The Extent of Poor Adherence to HIV Treatment, Poor Client Appointment Keeping, an Unsuppressed Viral Load at Bugembe, Mpumudde, Walukuba and Budondo Health Centres in Jinja District – Uganda. Part of a PhD Study Results
Uganda adopted the WHO 2014 test and treat guidelines
in 2016, increasing the number of HIV clients diagnosed, started on treatment,
and monitored for viral load suppression, against the inadequate health care resources.
This has resulted into a low viral load suppression prevalence of 59.6%, and missed
appointment of 7.9%. The study determined the occurrence of; poor adherence to
HIV treatment, client appointment keeping, and viral load suppression at the
study health facilities. The cross-sectional quantitative study was conducted
in 4 purposively selected health centres. All files of adult HIV clients who
had been in care for at least 6 month and active during October to December
2018 were studied for; missed appointments of more than two weeks, poor
adherence to treatment of less than 85%, and unsuppressed viral load above 1000
viral copies per milliliter. 457(14.3%) of 3197 files had at least one of the
study HIV care outcomes. Occurrence of the poor HIV care outcomes was the same irrespective
of the client’s duration in care. 51 (11.2%) of the client files had poor
adherence to treatment, 301(65.9%) had missed appointments for more than two
weeks, and 211(46.2%) had unsuppressed viral load. In conclusion,
there is no difference in occurrence of the study poor HIV care outcomes based
on duration in care. There is limited access to timely viral load tests, hence
affecting timely and appropriate decision making.
HIV care outcomes of adherence
to treatment, appointment keeping and suppressed viral load.
MoH (2016). Consolidated
guidelines for HIV prevention, and treatment in Uganda 2016.
Consolidated guidelines on the use of antiretroviral drugs for treating and preventing
HIV infection: recommendations for a public health approach. Geneva
Switzerland: World Health Organization; 2013. http://apps.who.int/iris/bitstream/10665/85321/1/9789241505727_eng.pdf.
John Walley,1 Elly Katabira,2 Simon Muchuro,2 Hudson Balidawa,3 Elizabeth
Namagala,3 and Eric Ikoona3, (2010). Clinic Attendance for Medication Refills
and Medication Adherence amongst an Antiretroviral Treatment Cohort in Uganda:
A Prospective Study. Hindawi Publishing Corporation AIDS Research and Treatment
Volume 2010, Article ID 872396, 8 pages doi:10.1155/2010/872396.
health report, 2016/17.