Barriers to antiretroviral treatment in ethiopia: a qualitative study.
Barriers to antiretroviral treatment in ethiopia: a qualitative study.
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DOI：
10.1177/1545109710387674
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发表时间：
2011-03-01
期刊：
影响因子：
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通讯作者：
Bekele, Abera
中科院分区：
文献类型：
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作者：
Balcha, Taye T;Jeppsson, Anders;Bekele, Abera
目标：埃塞俄比亚在改善艾滋病毒护理和治疗的可及性方面取得了有意义的进展，但客户流失仍然是一个艰巨的挑战。本研究的目的是描述埃塞俄比亚奥罗米亚地区医院和健康中心治疗中患者流失的主要原因。 方法：这项定性设计的研究基于对抗逆转录病毒治疗 (ART) 服务提供者的半结构化访谈以及与 ART 客户的焦点小组讨论。有意招募参与者是为了获得关于保留艾滋病毒护理和治疗的可靠且具有规划意义的重要信息。 结果：分析确定了四个主要主题：抗逆转录病毒（ARV）药物作为“长期生命支持”，免费抗逆转录病毒治疗“昂贵”，定期随访作为“致力于终生危机管理”，以及扩大免费抗逆转录病毒疗法“分享新希望”，结论：研究结果清楚地说明了这一结果尽管财务限制和一些社会文化因素阻碍了抗逆转录病毒疗法的依从性、披露、社区支持以及将其下放到初级卫生保健单位，但仍可提高护理和治疗的保留率。
OBJECTIVE: Ethiopia has made meaningful headway in improving access to HIV care and treatment but client attrition remains a daunting challenge. The objective of this study was to describe the major reasons of patient attrition from treatment at hospital and health center levels in Oromia region of Ethiopia.METHODS: This qualitatively designed study was based on semistructured interview with antiretroviral therapy (ART) service providers and focus group discussions with ART clients. The participants were recruited purposively to obtain robust and programmatically important information on in retention HIV care and treatment.FINDINGS: The analysis identified four major themes: antiretroviral (ARV) medications as ''long-term life support,'' free ART as ''expensive,'' regular follow up as ''devotion to a life-long crisis management,'' and expansion of free ART as ''sharing the new hope,''CONCLUSION: The finding clearly illustrated that while financial constraints and some sociocultural factors impede adherence, disclosure, community support, and decentralization of ART to primary health care units enhance retention in care and treatment.