Health worker’s attitude, accessibility of health services and compliance with antiretroviral therapy in patients with HIV/AIDS: a cross-sectional study

Abstract

Listen

Translate article

The key to success in HIV treatment is compliance with antiretroviral therapy (ART). This is because continuous AR therapy can suppress HIV to undetectable levels, reduce the risk of drug resistance, improve quality of life and survival, improve overall health, and reduce the risk of HIV transmission. On the other hand, non-compliance with treatment can be a major cause of therapy failure.The aim: to identify factors influencing compliance with ART therapy in patients with HIV/AIDSMaterial and Methods. This study used a cross-sectional method. It involved 289 respondents as samples. The sample size was based on HSIEH formula (1989). Univariate analysis used frequency distribution to describe the percentage. Bivariate Logistic regression analysis (Adjusted OR and 95% confident interval) and multivariate analysis used Multiple logistic regression with Adjusted OR, 95% Confident Interval (CI), and a significant value of <0.05.Results and discussion. Some factors had a significant relationship to the outcome, namely age with a p-value of <0.001 (95% CI 4.15–134.09), Occupation with a p-value of 0.002 (95% CI 2.7–32.7), Knowledge with a p-value <0.001 (95% CI 6.15– 43.8), attitude with a p-value of <0.001 (95% CI 3.37–43.8), accessibility of health services with a p-value of 0.004 (95% CI 1.5–9.4), and health worker’s attitudes with a p-value <0.001 (95% CI 1.88–9.21).Conclusion. Another factor is also important, namely a good patient-provider relationship. Increasing patient trust through non-judgmental and supportive care and using positive motivational strategies can affect treatment compliance. Considering each measure taken is important to achieve optimal clinical outcomes and realize public health with preventive treatment