Factors Affecting Adherence to HIV Anti-Retroviral Therapy among HIV Positive Adults in Kibra, Nairobi County, Kenya

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Date

2020-06

Journal Title

Journal ISSN

Volume Title

Publisher

Daystar University, School of Human and Social Sciences

Abstract

The purpose of this study was to investigate factors affecting adherence to Human Immune Deficiency Virus (HIV) anti-retroviral therapy (ART) among HIV positive adults in Kibra, Nairobi County, Kenya. Specifically, the study sought to explore factors that affect adherence to HIV antiretroviral (ARV) treatment, assess the psychological implication of ART non-adherence, and determine the socio-demographic characteristics of ART non-adherence among HIV positive adults in Kibra. The study embraced a descriptive survey design and the target population comprised HIV positive adults (above 18 years old) registered on ART in two treatment Centres within Kibra. A sample of 60 HIV positive adults was selected through purposive sampling. Data was collected through self-administered questionnaires, Beck Depression Inventory (BDI), and Alcohol Use Disorders Inventory Test, and analyzed using the Statistical Package for the Social Sciences (SPSS), version 23.0. The study established that 82.4% of the respondents took medication twice daily and more than one pill, thus, non-adherent, while 23.3% were taking medication once a day, thus, adherent. Further, 67% of the respondents indicated that they skipped taking ARVs because of cost-related issues among other factors. Depressed clients were likely to be non-adherent at 65.5% compared to 16.1% that were not depressed. Critically, gender affected adherence to ARVs drugs since 51.4% of the males were non-adherent compared to 24.0% of the females that were non-adherent. Similarly, clients with knowledge of HIV, ART, and positive perception towards efficacy of ART were more adherent than those without knowledge. Therefore, the study recommends the need for enhancement of awareness on HIV and ART efficacy.

Description

Master of Arts in Counseling Psychology

Keywords

Adherence, HIV Anti-Retroviral Therapy, HIV Positive Adults, Kibra, Nairobi County

Citation

Kahema, S.N., (2020). Factors Affecting Adherence to HIV Anti-Retroviral Therapy among HIV Positive Adults in Kibra, Nairobi County, Kenya. Daystar University, School of Human and Social Sciences: Nairobi