Barriers to and Facilitators of Antiretroviral Therapy Adherence in Nepal: A Qualitative Study

Sharada P. Wasti, Padam Simkhada, Julian Randall, Jennifer V. Freeman, Edwin Van Teijlingen

Research output: Contribution to journalArticle

11 Citations (Scopus)

Abstract

Patient's adherence is crucial to get the best out of antiretroviral therapy (ART). This study explores in-depth the barriers to and facilitators of ART adherence among Nepalese patients and service providers prescribing ART. Face-to-face semi-structured interviews were conducted with 34 participants. Interviews were audio-taped, transcribed, and translated into English before being analyzed thematically. ART-prescribed patients described a range of barriers for failing to adhere to ART. Financial difficulties, access to healthcare services, frequent transport blockades, religious/ritual obstacles, stigma and discrimination, and side-effects were the most-frequently discussed barriers whereas trustworthy health workers, perceived health benefits, and family support were the most-reported facilitators. Understanding barriers and facilitators can help in the design of an appropriate and targeted intervention. Healthcare providers should address some of the practical and cultural issues around ART whilst policy-makers should develop appropriate social policy to promote adherence among ART-prescribed patients.

Original languageEnglish
Pages (from-to)410-419
Number of pages10
JournalJournal of Health, Population and Nutrition
Volume30
Issue number4
DOIs
Publication statusPublished - Dec 2012
Externally publishedYes

Fingerprint

Nepal
therapeutics
health services
Therapeutics
interviews
family support
Interviews
Ceremonial Behavior
public policy
Insurance Benefits
health care workers
Public Policy
Patient Compliance
Administrative Personnel
stigma
Health Personnel
adverse effects
Delivery of Health Care
Health

Cite this

Wasti, Sharada P. ; Simkhada, Padam ; Randall, Julian ; Freeman, Jennifer V. ; Van Teijlingen, Edwin. / Barriers to and Facilitators of Antiretroviral Therapy Adherence in Nepal : A Qualitative Study. In: Journal of Health, Population and Nutrition. 2012 ; Vol. 30, No. 4. pp. 410-419.
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Barriers to and Facilitators of Antiretroviral Therapy Adherence in Nepal : A Qualitative Study. / Wasti, Sharada P.; Simkhada, Padam; Randall, Julian; Freeman, Jennifer V.; Van Teijlingen, Edwin.

In: Journal of Health, Population and Nutrition, Vol. 30, No. 4, 12.2012, p. 410-419.

Research output: Contribution to journalArticle

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