Attitudes to directly observed antiretroviral treatment in a workplace HIV care programme in South Africa.


Page-Shipp, LS; Charalambous, S; Roux, S; Dias, B; Sefuti, C; Churchyard, GJ; Grant, AD; (2007) Attitudes to directly observed antiretroviral treatment in a workplace HIV care programme in South Africa. Sexually transmitted infections, 83 (5). pp. 383-6. ISSN 1368-4973 DOI: https://doi.org/10.1136/sti.2007.025585

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Abstract

OBJECTIVE: To investigate attitudes to directly observed antiretroviral therapy (DOT ART) among HIV infected adults attending a workplace HIV care programme in South Africa. METHODS: Clients attending workplace HIV clinics in two regions were interviewed using a semi-structured questionnaire. RESULTS: 100 individuals (99% male, mean age 40.2 years) participated, 61% were already taking ART by self administration. 71% had previous tuberculosis (TB) with the majority having received DOT for TB. 65% of individuals indicated that they would not like to receive ART by DOT-the main reason given was a desire to take responsibility for their own treatment. This contrasted with 79% who thought TB treatment by DOT a good idea. On questioning about disclosure, 70% reported disclosure to their sexual partners and 21% to fellow workers. 78% of individuals indicated willingness to support someone else taking ART. CONCLUSION: ART by DOT was not an immediately popular concept with our patients, primarily because of a desire to retain responsibility for their own treatment. More work is needed to understand what key elements of treatment support are needed to promote adherence.

Item Type: Article
Faculty and Department: Faculty of Infectious and Tropical Diseases > Dept of Clinical Research
PubMed ID: 17567686
Web of Science ID: 248692000011
URI: http://researchonline.lshtm.ac.uk/id/eprint/9349

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