Experiences of Antiretroviral Therapy Initiation Among HIV-Positive Adults in Ethiopia: A Descriptive Phenomenological Design

IF 1.5 Q4 INFECTIOUS DISEASES

HIV AIDS-Research and Palliative Care Pub Date : 2022-05-01 DOI:10.2147/HIV.S361913

E. Tefera, A. Mavhandu-Mudzusi

{"title":"Experiences of Antiretroviral Therapy Initiation Among HIV-Positive Adults in Ethiopia: A Descriptive Phenomenological Design","authors":"E. Tefera, A. Mavhandu-Mudzusi","doi":"10.2147/HIV.S361913","DOIUrl":null,"url":null,"abstract":"Purpose The aim of the study was to explore and describe the lived experiences of HIV-positive adults on antiretroviral therapy (ART) initiation in West Shoa Zone, Ethiopia. Materials and Methods A descriptive phenomenological design was utilized in the study to gain insight into participants’ lived experiences regarding ART initiation in West Shoa Zone, Ethiopia. Data were collected through semi-structured in-depth interviews and analyzed by means of thematic analysis. Results The study found that spousal influence, denial of status, inconsistent ART initiation protocol, poverty, fear of side effects, religion and shortages of staff were factors that caused delayed ART initiation. A low CD4 count, the development of opportunistic infections and the prevention of future illness were factors that promoted ART initiation. Conclusion This study provides an overview of experiences of adults living with HIV regarding ART initiation. The study emphasizes the need to improve adequate provision of resources to address issues related to finance, human capital, guidelines and inequity to enhance early ART initiation among HIV-positive adults in West Shoa Zone. The study findings have implications for policy implementation, ART service delivery, and the enhancement of prompt ART initiation in the study settings.","PeriodicalId":46555,"journal":{"name":"HIV AIDS-Research and Palliative Care","volume":"24 1","pages":"243 - 254"},"PeriodicalIF":1.5000,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"1","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"HIV AIDS-Research and Palliative Care","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.2147/HIV.S361913","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"INFECTIOUS DISEASES","Score":null,"Total":0}

引用次数: 1

Abstract

Purpose The aim of the study was to explore and describe the lived experiences of HIV-positive adults on antiretroviral therapy (ART) initiation in West Shoa Zone, Ethiopia. Materials and Methods A descriptive phenomenological design was utilized in the study to gain insight into participants’ lived experiences regarding ART initiation in West Shoa Zone, Ethiopia. Data were collected through semi-structured in-depth interviews and analyzed by means of thematic analysis. Results The study found that spousal influence, denial of status, inconsistent ART initiation protocol, poverty, fear of side effects, religion and shortages of staff were factors that caused delayed ART initiation. A low CD4 count, the development of opportunistic infections and the prevention of future illness were factors that promoted ART initiation. Conclusion This study provides an overview of experiences of adults living with HIV regarding ART initiation. The study emphasizes the need to improve adequate provision of resources to address issues related to finance, human capital, guidelines and inequity to enhance early ART initiation among HIV-positive adults in West Shoa Zone. The study findings have implications for policy implementation, ART service delivery, and the enhancement of prompt ART initiation in the study settings.

查看原文本刊更多论文

在埃塞俄比亚hiv阳性成人中开始抗逆转录病毒治疗的经验:描述现象学设计

目的:本研究的目的是探索和描述埃塞俄比亚西绍阿地区艾滋病毒阳性成人开始抗逆转录病毒治疗(ART)的生活经历。材料和方法本研究采用描述性现象学设计，以深入了解埃塞俄比亚西绍阿地区参与者关于ART启动的生活经历。采用半结构化深度访谈法收集数据，采用专题分析方法进行分析。结果研究发现，配偶影响、身份否认、启动抗逆转录病毒治疗方案不一致、贫困、害怕副作用、宗教信仰和人员短缺是导致延迟启动抗逆转录病毒治疗的因素。CD4细胞计数低、机会性感染的发生和对未来疾病的预防是促进抗逆转录病毒治疗开始的因素。结论:本研究概述了成人艾滋病毒感染者开始抗逆转录病毒治疗的经历。该研究强调有必要改善充足的资源供应，以解决与资金、人力资本、指导方针和不平等有关的问题，以加强西Shoa区艾滋病毒阳性成年人的早期抗逆转录病毒治疗。研究结果对政策实施、提供抗逆转录病毒治疗服务以及在研究环境中加强及时启动抗逆转录病毒治疗具有重要意义。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

HIV AIDS-Research and Palliative Care INFECTIOUS DISEASES-

CiteScore

3.00

自引率

6.70%

发文量

审稿时长

16 weeks

期刊介绍： About Dove Medical Press Dove Medical Press Ltd is part of Taylor & Francis Group, the Academic Publishing Division of Informa PLC. We specialize in the publication of Open Access peer-reviewed journals across the broad spectrum of science, technology and especially medicine. Dove Medical Press was founded in 2003 with the objective of combining the highest editorial standards with the ''best of breed'' new publishing technologies. We have offices in Manchester and London in the United Kingdom, representatives in Princeton, New Jersey in the United States, and our editorial offices are in Auckland, New Zealand. Dr Scott Fraser is our Medical Director based in the UK. He has been in full time clinical practice for over 20 years as well as having an active research interest.