Evaluation of the Adherence and Viral Load Completion Accomplishments After Antiretroviral Therapy Initiation-Namibia

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DOI: 10.21522/TIJPH.2013.07.02.Art010

Authors : Ntumba A, Kazembe L

Abstract:

Background: Namibia enrolled 93% of HIV patients into ART programme.

Objectives: To evaluate adherence and viral load completion accomplishments after ART initiation.

Methods: Retrospective cohort study using quantitative method. SPSS was used to analyze the data. Three sets of analyses reported. First compare the age, sex, CD4 and adherence to ART. Then patients with ≥95% adherence to those <95% and viral suppression at 6 and 12 months.

Results: About 69% adhered to treatment at least 95%. Of the 614 patients with viral load records, 73.3% (n=450) had viral suppression at 6 months. At 12 months, a total of 518 with viral load records,85.9% had viral suppression. Among the patients with adherence of at least 95% at six months, 75.2% had viral suppression. At 12 months, 89.4% of patients who adhered at least 95% of ART had viral suppression.

In multivariate binary regression, the study revealed that those who adhered more than 95%, were 1.65 times more likely to suppress the virus compared to those who did not (p=0.029). The results further showed that having CD4 > 200 at ART initiation was likely to be associated with viral suppression (OR=1.55, 95% CI 1.03-2.33).

Conclusions: The adherence to ART, viral load accomplishments, viral suppression did not reach the expected outcomes, targets set by UNAIDS. Although, close to 90% of patients at 12 months showed viral suppression, the number of patients checked for viral load were far from 90% of patients (about 54.5%) ever started on ART.

Keywords: HIV; Antiretroviral Therapy; ART adherence; viral load completion accomplishments, viral suppression, UNAIDS targets.

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