Default from Anti-Retroviral Treatment Programme in Sagamu, Nigeria
To determine the rate and reason for default from antiretroviral treatment (ART) program in Sagamu Nigeria, a cohort of 100 patients on ART was followed up for 12 months at the centre for special studies Olabisi Onabanjo University Teaching Hospital Sagamu between July 2000 and September 2003. The p...
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Veröffentlicht in: | African journal of biomedical research 2009-05, Vol.11 (2) |
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Sprache: | eng |
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Zusammenfassung: | To determine the rate and reason for default from antiretroviral
treatment (ART) program in Sagamu Nigeria, a cohort of 100 patients on
ART was followed up for 12 months at the centre for special studies
Olabisi Onabanjo University Teaching Hospital Sagamu between July 2000
and September 2003. The patient chart at the clinic were reviewed to
collect the socio-demographic data of patients who defaulted ART
treatment (defined as PLWA who refused to come back to collect ART
medications for at least 6 months from the last visit). The patients
were traced to their place of residence with the address given on the
clinic chart. Where such patients were found at home, a reason for
default from treatment was inquired from them. For those who were not
met at home proxy interviewees such as a neighbour or a family member
were asked if they were available. Of the 100 patients who had enrolled
in the ART treatment programme during the study period, 36% of the
study population defaulted treatment, 18% had died while 46% were alive
and well. Major reasons for default includes: opting for
spiritual/faith/alternative healing ( 8%), lost of interest in the
programme/financial (7%), moved to home town of origin (6%), changed
address (5%), untraceable home address or name (5%), side effects of
ART (2%), widowhood rites (1%). Two individuals were not met at home
after repeated visits by the Community health extension workers. About
a third of PLWA defaulted from treatment. The major reasons for default
were psychosocial factors unrelated to the treatment regimen. Ensuring
adherence to therapy in communities must take into consideration the
psychosocial and cultural practices and norms of the people to avert
the emergence and transmission of drug-resistant strains. |
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ISSN: | 1119-5096 |