Antiretroviral Therapy and Retention in Care Experiences and Needs of Adolescents Living with HIV in Southern Ethiopia

Abayneh Tunje,1,2 Degu Jerene,1,3 Inger Kristensson Hallström1 1Child and Family Health, Department of Health Sciences, Faculty of Medicine, Lund University, Lund, Sweden; 2School of Public Health, College of Medicine and Health Sciences, Arba Minch University, Arba Minch, Ethiopia; 3KNCV Tuberculos...

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Autores principales:	Tunje A, Jerene D, Kristensson Hallström I
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2021
Materias:	antiretroviral therapy adherence adolescents disclosure hiv qualitative study “retention in care” Immunologic diseases. Allergy RC581-607
Acceso en línea:	https://doaj.org/article/5bd1fb2367184b898193457770890276
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spelling	oai:doaj.org-article:5bd1fb2367184b8981934577708902762021-11-25T18:55:29ZAntiretroviral Therapy and Retention in Care Experiences and Needs of Adolescents Living with HIV in Southern Ethiopia1179-1373https://doaj.org/article/5bd1fb2367184b8981934577708902762021-11-01T00:00:00Zhttps://www.dovepress.com/antiretroviral-therapy-and-retention-in-care-experiences-and-needs-of--peer-reviewed-fulltext-article-HIVhttps://doaj.org/toc/1179-1373Abayneh Tunje,1,2 Degu Jerene,1,3 Inger Kristensson Hallström1 1Child and Family Health, Department of Health Sciences, Faculty of Medicine, Lund University, Lund, Sweden; 2School of Public Health, College of Medicine and Health Sciences, Arba Minch University, Arba Minch, Ethiopia; 3KNCV Tuberculosis Foundation, The Hague, NetherlandsCorrespondence: Abayneh Tunje Tel +251920011972Email abayneh_tunje.tanga@med.lu.seBackground: Adolescents with HIV are faced with challenges when taking care of their medication, which affects their treatment adherence. Therefore, this study aimed to explore the experiences and needs of adolescents living with HIV regarding their antiretroviral therapy adherence and retention in care in southern Ethiopia.Methods: An inductive qualitative study design was applied to explore adolescents’ experiences and needs regarding antiretroviral treatment adherence and retention in care in southern Ethiopia. Eighteen adolescents were selected from five HIV care and treatment facilities by purposive sampling. The interviews followed an interview guide, translated into the participants’ national language. The interviews were transcribed verbatim and the first author developed a coding frame for the analysis by using NVivo software including meaning units and codes, which were discussed by all authors. Then, sub-themes and themes were identified and analyzed by qualitative content analysis.Results: The results were described in two themes: barriers and facilitators for treatment adherence and retention in care. Barriers were described in seven subthemes and facilitators in three subthemes. Forgetting to take medication, hiding information, or non-disclosure of HIV status, being afraid to collect treatment drugs, being in an orphanage, and school activities were described as barriers while support from health care workers, families, personal motivation to cope with medication-related problems were described as facilitators for antiretroviral therapy adherence and retention in care.Conclusion: Adherence is a major challenge among adolescents living with HIV in Ethiopia, with barriers that are unique to this age group and their living conditions. Therefore, interventions should be targeted to address privacy barriers, stigma, and lack of support.Keywords: antiretroviral therapy adherence, adolescents, disclosure, HIV, qualitative study, retention in careTunje AJerene DKristensson Hallström IDove Medical Pressarticleantiretroviral therapy adherenceadolescentsdisclosurehivqualitative study“retention in care”Immunologic diseases. AllergyRC581-607ENHIV/AIDS: Research and Palliative Care, Vol Volume 13, Pp 999-1007 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	antiretroviral therapy adherence adolescents disclosure hiv qualitative study “retention in care” Immunologic diseases. Allergy RC581-607
spellingShingle	antiretroviral therapy adherence adolescents disclosure hiv qualitative study “retention in care” Immunologic diseases. Allergy RC581-607 Tunje A Jerene D Kristensson Hallström I Antiretroviral Therapy and Retention in Care Experiences and Needs of Adolescents Living with HIV in Southern Ethiopia
description	Abayneh Tunje,1,2 Degu Jerene,1,3 Inger Kristensson Hallström1 1Child and Family Health, Department of Health Sciences, Faculty of Medicine, Lund University, Lund, Sweden; 2School of Public Health, College of Medicine and Health Sciences, Arba Minch University, Arba Minch, Ethiopia; 3KNCV Tuberculosis Foundation, The Hague, NetherlandsCorrespondence: Abayneh Tunje Tel +251920011972Email abayneh_tunje.tanga@med.lu.seBackground: Adolescents with HIV are faced with challenges when taking care of their medication, which affects their treatment adherence. Therefore, this study aimed to explore the experiences and needs of adolescents living with HIV regarding their antiretroviral therapy adherence and retention in care in southern Ethiopia.Methods: An inductive qualitative study design was applied to explore adolescents’ experiences and needs regarding antiretroviral treatment adherence and retention in care in southern Ethiopia. Eighteen adolescents were selected from five HIV care and treatment facilities by purposive sampling. The interviews followed an interview guide, translated into the participants’ national language. The interviews were transcribed verbatim and the first author developed a coding frame for the analysis by using NVivo software including meaning units and codes, which were discussed by all authors. Then, sub-themes and themes were identified and analyzed by qualitative content analysis.Results: The results were described in two themes: barriers and facilitators for treatment adherence and retention in care. Barriers were described in seven subthemes and facilitators in three subthemes. Forgetting to take medication, hiding information, or non-disclosure of HIV status, being afraid to collect treatment drugs, being in an orphanage, and school activities were described as barriers while support from health care workers, families, personal motivation to cope with medication-related problems were described as facilitators for antiretroviral therapy adherence and retention in care.Conclusion: Adherence is a major challenge among adolescents living with HIV in Ethiopia, with barriers that are unique to this age group and their living conditions. Therefore, interventions should be targeted to address privacy barriers, stigma, and lack of support.Keywords: antiretroviral therapy adherence, adolescents, disclosure, HIV, qualitative study, retention in care
format	article
author	Tunje A Jerene D Kristensson Hallström I
author_facet	Tunje A Jerene D Kristensson Hallström I
author_sort	Tunje A
title	Antiretroviral Therapy and Retention in Care Experiences and Needs of Adolescents Living with HIV in Southern Ethiopia
title_short	Antiretroviral Therapy and Retention in Care Experiences and Needs of Adolescents Living with HIV in Southern Ethiopia
title_full	Antiretroviral Therapy and Retention in Care Experiences and Needs of Adolescents Living with HIV in Southern Ethiopia
title_fullStr	Antiretroviral Therapy and Retention in Care Experiences and Needs of Adolescents Living with HIV in Southern Ethiopia
title_full_unstemmed	Antiretroviral Therapy and Retention in Care Experiences and Needs of Adolescents Living with HIV in Southern Ethiopia
title_sort	antiretroviral therapy and retention in care experiences and needs of adolescents living with hiv in southern ethiopia
publisher	Dove Medical Press
publishDate	2021
url	https://doaj.org/article/5bd1fb2367184b898193457770890276
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Antiretroviral Therapy and Retention in Care Experiences and Needs of Adolescents Living with HIV in Southern Ethiopia

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