫生保健提供者应解决药物提醒的正确使用问题。
Medication adherence is a complex behaviour with multiple determinants. Understanding the barriers and facilitators of adherence is invaluable for programme improvement, which assists the foundation of adherence intervention strategies. A qualitative study was conducted in six selected hospitals of Addis Ababa in 2008, to explore barriers and facilitators to antiretroviral medication adherence among HIV-infected paediatric patients. Twelve caregivers of adherent and non-adherent children and 14 key informants in five hospitals were included in the study. The findings revealed that over-dosage (heavy pill burden), fear of stigma and discrimination, cost and access to transportation, lack of understanding of the benefit of taking the medication, economic problems in the household, and lack of nutritional support were the barriers to adherence to HAART. The presence of mobile/wall alarm, the presence of follow-up counselling, improved health of the child, ART clinic setups, and disclosure of HIV serostatus were among the facilitators. This study indicated that paediatric adherence to antiretroviral therapy faces a huge challenge. It suggests the provision of income-generating schemes to caregivers for assisting HIV-infected children. Health care providers should address proper usage of medication reminders.