Nyogea, Daniel. Access to art, adherence and drug resistance among HIV-Positive patients in rural Tanzania. 2015, PhD Thesis, University of Basel, Faculty of Science.
Official URL: http://edoc.unibas.ch/diss/DissB_11272
The first study explores the stock-out experience in two districts in rural Tanzania at the time when ART decentralization had just taken place. Out of stock was not a strange phenomenon with all sites have experienced stock-out of HIV test kits. The patients in the CTCs experienced HIV drugs and cotrimoxazole stock-out in the year preceding the study. Some of the strategies used appear to aggravate problems.
The adherence studies were showed parental caretaking a strong predictor of adherence in children and poverty and proximity playing acted as barrier to optimal adherence. ART adherence reporting overtime shows, patients tend to have better adherence during agricultural season. De-stigmatization campaigns and Direct Observed Therapy (DOT) interventions to children at risk of non-adherence are may improve adherence.
In our last study on predictors of ART resistance, children were more likely than adults to have resistances mutations. This might be linked with either the previous use of a single dose nevirapine and/or with non-adherence as observed in the adherence study. Improving adherence and low cost viral load monitoring may be appropriate solutions.
|Committee Members:||Erb, Peter|
|Faculties and Departments:||09 Associated Institutions > Swiss Tropical and Public Health Institute (Swiss TPH) > Department of Epidemiology and Public Health (EPH) > Health Interventions > Malaria Vaccines (Tanner)|
|Bibsysno:||Link to catalogue|
|Number of Pages:||152 S.|
|Last Modified:||30 Jun 2016 10:57|
|Deposited On:||03 Aug 2015 12:03|
Repository Staff Only: item control page