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Anti Retroviral Therapy in Public Health Institutions of Oromia Region: A Qualitative Study

Received: 12 November 2016     Accepted: 12 December 2016     Published: 13 January 2017
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Abstract

In Ethiopia, the HIV epidemic has remained a major public health problem, mainly affecting people of prime productive and reproductive age. Retention in care and adherence to the treatment is very important for the success of the program while the treatment is being scaled up. No national or regional study gives information on opinion of the Antiretroviral Therapy (ART) service providers. Thus, this study was aimed to explore the perception and opinion of the service providers on status of ART adherences, lost to follow up and associated factors. A total of 14 In-depth Interviews was conducted between February to April, 2015. Interviewees were purposefully selected from the health institutions providing ART services in Oromia Region. The analyses followed the procedure for qualitative thematic analysis using OpenCode qualitative software. Three themes (current statuses of ART adherences and Lost to follow up, reasons for poor adherences to ART and lost from the treatment, and suggested measures) were emerged. Most interviewees perceived, the current statuses of ART adherences are improving. Work overloads, religious influences, social stigma, and perceived fear of drug side effects were the reasons for poor ART adherences and lost from the treatment. The suggested measures were involving the concerned bodies in prevention and treatment of HIV/AIDS and giving special attention to the young people in learning institutions. More efforts are needed to improve adherences to ART and reduces lost to follow up. Providing professional, family and social support for the client is crucial.

Published in World Journal of Public Health (Volume 2, Issue 1)
DOI 10.11648/j.wjph.20170201.16
Page(s) 51-59
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2017. Published by Science Publishing Group

Keywords

Adherence to ART, Lost to Follow up, Qualitative, In-depth Interview, Oromia Region

References
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Cite This Article
  • APA Style

    Sileshi Garoma Abeya, Abebe Megerso Adlo, Tolesa Eticha Chaka, Tilaye Workineh Abebe, Worku Dugasa Girsha, et al. (2017). Anti Retroviral Therapy in Public Health Institutions of Oromia Region: A Qualitative Study. World Journal of Public Health, 2(1), 51-59. https://doi.org/10.11648/j.wjph.20170201.16

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    ACS Style

    Sileshi Garoma Abeya; Abebe Megerso Adlo; Tolesa Eticha Chaka; Tilaye Workineh Abebe; Worku Dugasa Girsha, et al. Anti Retroviral Therapy in Public Health Institutions of Oromia Region: A Qualitative Study. World J. Public Health 2017, 2(1), 51-59. doi: 10.11648/j.wjph.20170201.16

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    AMA Style

    Sileshi Garoma Abeya, Abebe Megerso Adlo, Tolesa Eticha Chaka, Tilaye Workineh Abebe, Worku Dugasa Girsha, et al. Anti Retroviral Therapy in Public Health Institutions of Oromia Region: A Qualitative Study. World J Public Health. 2017;2(1):51-59. doi: 10.11648/j.wjph.20170201.16

