Factors contributing to patients on anti-retroviral therapy defaulting on treatment in Oshakati hospital in Namibia select="/dri:document/dri:meta/dri:pageMeta/dri:metadata[@element='title']/node()"/>

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dc.contributor.author Mazibuko, Greatjoy N. en_US
dc.date.accessioned 2014-02-07T14:08:06Z
dc.date.available 2014-02-07T14:08:06Z
dc.date.issued 2008 en_US
dc.identifier.uri http://hdl.handle.net/11070/425
dc.description.abstract Abstract provided by author en_US
dc.description.abstract Defaulting from treatment remains a challenge for most HIV/AIDS control programmes. It may increase the risk of drug resistance, prolonged infection or death. The aim of this study was to explore and describe factors that contributed to patients defaulting in taking Highly Active Anti-Retroviral Therapy (HAART) in Oshakati and to propose appropriate interventions. The method used in the study was a combined quantitative and qualitative approach (mixed method). A cohort of patients who defaulted in their HAART treatment in Oshakati as at the end of July 2007 was identified using the pharmacy ART dispensing tool that could generate a list of defaulters for that month. In the quantitative phase a structured questionnaire with potential predictor factors drawn from literature review was administered to 76 (95.0) of 80 defaulters who were successfully traced. In the qualitative phase, a focus group discussion comprising of 12 defaulters was conducted en_US
dc.description.abstract The reasons for defaulting were unclear in the quantitative phase of the study. During the focus group discussion of the qualitative study, reasons given by informants were complex and included the treatment process, poor patient-provider relationships ultimately leading to dissatisfaction with services provided, financial constraints to pay for food and transport, the long distance between the facility and place of residence, lack of accurate information about the treatment and its outcome, illiteracy, lack of psychosocial support, lack of immediate beneficial effects and/or harmful effects after initiating on treatment. The default rate in this study was relatively low compared to other studies. ART facilities should ensure that patients' addresses are complete and correct en_US
dc.description.abstract It was recommended that efforts aimed at increasing literacy and reduction in stigma and discrimination should be targeted towards both the patients and the community, ART services should be decentralised and, where possible, home based treatment care, instituted where adherence levels can be ascertained. en_US
dc.format.extent xii,160 p en_US
dc.language.iso eng en_US
dc.source.uri abstracts/mazibuko2008abs.pdf en_US
dc.source.uri http://wwwisis.unam.na/theses/mazibuko2008.pdf en_US
dc.subject AIDS disease treatment en_US
dc.subject AIDS nursing en_US
dc.subject AIDS prevention en_US
dc.title Factors contributing to patients on anti-retroviral therapy defaulting on treatment in Oshakati hospital in Namibia en_US
dc.type Thesis en_US
dc.identifier.isis F004-199299999999999 en_US
dc.description.degree Windhoek en_US
dc.description.degree Namibia en_US
dc.description.degree University of Namibia en_US
dc.description.degree Masters in Public Health en_US
dc.description.status Successfully Downloaded file :http://wwwisis.unam.na/theses/mazibuko2008.pdf en_US
dc.masterFileNumber 3521 en_US

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