| dc.description.abstract | vii
ABSTRACT
HIV/AIDS is a global burden with issues ranging from non-compliance of ARVs to complications
that arise following infection with the virus.
Adherence to antiretroviral therapy is a major predictor of survival of individuals living with
HIV/AIDS. Appropriate use of antiretrovirals (ARV's) has improved the health of many
HIV/AIDS positive individuals.The effectiveness of HIV treatment depends on sustenance of high
levels of adherence to ARVs
The objective of the study was to determine the compliance level of ART among the infected
people and reasons for non-compliance. This study was conducted in Kisumu County Referral
Hospital in Kisumu County Referral town, and a descriptive cross-sectional design was
employed. Sample size was determined using Fisher’s et al with approximately 69 participants.
Purposive sampling technique was employed in this study.
Data was collected from the CCC records and questionnaires were administered to the patients
attending CCC clinic in Kisumu County Referral hospital. Permission to conduct the study was
sought from the university, Kisumu County Referral hospital and from patients filling
questionnaires. The study revealed that most of the respondents were at the age of between 18-
25years representing a percentage of 39.1%. respondents at the age between 26-35years, 36-
45years, 46-55years and 56years and above represented a 27.5%, 14.5%, 11.6%, and 7.2%
respectively. Most of the respondents who were free to engage in the study were females
representing 63.8% of the respondents while 36.2% of the total respondents were males. Most of
the respondents were married in a monogamous relationships/marriages depicting 39.1% of the
total respondents. The other respondents were single, steady partners not living together, steady
partners living together, married in a polygamous relationship, widowed, and divorced at 21.7%,
18.2%, 7.2%, 4.3%, 7.2%, and 1.4% respectively.
The study revealed proportion of patients who adhere to and who do not adhere to ART
therapy.31.8% adhered to ART while 68.1% of the respondents did not adhere to ART.
Conclusion -The study revealed there was high number of patients who did not adhere to ART
.Some of the reasons for non-adherence to ART were poor accessibility to ART in terms of
distance to the hospital and transportation, poor delivery services at the CCC, Side effects of the
medication.
Recommendation-The management of the Kisumu County Referral and other hospitals in the
study area can consider improvement on the information security and privacy of the patients with
chronic diseases such as HIV/AIDS. Respect and the patients’ opinions can also be of priority in
dealing with chronic disease patient. | en_US |
