+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Antiretroviral treatment adherence and its correlates in Addis Ababa, Ethiopia



Antiretroviral treatment adherence and its correlates in Addis Ababa, Ethiopia



Ethiopian Medical Journal 44(3): 237-244



To assess the degree of adherence with highly active antiretroviral therapy (HAART), and its correlates among adults with HIV/AIDS in Addis Ababa. Cross-sectional survey of consecutive patients attending three ART centers in Addis Ababa complemented by semi-structured audiotaped in-depth interviews with 10 purposively sampled patients on HAART Treatment adherence was defined as self-report of taking > or =95% of therapy correctly in a specified time period, depression measured using Beck's depression inventory, clinical data recorded by reviewing patients' charts, and knowledge about HAART assessed by questions in "Yes"/"No "format. 431 patients on HAART responded 81.2% of patients were > or =95% adherent by self report in the week before the assessment. The major reasons for non-adherence were: being too busy or simply forgot (33.9%) and being away from home (27.5%). Correlates of adherence included having regular follow-up, not being depressed having no side effects, a regimen that fitted the daily routine and satisfaction with the relationship with doctors. Self-reported adherence in our study was higher than that seen in developed countries. Recommendations to improve adherence include: provision of regular follow-up for patients, management of depression, forewarning of side effects of HAART, and creating medication schedules appropriate to patients' daily routines.

Please choose payment method:






(PDF emailed within 1 workday: $29.90)

Accession: 051592833

Download citation: RISBibTeXText

PMID: 17447389


Related references

Adherence to antiretroviral therapy and its associated factors among people living with HIV/AIDS in Addis Ababa, Ethiopia. Ethiopian Medical Journal 50(4): 355-361, 2012

HIV-infected adolescents have low adherence to antiretroviral therapy: a cross-sectional study in Addis Ababa, Ethiopia. Pan African Medical Journal 27: 80, 2017

Effect of Perceived Stigma on Adherence to Highly Active Antiretroviral Therapy and Self-Confidence to Take Medication Correctly in Addis Ababa, Ethiopia. Journal of HIV/AIDS & Social Services 11(4): 346-362, 2012

The Effect of Psychosocial Factors and Patients' Perception of Tuberculosis Treatment Non-Adherence in Addis Ababa, Ethiopia. Ethiopian Journal of Health Sciences 27(5): 447-458, 2017

Experience of uetropubic urethrolysis and sling operation for the treatment of post fistula repair residual incontinence at the Addis Ababa Fistula Hospital, Addis Ababa Ethiopia. Ethiopian Medical Journal 46(1): 29-35, 2008

Fertility desire and family-planning demand among HIV-positive women and men undergoing antiretroviral treatment in Addis Ababa, Ethiopia. African Journal of Aids Research 6(3): 223-227, 2007

Assessment of breast self-examination practice and its associated factors among female undergraduate students in Addis Ababa University, Addis Ababa, Ethiopia, 2016. Breast Cancer 11: 21-28, 2019

Determinant factors associated with occurrence of tuberculosis among adult people living with HIV after antiretroviral treatment initiation in Addis Ababa, Ethiopia: a case control study. Plos one 8(5): E64488, 2013

Antiretroviral treatment associated hyperglycemia and dyslipidemia among HIV infected patients at Burayu Health Center, Addis Ababa, Ethiopia: a cross-sectional comparative study. Bmc Research Notes 7: 380, 2014

Prevalence of intestinal parasites, salmonella and shigella among apparently health food handlers of Addis Ababa University student's cafeteria, Addis Ababa, Ethiopia. Bmc Research Notes 8: 17, 2015

Patients' experiences and perceptions on associates of TB treatment adherence: a qualitative study on DOTS service in public health centers in Addis Ababa, Ethiopia. Bmc Public Health 18(1): 462, 2018

Causes for antiretroviral regimen change among HIV/AIDS patients in Addis Ababa, Ethiopia. Tanzania Journal of Health Research 15(1): 11-18, 2013

Major Risk Factors, Clinical and Laboratory Characteristics of Patients with Hepatocellular Carcinoma; a Retrospective Study at Tikur Anbassa Hospital, Addis Ababa University, Addis Ababa, Ethiopia. Ethiopian Medical Journal 53(3): 127-132, 2015

Personal factors influencing patients' adherence to ART in Addis Ababa, Ethiopia. Journal of the Association of Nurses in Aids Care 24(6): 530-538, 2014

HIV-associated anaemia before and after initiation of antiretroviral therapy at Art Centre of Minilik II Hospital, Addis Ababa, Ethiopia. Ethiopian Medical Journal 50(1): 13-21, 2012