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Abstract
Correlates of scaling up HIV/AIDS in rural Zambia – poverty, adherence and consequences of inaction
Simwale O.1, Witola H.2, Mubanga B.3
Objectives: There is documented evidence that compliance to HIV/AIDS Anti Retro Viral Therapy (ART) has prolonged and improved the lives of people living with HIV/AIDS in developed countries. On this premise, many countries in Sub-Saharan Africa, including Zambia, have scaled up access to ART remote areas. However, there is limited evidence of compliance to ART among HIV/AIDS people in Africa. Our study was conducted in Zambia to examine; why clients take treatment 80% of prescribed dosage and 80% of the time, and why. In this paper we;
• Assed whether patients are consistently taking the ARVs according to the prescribed time and dosage, and why.
Methods: The cross sectional study was carried out throughout the nine provinces of Zambia with the approval of the University of Zambia ethics review board. 10,000 respondents were recruited using hospital HIV/AIDS registries. Each subject was followed for 1 year from commencement of therapy. Informed consent was obtained from each patient prior study investigations. Multiple logistic regressions were computed using SAS Version 9.0.
Results: Preliminary results on the following measures show that;
• Adherence to treatment increases with income, treatment support and gender and geographical location of a person with HIV/AIDS.
• Women are less likely to comply with dosage requirements than men but less likely to default than men. Consistence adherence increases with age in both sexes.
Conclusions: There is gross default and inconsistent intake of ART in Zambia due to limited logistical support for people on ARV’s. Our study highlights key challenges of current free ART program in Zambia. Clinicians and African Governments must develop ARV programs that wrap treatment around food security, income, transport and community treatment support.
4th IAS Conference on HIV Pathogenesis, Treatment and Prevention
Abstract no.
CDB359
Suggested Citation
"SimwaleO., et al.
Correlates of scaling up HIV/AIDS in rural Zambia – poverty, adherence and consequences of inaction.
:
4th IAS Conference on HIV Pathogenesis, Treatment and Prevention:
Abstract no.
CDB359"
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