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  • @article{10.11648/j.wjph.20170201.16,
      author = {Sileshi Garoma Abeya and Abebe Megerso Adlo and Tolesa Eticha Chaka and Tilaye Workineh Abebe and Worku Dugasa Girsha and Dejene Gemechu Daba and Mihretu Tarekegn Lencha and Zelalem Habtamu Jemal and Dereje Duguma Gemeda and Shalo Daba Hamuse},
      title = {Anti Retroviral Therapy in Public Health Institutions of Oromia Region: A Qualitative Study},
      journal = {World Journal of Public Health},
      volume = {2},
      number = {1},
      pages = {51-59},
      doi = {10.11648/j.wjph.20170201.16},
      url = {https://doi.org/10.11648/j.wjph.20170201.16},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.wjph.20170201.16},
      abstract = {In Ethiopia, the HIV epidemic has remained a major public health problem, mainly affecting people of prime productive and reproductive age. Retention in care and adherence to the treatment is very important for the success of the program while the treatment is being scaled up. No national or regional study gives information on opinion of the Antiretroviral Therapy (ART) service providers. Thus, this study was aimed to explore the perception and opinion of the service providers on status of ART adherences, lost to follow up and associated factors. A total of 14 In-depth Interviews was conducted between February to April, 2015. Interviewees were purposefully selected from the health institutions providing ART services in Oromia Region. The analyses followed the procedure for qualitative thematic analysis using OpenCode qualitative software. Three themes (current statuses of ART adherences and Lost to follow up, reasons for poor adherences to ART and lost from the treatment, and suggested measures) were emerged. Most interviewees perceived, the current statuses of ART adherences are improving. Work overloads, religious influences, social stigma, and perceived fear of drug side effects were the reasons for poor ART adherences and lost from the treatment. The suggested measures were involving the concerned bodies in prevention and treatment of HIV/AIDS and giving special attention to the young people in learning institutions. More efforts are needed to improve adherences to ART and reduces lost to follow up. Providing professional, family and social support for the client is crucial.},
     year = {2017}
    }
    

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  • TY  - JOUR
    T1  - Anti Retroviral Therapy in Public Health Institutions of Oromia Region: A Qualitative Study
    AU  - Sileshi Garoma Abeya
    AU  - Abebe Megerso Adlo
    AU  - Tolesa Eticha Chaka
    AU  - Tilaye Workineh Abebe
    AU  - Worku Dugasa Girsha
    AU  - Dejene Gemechu Daba
    AU  - Mihretu Tarekegn Lencha
    AU  - Zelalem Habtamu Jemal
    AU  - Dereje Duguma Gemeda
    AU  - Shalo Daba Hamuse
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    T2  - World Journal of Public Health
    JF  - World Journal of Public Health
    JO  - World Journal of Public Health
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    PB  - Science Publishing Group
    SN  - 2637-6059
    UR  - https://doi.org/10.11648/j.wjph.20170201.16
    AB  - In Ethiopia, the HIV epidemic has remained a major public health problem, mainly affecting people of prime productive and reproductive age. Retention in care and adherence to the treatment is very important for the success of the program while the treatment is being scaled up. No national or regional study gives information on opinion of the Antiretroviral Therapy (ART) service providers. Thus, this study was aimed to explore the perception and opinion of the service providers on status of ART adherences, lost to follow up and associated factors. A total of 14 In-depth Interviews was conducted between February to April, 2015. Interviewees were purposefully selected from the health institutions providing ART services in Oromia Region. The analyses followed the procedure for qualitative thematic analysis using OpenCode qualitative software. Three themes (current statuses of ART adherences and Lost to follow up, reasons for poor adherences to ART and lost from the treatment, and suggested measures) were emerged. Most interviewees perceived, the current statuses of ART adherences are improving. Work overloads, religious influences, social stigma, and perceived fear of drug side effects were the reasons for poor ART adherences and lost from the treatment. The suggested measures were involving the concerned bodies in prevention and treatment of HIV/AIDS and giving special attention to the young people in learning institutions. More efforts are needed to improve adherences to ART and reduces lost to follow up. Providing professional, family and social support for the client is crucial.
    VL  - 2
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Author Information
  • Department of Public Health, Adama Hospital Medical College, Adama, Ethiopia

  • Department of Public Health, Adama Hospital Medical College, Adama, Ethiopia

  • Department of Public Health, Adama Hospital Medical College, Adama, Ethiopia

  • Department of Public Health, Adama Hospital Medical College, Adama, Ethiopia

  • Department of Public Health, Adama Hospital Medical College, Adama, Ethiopia

  • Department of Public Health, Adama Hospital Medical College, Adama, Ethiopia

  • Oromia Region Health Bureau, Addis Ababa, Ethiopia

  • Oromia Region Health Bureau, Addis Ababa, Ethiopia

  • Oromia Region Health Bureau, Addis Ababa, Ethiopia

  • Oromia Region Health Bureau, Addis Ababa, Ethiopia

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