The effect of substance uses on antiretroviral therapy adherence among people living with HIV in Mthatha, Eastern Cape
Date
2023-12
Authors
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Publisher
Stellenbosch : Stellenbosch University
Abstract
ENGLISH SUMMARY: INTRODUCTION: Around 13.3% of South Africa's population use illicit substances during their lifetime. The prevalence of substance use disorders is significantly higher than the global average. The increasing number of people living with HIV who use substances is a serious threat to the ongoing HIV epidemic and could compromise the continuity of care. Although the number of individuals infected with the virus has decreased since implementing the universal test and treat program in the country, co-infection remains a significant issue. In South Africa, the prevalence of hepatitis B virus infection is high among people living with HIV. The success of treatment is determined by how well an individual follows their treatment. Unfortunately, people who use substances are more prone to experiencing suboptimal adherence. Although the exact effects of their use on the adherence rate are unknown, it is believed that they could significantly impact the quality of care. As the gatekeepers of health, primary care providers are responsible for providing the best possible care to patients. They have a responsibility to identify and manage individuals who use substances. In addition, primary care providers can also help individuals reduce their use of substances by integrating them into their regular health care. This process can help them provide effective treatment and prevent them from developing substance use dependency. The researcher conducting this study is motivated by the lack of co-morbidity data and the poor adherence to ART among people living with human immunodeficiency virus in primary healthcare settings. The study aimed to evaluate the co-morbidity of HIV and substance use and their management in the primary healthcare settings in Mthatha, Eastern Cape.
AFRIKAANSE OPSOMMING: Geen opsomming beskikbaar.
AFRIKAANSE OPSOMMING: Geen opsomming beskikbaar.
Description
Thesis (PhD)--Stellenbosch University, 2023.