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Antiretroviral Therapy and Retention in Care Experiences and Needs of Adolescents Living with HIV in Southern Ethiopia

Tunje, Abayneh LU ; Jerene, Degu LU and Kristensson Hallström, Inger LU (2021) In HIV/AIDS 13. p.999-1007
Abstract

Background: Adolescents with HIV are faced with challenges when taking care of their medication, which affects their treatment adherence. Therefore, this study aimed to explore the experiences and needs of adolescents living with HIV regarding their antiretroviral therapy adherence and retention in care in southern Ethiopia.

Methods: An inductive qualitative study design was applied to explore adolescents' experiences and needs regarding antiretroviral treatment adherence and retention in care in southern Ethiopia. Eighteen adolescents were selected from five HIV care and treatment facilities by purposive sampling. The interviews followed an interview guide, translated into the participants' national language. The interviews were... (More)

Background: Adolescents with HIV are faced with challenges when taking care of their medication, which affects their treatment adherence. Therefore, this study aimed to explore the experiences and needs of adolescents living with HIV regarding their antiretroviral therapy adherence and retention in care in southern Ethiopia.

Methods: An inductive qualitative study design was applied to explore adolescents' experiences and needs regarding antiretroviral treatment adherence and retention in care in southern Ethiopia. Eighteen adolescents were selected from five HIV care and treatment facilities by purposive sampling. The interviews followed an interview guide, translated into the participants' national language. The interviews were transcribed verbatim and the first author developed a coding frame for the analysis by using NVivo software including meaning units and codes, which were discussed by all authors. Then, sub-themes and themes were identified and analyzed by qualitative content analysis.

Results: The results were described in two themes: barriers and facilitators for treatment adherence and retention in care. Barriers were described in seven subthemes and facilitators in three subthemes. Forgetting to take medication, hiding information, or non-disclosure of HIV status, being afraid to collect treatment drugs, being in an orphanage, and school activities were described as barriers while support from health care workers, families, personal motivation to cope with medication-related problems were described as facilitators for antiretroviral therapy adherence and retention in care.

Conclusion: Adherence is a major challenge among adolescents living with HIV in Ethiopia, with barriers that are unique to this age group and their living conditions. Therefore, interventions should be targeted to address privacy barriers, stigma, and lack of support.

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Please use this url to cite or link to this publication:
author
; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
HIV/AIDS
volume
13
pages
9 pages
publisher
Dove Medical Press Ltd.
external identifiers
  • scopus:85119961344
  • pmid:34858061
ISSN
1179-1373
DOI
10.2147/HIV.S339413
project
Improving adherence to antiretroviral therapy among adolescents living with HIV in Ethiopia
eHealth as an aid for facilitating and supporting self-management in families with long-term childhood illness – development, evaluation and implementation in clinical practice
language
English
LU publication?
yes
additional info
© 2021 Tunje et al.
id
d6975d39-fde2-45ca-941b-36b979ff66a8
date added to LUP
2021-12-07 18:14:29
date last changed
2024-04-06 14:50:20
@article{d6975d39-fde2-45ca-941b-36b979ff66a8,
  abstract     = {{<p>Background: Adolescents with HIV are faced with challenges when taking care of their medication, which affects their treatment adherence. Therefore, this study aimed to explore the experiences and needs of adolescents living with HIV regarding their antiretroviral therapy adherence and retention in care in southern Ethiopia.</p><p>Methods: An inductive qualitative study design was applied to explore adolescents' experiences and needs regarding antiretroviral treatment adherence and retention in care in southern Ethiopia. Eighteen adolescents were selected from five HIV care and treatment facilities by purposive sampling. The interviews followed an interview guide, translated into the participants' national language. The interviews were transcribed verbatim and the first author developed a coding frame for the analysis by using NVivo software including meaning units and codes, which were discussed by all authors. Then, sub-themes and themes were identified and analyzed by qualitative content analysis.</p><p>Results: The results were described in two themes: barriers and facilitators for treatment adherence and retention in care. Barriers were described in seven subthemes and facilitators in three subthemes. Forgetting to take medication, hiding information, or non-disclosure of HIV status, being afraid to collect treatment drugs, being in an orphanage, and school activities were described as barriers while support from health care workers, families, personal motivation to cope with medication-related problems were described as facilitators for antiretroviral therapy adherence and retention in care.</p><p>Conclusion: Adherence is a major challenge among adolescents living with HIV in Ethiopia, with barriers that are unique to this age group and their living conditions. Therefore, interventions should be targeted to address privacy barriers, stigma, and lack of support.</p>}},
  author       = {{Tunje, Abayneh and Jerene, Degu and Kristensson Hallström, Inger}},
  issn         = {{1179-1373}},
  language     = {{eng}},
  pages        = {{999--1007}},
  publisher    = {{Dove Medical Press Ltd.}},
  series       = {{HIV/AIDS}},
  title        = {{Antiretroviral Therapy and Retention in Care Experiences and Needs of Adolescents Living with HIV in Southern Ethiopia}},
  url          = {{http://dx.doi.org/10.2147/HIV.S339413}},
  doi          = {{10.2147/HIV.S339413}},
  volume       = {{13}},
  year         = {{2021}},
}