The effect of substance uses on antiretroviral therapy adherence among people living with HIV in Mthatha, Eastern Cape

dc.contributor.advisorDe Villiers, Marietjieen_ZA
dc.contributor.authorKaswa, Ramprakashen_ZA
dc.contributor.otherStellenbosch University. Faculty of Medicine and Health Sciences. Dept. of Family and Emergency Medicine. Family Medicine and Primary Care.en_ZA
dc.date.accessioned2023-07-11T16:11:56Z
dc.date.accessioned2024-01-08T11:53:05Z
dc.date.available2023-07-11T16:11:56Z
dc.date.available2024-01-08T11:53:05Z
dc.date.issued2023-12
dc.descriptionThesis (PhD)--Stellenbosch University, 2023. en_ZA
dc.description.abstractENGLISH 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.en_ZA
dc.description.abstractAFRIKAANSE OPSOMMING: Geen opsomming beskikbaar.af_ZA
dc.description.versionDoctorate
dc.format.extentxvii, 126 pages : illustrations, maps, includes annexures
dc.identifier.urihttps://scholar.sun.ac.za/handle/10019.1/128808
dc.language.isoen_ZAen_ZA
dc.publisherStellenbosch : Stellenbosch University
dc.rights.holderStellenbosch University
dc.subject.lcshHighly active antiretroviral therapy -- Mthatha (South Africa)en_ZA
dc.subject.lcshPatient compliance -- Mthatha (South Africa)en_ZA
dc.subject.lcshSubstance abuse -- Mthatha (South Africa)en_ZA
dc.subject.lcshAIDS (Disease) -- Risk factors -- Mthatha (South Africa)en_ZA
dc.subject.nameUCTD
dc.titleThe effect of substance uses on antiretroviral therapy adherence among people living with HIV in Mthatha, Eastern Capeen_ZA
dc.typeThesisen_ZA
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