Factors contributing to patients on anti-retroviral therapy defaulting on treatment in Oshakati hospital in Namibia

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dc.contributor.authorMazibuko, Greatjoy N.en_US
dc.date.accessioned2014-02-07T14:08:06Z
dc.date.available2014-02-07T14:08:06Z
dc.date.issued2008en_US
dc.description.abstractAbstract provided by authoren_US
dc.description.abstractDefaulting 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 conducteden_US
dc.description.abstractThe 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 correcten_US
dc.description.abstractIt 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.description.degreeWindhoeken_US
dc.description.degreeNamibiaen_US
dc.description.degreeUniversity of Namibiaen_US
dc.description.degreeMasters in Public Healthen_US
dc.description.statusSuccessfully Downloaded file :http://wwwisis.unam.na/theses/mazibuko2008.pdfen_US
dc.format.extentxii,160 pen_US
dc.identifier.isisF004-199299999999999en_US
dc.identifier.urihttp://hdl.handle.net/11070/425
dc.language.isoengen_US
dc.masterFileNumber3521en_US
dc.source.uriabstracts/mazibuko2008abs.pdfen_US
dc.source.urihttp://wwwisis.unam.na/theses/mazibuko2008.pdfen_US
dc.subjectAIDS disease treatmenten_US
dc.subjectAIDS nursingen_US
dc.subjectAIDS preventionen_US
dc.titleFactors contributing to patients on anti-retroviral therapy defaulting on treatment in Oshakati hospital in Namibiaen_US
dc.typeThesisen_US
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