Factors responsible for limited adherence to anti- retroviral therapy among people living with HIV/aids in Masindi municipality, Masindi district
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The general objective of the study was to examine the factors affecting effective client adherence on Art by people living with HIV/ ADS in Masindi municipality. The specific objective of the study included causes of limited adherence, effects of non-adherence, strategies to enhance client adherence on ART. The study used the cross-sectional case study design supported by qualitative approaches. An accessible population of 50 respondents was identified whereby 45 were people on ART (Primary respondents) and 5 key informants (secondary respondents) from TASO Masindi. The study realized that causes of limited adherence to ART included poverty and low-income levels, age, limited social support, transport challenges, stigma and discrimination. The study realized the following effects, continuous illness, economic decline, increased spread of new HIV infections caused by limited adherence, increased death. The suggested strategies by respondents both primary and secondary were economic empowerment to reduce poverty, effective sensitization to break stigma and discrimination, emphasis was also put at community distribution of drugs, use of group work. Based on the study findings several conclusions were reached and these were, poverty and low incomes , education level, social support in relation to stigma and discrimination, age ,client provider relationship were the main causes of non-adherence. The study recommended to the government ART program, donors to the following, capacity building of the ART workers, and strategic location of ART clinics free from public access, more funding by the Government and the donors.