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

Authors

  • Sharada P Wasti School of Health and Related Research (ScHARR), University of Sheffield, Sheffield
  • Padam Simkhada School of Health and Related Research (ScHARR), University of Sheffield, Sheffield
  • Julian Randall Business School, University of Aberdeen, Aberdeen
  • Jennifer V Freeman School of Health and Related Research (ScHARR), University of Sheffield, Sheffield
  • Edwin van Teijlingen Health and Social Care, Bournemouth University, Bournemouth

DOI:

https://doi.org/10.3329/jhpn.v30i4.13294

Keywords:

Adherence, Antiretroviral drugs, Barriers, Facilitators, HIV/AIDS, South Asia

Abstract

Patients 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 audiotaped, 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 sideeffects 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.

DOI: http://dx.doi.org/10.3329/jhpn.v30i4.13294

J HEALTH POPUL NUTR 2012 Dec;30(4):410-419

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Published

2013-01-14

How to Cite

Wasti, S. P., Simkhada, P., Randall, J., Freeman, J. V., & van Teijlingen, E. (2013). Barriers to and Facilitators of Antiretroviral Therapy Adherence in Nepal: A Qualitative Study. Journal of Health, Population and Nutrition, 30(4), 410–419. https://doi.org/10.3329/jhpn.v30i4.13294

Issue

Section

Original Papers