Forgetfulness is often cited as a cause for non-adherence to antiretroviral therapy.
High cell phones usage has provided opportunities for utilization of mhealth to
improve health outcomes. Short message reminders can be used as a behavioral intervention
to remind clients to take medication. It is against this background that we investigated
the willingness of HIV clients on ART at Rimuka Clinic to receive SMS reminders
Method: We used a cross sectional study design.
We randomly selected 522 respondents from HIV clients registered at Rimuka Health
Centre. Data were collected by means of a pretested interviewer-administered questionnaire
and analyzed using Epi-Info 7 statistical software. Independent factors were identified
using a stepwise backward logistic regression model.
Results: Five hundred and twenty-two respondents
were recruited into the study. Respondents who reported owning a cell phone were
512 (92.75%). Ninety-seven (17.8%) reported a lost or damaged cell phone12 months
prior to the study. Four
hundred and ninety-nine respondents (97.4%) thought a text message could be useful
in adherence to ART. However, 496 (97.06%) among those with cellphones were willing
to be reminded by SMS to take their ART medication .Independent
factors for willingness to receive SMS reminders were perceiving anti-retroviral
therapy to be of benefit (a OR=0.2 p=0.04), having disclosed HIV status to family
(a OR=5.37; p=0.04), indicating review schedules at 3 months (a OR=6.59; p=0.04),
thinking text messages are helpful in adherence to ART (a OR=185.7; p<0.05),
and using a cellphone as a medication reminder (a OR=4.8; p=0.03).
Conclusion: Clients attending Rimuka Clinic are willing
to receive SMS reminders for adherence.
Cellphone, SMS, ART, Rimuka Kadoma Adherence
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