Antiretroviral Therapy Adherence in Far West Nepal: The need for Community-Based Intervention

Antiretroviral Therapy Adherence in Far West Nepal: The need for Community-Based Intervention

Background: Achham, a rural district in the Far West region of Nepal, has a high rate of human immunodeficiency virus (HIV) infection. Little information is available about HIV patients in this area. Non-adherence is a major cause of treatment failure worldwide, particularly in resource limited se...

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Format: Technical Report
Language:en_US
Published: 2016
Subjects:
Achham
adherence
ART
community-based interventions
Online Access:http://103.69.126.140:8080/handle/123456789/150
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spelling oai:103.69.126.140:123456789-1502022-11-08T10:29:25Z Antiretroviral Therapy Adherence in Far West Nepal: The need for Community-Based Intervention Achham adherence ART community-based interventions Background: Achham, a rural district in the Far West region of Nepal, has a high rate of human immunodeficiency virus (HIV) infection. Little information is available about HIV patients in this area. Non-adherence is a major cause of treatment failure worldwide, particularly in resource limited settings. This study investigated current adherence rates in a nongovernmental organization (NGO) based community hospital in Achham, and investigated socioeconomic and sociocultural factors that impacted overall adherence. Methods: A cross-sectional study of 105 patients receiving antiretroviral therapy (ART) was performed in Achham. Data were collected on health, socioeconomic, and socio-cultural status, as well as patient perceptions of adherence challenges using a Visual Analog Scale (VAS). Results: The overall rate of ART adherence was 85.7%. Socio-cultural factors pertaining to work and family obligations, as well as long distances to clinics, were significantly correlated with poor adherence. Conclusions: The development of community-based models for HIV care in Achham, similar to those used in Rwanda and Haiti, in combination with the deployment of community health volunteers for purposes of Directly Observed Therapy (DOT), may help to overcome the main barriers to adherence identified by this study. Keywords: Achham; adherence; ART; community-based interventions. 2016-11-10T14:13:40Z 2022-11-08T10:10:38Z 2016-11-10T14:13:40Z 2022-11-08T10:10:38Z 2012 Technical Report http://103.69.126.140:8080/handle/123456789/150 en_US application/vnd.openxmlformats-officedocument.wordprocessingml.document
institution My University
collection DSpace
language en_US
topic Achham
adherence
ART
community-based interventions
spellingShingle Achham
adherence
ART
community-based interventions
Antiretroviral Therapy Adherence in Far West Nepal: The need for Community-Based Intervention
description Background: Achham, a rural district in the Far West region of Nepal, has a high rate of human immunodeficiency virus (HIV) infection. Little information is available about HIV patients in this area. Non-adherence is a major cause of treatment failure worldwide, particularly in resource limited settings. This study investigated current adherence rates in a nongovernmental organization (NGO) based community hospital in Achham, and investigated socioeconomic and sociocultural factors that impacted overall adherence. Methods: A cross-sectional study of 105 patients receiving antiretroviral therapy (ART) was performed in Achham. Data were collected on health, socioeconomic, and socio-cultural status, as well as patient perceptions of adherence challenges using a Visual Analog Scale (VAS). Results: The overall rate of ART adherence was 85.7%. Socio-cultural factors pertaining to work and family obligations, as well as long distances to clinics, were significantly correlated with poor adherence. Conclusions: The development of community-based models for HIV care in Achham, similar to those used in Rwanda and Haiti, in combination with the deployment of community health volunteers for purposes of Directly Observed Therapy (DOT), may help to overcome the main barriers to adherence identified by this study. Keywords: Achham; adherence; ART; community-based interventions.
format Technical Report
title Antiretroviral Therapy Adherence in Far West Nepal: The need for Community-Based Intervention
title_short Antiretroviral Therapy Adherence in Far West Nepal: The need for Community-Based Intervention
title_full Antiretroviral Therapy Adherence in Far West Nepal: The need for Community-Based Intervention
title_fullStr Antiretroviral Therapy Adherence in Far West Nepal: The need for Community-Based Intervention
title_full_unstemmed Antiretroviral Therapy Adherence in Far West Nepal: The need for Community-Based Intervention
title_sort antiretroviral therapy adherence in far west nepal: the need for community-based intervention
publishDate 2016
url http://103.69.126.140:8080/handle/123456789/150
_version_ 1761500875891671040

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