Factors Influencing ART Adherence Among Persons Living with HIV Enrolled in Community Client-Led Art Delivery Groups in Lira District, Uganda: A Qualitative Study

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dc.contributor.authorRogers, Isabirye
dc.contributor.authorDidan, Jacob Opii
dc.contributor.authorSharon, Opio Ekit
dc.contributor.authorAlice, Kawomera
dc.contributor.authorLuke, Lokiru
dc.contributor.authorRobert, Isoke
dc.contributor.authorJoachim, Ssenkaali
dc.contributor.authorSean Steven, Puleh
dc.date.accessioned2023-06-15T05:59:17Z
dc.date.available2023-06-15T05:59:17Z
dc.date.issued2023
dc.description.abstractBackground: Community client-led ART delivery groups (CCLADs) were introduced as one of the strategies to better serve individual needs and reduce unnecessary burdens on the health system. However, limited data adequately explained the factors influencing ART adherence among HIV/AIDS patients in CCLAD’s model of care. The study aimed to assess the factors influencing ART adherence among HIV-positive patients attending CCLADs in Lira District, Uganda. Materials and Methods: We employed a qualitative method of data collection recruiting 25 study participants (expert clients) between July and August 2020. The study purposefully chose 25 participants to participate in with HIV/AIDS patients enrolled in community-based HIV care models. The interviews were recorded on audiotape, transcribed, and translated verbatim. We used a thematic approach to analyze the data. Results: Our study shows that social support among group members, patient self-motivation, counselling, and guidance were the major facilitators of adherence. From the analysis of results, our study found the following themes: Lack of food, stigma, forgetfulness, stress, unfair staff at the hospital, and socio-cultural beliefs were among the major barriers identified in this study. Conclusion: The study emphasizes that CCLADs improve ART adherence for HIV-positive clients by providing a supportive environment and medication access. Peer influence on alternative medicine usage hinders adherence. We recommend that continued support, funding, and education are necessary to address misconceptions and sustain CCLADs’ effectiveness.en_US
dc.identifier.citationIsabirye, R., Opii, D. J., Opio Ekit, S., Kawomera, A., Lokiru, L., Isoke, R., Ssenkaali, J., & Puleh, S. S. (2023). Factors Influencing ART Adherence Among Persons Living with HIV Enrolled in Community Client-Led Art Delivery Groups in Lira District, Uganda: A Qualitative Study. HIV/AIDS - Research and Palliative Care, Volume 15, 339–347.en_US
dc.identifier.urihttps://doi.org/10.2147/HIV.S414971
dc.identifier.urihttp://ir.lirauni.ac.ug/xmlui/handle/123456789/709
dc.language.isoenen_US
dc.publisherDovepressen_US
dc.subjectcommunity client-led ART deliveryen_US
dc.subjectbarriersen_US
dc.subjectfacilitatorsen_US
dc.subjectHIV/AIDSen_US
dc.titleFactors Influencing ART Adherence Among Persons Living with HIV Enrolled in Community Client-Led Art Delivery Groups in Lira District, Uganda: A Qualitative Studyen_US
dc.typeArticleen_US

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