Grading of Quality and Level of Adherence to the Care and Treatment among Clients Receiving of Antiretroviral Therapy Dessie Referral Hospital, South Wollo, Ethiopia
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2019, Vol 18, Issue 1
Abstract
Background: Antiretroviral therapy (ART) is one of the interventions implemented to reduce morbidity and mortality due to HIV/AIDS. The evaluation of implementation process and its fidelity can give insight in to the “black-box” of the program and give on time information for improvement of the program. Objectives of the evaluation: The general objective of the study was to evaluate the quality and level of Adherence to the care and treatment among clients receiving of Antiretroviral Therapy Dessie Referral Hospital, Ethiopia, 2016. Methods: The evaluation was conducted in Dessie Referral Hospital, Dessie. Adherence, quality of delivery, facilitating strategies, participant responsiveness, recruitment and context are the components of process evaluation measured. Case study design was employed and qualitative and quantitative methods were utilized. Results: The faithfulness of the implementation of the program was found to be 61.30%. As the selected indicators of adherence showed, 54.62% of the clients were given services in accordance with the national guideline. On average, only 46.46% of the clients on chronic care were receiving services for clinical or immunological assessment and 70.70% of the services related to prevention and management of common opportunistic infections were found adherent to the guidelines. Only 58.47% of the clients were initiated for antiretroviral therapy as needed by the guideline. Only 23.91% of the clients were given for Adherence assessment, counselling, and support. Conclusion and Recommendation: The implementation fidelity of the program was found low [61.30%] regardless to relatively higher participant responsiveness, availability of facilitating strategies, and enabled contextual factors.
Authors and Affiliations
Fasil Walelign Fentaye, Prem Kumar
Keywords
Related Articles
- EP ID EP430901
- DOI 10.9790/0853-1801010508.
- Views 65
- Downloads 0
Prevalence of Tobacco Use and Assessment of Knowledge and Attitude of School Children towards Tobacco Consumption in and Around Kanpur City
Aim: The objective of this study is to assess the knowledge, attitude and prevalence of tobacco consumption among rural and urban school children aged 12-17years.Material&Mehotds: A descriptive questionnaire cross-sectio...
Optimizing Esthetics with Ceramic Veneers: A Case Report
Veneers are the most frequently prescribed aesthetic restorations today. Ceramic veneers can be offered as the treatment option in a wide variety of different cases such as correcting tooth defects, abrasion, orthodontic...
Distinguishing Non-Hemorrhagic From Hemorrhagic Stroke In Rural Nepal Setting Using The Besson Score
Introduction: The management and prognosis of patient with acute stroke varies depending mainly on stroke subtypes. Hence it is very crucial to make a timely differentiation between the stroke subtypes. Computed Tomograp...
A Comparative Study of Spot Urine Protein Creatinine Ratio With 24 Hours Urine Protein Excretion For Estimation Of Proteinuria In Preeclampsia.
Objective: To determine the correlation between single voided sample (spot urine PCR) and 24 hours urine protein excretion in patients being evaluated for preeclampsia. This study was conducted in Niloufer hospital and s...
Evaluation of Right Ventricular Functions in Patients of Left Ventricular Hypertrophy
Aims And Objectives: To evaluate the Right Ventricular functions in patients of Left Ventricular Hypertrophy.Common conditions that effect the left ventricle causing dysfunction areIschemic heart disease , Cigarette smok...