Indian J Sex Transm Dis Indian J Sex Transm Dis
Official Publication of the Indian Association for the Study of Sexually Transmitted Diseases
Indian J Sex Transm Dis
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Year : 2020  |  Volume : 41  |  Issue : 2  |  Page : 181-187

Factors affecting adherence to treatment in children living with HIV

1 Department of Community Medicine, Maulana Azad Medical College, New Delhi, India
2 Deputy Project Director, John Snow India Private Limited, New Delhi, India
3 Department of Community Medicine, Lady Hardinge Medical College and Associated Hospitals, New Delhi, India
4 Department of Pediatrics, PGIMER, Dr. Ram Manohar Lohia Hospital, New Delhi, India
5 Department of Pediatrics, Lady Hardinge Medical College and Associated Hospitals, New Delhi, India

Correspondence Address:
Dr. Deepshikha Verma
RZ/167, Street Number 4, Vaishali, Dabri Palam Road, Dwarka Sector 1A, New Delhi - 110 045
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ijstd.IJSTD_43_18

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Background: With the successful introduction of ART, the life expectancy of children living with HIV (CLHIV) is substantially increased. However, strict compliance is a necessary step to begin with as noncompliance is again associated with its own demerits of incomplete suppression and decreasing the overall survival of the patients. Aims: The aim of this study was to measure factors associated with adherence to ART among CLHIV. Materials and Methods: This is a 1-year follow-up study conducted from November 2012 to December 2013. A total of 171 children between 18 months and 15 years living with HIV and on ART attending the two ART centers of Delhi were enrolled in the study. Adherence and factors affecting adherence were obtained from the study participants using a semi-structured interview schedule. Statistical Analysis Used: Collected data were transformed into variables and analyzed into SPSS. All observations were in terms of mean, median, standard deviations, percentages, and proportions. Tests of significance such as Chi-square test and t-test were applied wherever required. Results: In nearly 89% of the study participants, adherence to ART was ≥95% at the end of the study. The most common reason for nonadherence was forgetfulness (59%), and 57% of the parents/caretakers were facing monetary problems. Long distance, greater duration to reach center, and unavailability of the parents/caretakers were also quoted as problems. Conclusion: Adherence is genesis to successful treatment outcome and is strongly associated with availability of support by their parents/caretakers. Professional help along with guidance and encouragement is required not only at the caretaker level but also to the family as a whole.

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