Assessment of the compliance of private health care providers to guidelines for antiretroviral therapy in the management of HIV and AIDS patients in Windhoek, Namibia

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dc.contributor.advisoren_US
dc.contributor.authorPereko, Dawnen_US
dc.date.accessioned2014-02-07T14:08:06Z
dc.date.available2014-02-07T14:08:06Z
dc.date.issued2007en_US
dc.description.abstractSince the identification of the first human immunodeficiency virus (HIV) case, developments have been underway to find treatment for the virus. Antiretroviral agents, especially when used in highly active antiretroviral therapy (HAART) regimens, have produced dramatic decreases in morbidity and mortality of HIV infected people and has made HIV a potentially treatable chronic disease. The success of HAART depends on the correct combination of drugs and on adherence to treatment regime. In April 2003, the Ministry of Health and Social Services published the first antiretroviral treatment guidelines which form the basis of HIV management in Namibia. However the actual availability of these guidelines and their application in the private sector was not knownen_US
dc.description.abstractThis study was conducted to determine the availability of Namibia Guidelines for AntiretroviralTreatment in the private sector and to assess the proportion of private health care providers who comply with the guidelinesen_US
dc.description.abstractA survey to determine the practices of doctors and pharmacies providing ART services in the private sector in Windhoek, Namibia, was conducted, using the Ministry of Health Guidelines for Antiretroviral Therapy, a standard against which the private sector practices were measureden_US
dc.description.abstractThe results of the study showed a general awareness (96 for doctors and 81 for pharmacists) and availability (92 for doctors and 50 for pharmacists) of MoHSS guidelines. The overall proportion of private healthcare providers who adhere to guidelines is small although some aspects of the guidelines such as when to start therapy (61), what to start with (96), when to change (100) and what therapy to use (73) are well adhered to by doctors. The majority of the pharmacists (58) do not dispense in accordance with the guideline recommendationsen_US
dc.description.abstractThis study has uncovered a wide diversity of practice in the different aspects of HIV management and significant deviations from the Namibia guidelines for antiretroviral therapy, first editionen_US
dc.description.degreeWindhoeken_US
dc.description.degreeNamibiaen_US
dc.description.degreeUniversityt of Namibiaen_US
dc.description.degreeMasters in Public Healthen_US
dc.description.statusen_US
dc.format.extentxi, 121 pen_US
dc.identifier.isisF004-199299999999999en_US
dc.identifier.urihttp://hdl.handle.net/11070/422
dc.language.isoengen_US
dc.masterFileNumber3518en_US
dc.source.urien_US
dc.source.urihttp://wwwisis.unam.na/theses/pereko2007.pdfen_US
dc.subjectHIV virusesen_US
dc.subjectAIDS diseasesen_US
dc.subjectAIDS diseases preventionen_US
dc.subjectAIDS diseases nursingen_US
dc.titleAssessment of the compliance of private health care providers to guidelines for antiretroviral therapy in the management of HIV and AIDS patients in Windhoek, Namibiaen_US
dc.typeThesisen_US
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