Lived experiences of people living with HIV and hypertension with regard to disease management in the Eastern Cape
- Authors: Tokwe, Lwandile
- Date: 2019
- Subjects: HIV-positive persons -- South Africa -- Eastern Cape , Hypertension -- South Africa -- Treatment Chronic diseases -- Treatment Patient compliance Public health
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10948/43765 , vital:37045
- Description: Globally, approximately 36.9 million people in 2017 were reported to be living with the human immunodeficiency virus (HIV) across the world. In South Africa, 7.52 million people in 2018 were reported to be living with HIV. In light of the increased life expectancy among people living with HIV (PLWH), which is attributed by availability and enrolment to Highly Active Antiretroviral Therapy (HAART), chronic noncommunicable diseases (NCDs) compound the management of HIV in PLWH. South Africa is encountering a burden of communicable diseases and NCDs, in particular, the co-morbidity of HIV and hypertension (HTN). The aim of the study was to explore and describe the lived experiences of people living with HIV and HTN with regard to disease management in the Eastern Cape. Qualitative research design was used and amongst its methods, Husserl’s descriptive phenomenological method was utilized to explore the lived experiences of the participants. The Health Belief model was the theoretical framework that underpinned the study. The study was conducted at Sakhisizwe sub-district located in the Eastern Cape Province, South Africa. The target population were adults living with HIV and HTN who were accessing care from Primary Health Care (PHC) clinics and who met the researcher’s inclusion criteria. A purposive sampling method was used and nine participants were interviewed using semi-structured interviews. The data was analysed using Giorgi’s (1985) phenomenological method of data analysis which facilitated the emergence of the themes from the data. Four themes and 14 subthemes emerged. The participants reported that they experienced illness-related stigma, support of different influential people, self-love in the form of taking ownership of the diseases, experience of creating self-care practices and transforming lifestyle modification behaviours. Recommendations for clinical practice were made to support the professional nurses in the management of the HIV and HTN in the PHC setting. The study findings reflected the lived experiences of the patients of the selected setting and was conducted only in one province rather than in the entire South Africa.
- Full Text:
- Date Issued: 2019
- Authors: Tokwe, Lwandile
- Date: 2019
- Subjects: HIV-positive persons -- South Africa -- Eastern Cape , Hypertension -- South Africa -- Treatment Chronic diseases -- Treatment Patient compliance Public health
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10948/43765 , vital:37045
- Description: Globally, approximately 36.9 million people in 2017 were reported to be living with the human immunodeficiency virus (HIV) across the world. In South Africa, 7.52 million people in 2018 were reported to be living with HIV. In light of the increased life expectancy among people living with HIV (PLWH), which is attributed by availability and enrolment to Highly Active Antiretroviral Therapy (HAART), chronic noncommunicable diseases (NCDs) compound the management of HIV in PLWH. South Africa is encountering a burden of communicable diseases and NCDs, in particular, the co-morbidity of HIV and hypertension (HTN). The aim of the study was to explore and describe the lived experiences of people living with HIV and HTN with regard to disease management in the Eastern Cape. Qualitative research design was used and amongst its methods, Husserl’s descriptive phenomenological method was utilized to explore the lived experiences of the participants. The Health Belief model was the theoretical framework that underpinned the study. The study was conducted at Sakhisizwe sub-district located in the Eastern Cape Province, South Africa. The target population were adults living with HIV and HTN who were accessing care from Primary Health Care (PHC) clinics and who met the researcher’s inclusion criteria. A purposive sampling method was used and nine participants were interviewed using semi-structured interviews. The data was analysed using Giorgi’s (1985) phenomenological method of data analysis which facilitated the emergence of the themes from the data. Four themes and 14 subthemes emerged. The participants reported that they experienced illness-related stigma, support of different influential people, self-love in the form of taking ownership of the diseases, experience of creating self-care practices and transforming lifestyle modification behaviours. Recommendations for clinical practice were made to support the professional nurses in the management of the HIV and HTN in the PHC setting. The study findings reflected the lived experiences of the patients of the selected setting and was conducted only in one province rather than in the entire South Africa.
- Full Text:
- Date Issued: 2019
Factors contributing to non-adherence in HIV positive patients on antiretroviral treatment in primary health care facilities, East London, Eastern Cape
- Authors: Petse, Siphokazi
- Date: 2018
- Subjects: Antiretroviral therapy -- Eastern Cape -- South Africa , Patient compliance , HIV-positive persons -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10353/9734 , vital:34905
- Description: Aim: South Africa is faced with the major challenge of ensuring and sustaining the quality of services, including preventing and managing side- effects, and improving drug adherence, which are all critical, for the success of a comprehensive HIV programme. The aim of this study was to examine the underlying contributing factors to antiretroviral treatment adherence among HIV positive patients attending primary health care facilities in East London. Methods: This was a descriptive cross-sectional study involving 371 HIV positive patients on antiretroviral treatment in xx primary health care facilities in East London, South Africa. The study utilized a self- designed structured questionnaire with both open- ended and closed ended questions, divided into socio-demographic, socio- economic, level of understanding and knowledge on HIV, quality of care and waiting times. Results: About 64 percent of the participants had a good knowledge of HIV, 25 percent had an average knowledge with few participants having poor knowledge of HIV (11 percent). Majority (92.2 percent) were counselled before starting ARVs treatment. Majority of participants (70.7 percent) do have money for transport to come to the clinic, while 53.1 percent experienced side effects. The majority (70 percent) of the participants were non-adherents. Concerning viral load distribution, 52 percent were undetectable, 26 percent unsuppressed and 22 percent suppressed. Marital status (married) (p=0.005), having no formal education (p=0.035), being Christian (p=0.007), alcohol consumption (p= 0.021) and viral load suppression had significant association with non-adherence to ARV treatment among participants. After adjusting for confounders, only non-Christians and unsuppressed viral loads were the independent predictors of non-adherence. Conclusion: The main contributing factors to ART non-adherence among participants on ARVs were marital status, level of education, religion, and Christians were more adherent to the treatment than non-Christians. Alcohol consumption also contributed to non-adherence and viral load. Adherence counseling should be done on each and every visit to remind the participants on the importance of taking their treatment. These factors need to be addressed to improve adherence to the treatment, decrease the virus in the blood (viral load) and improve their health in general.
- Full Text:
- Date Issued: 2018
- Authors: Petse, Siphokazi
- Date: 2018
- Subjects: Antiretroviral therapy -- Eastern Cape -- South Africa , Patient compliance , HIV-positive persons -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10353/9734 , vital:34905
- Description: Aim: South Africa is faced with the major challenge of ensuring and sustaining the quality of services, including preventing and managing side- effects, and improving drug adherence, which are all critical, for the success of a comprehensive HIV programme. The aim of this study was to examine the underlying contributing factors to antiretroviral treatment adherence among HIV positive patients attending primary health care facilities in East London. Methods: This was a descriptive cross-sectional study involving 371 HIV positive patients on antiretroviral treatment in xx primary health care facilities in East London, South Africa. The study utilized a self- designed structured questionnaire with both open- ended and closed ended questions, divided into socio-demographic, socio- economic, level of understanding and knowledge on HIV, quality of care and waiting times. Results: About 64 percent of the participants had a good knowledge of HIV, 25 percent had an average knowledge with few participants having poor knowledge of HIV (11 percent). Majority (92.2 percent) were counselled before starting ARVs treatment. Majority of participants (70.7 percent) do have money for transport to come to the clinic, while 53.1 percent experienced side effects. The majority (70 percent) of the participants were non-adherents. Concerning viral load distribution, 52 percent were undetectable, 26 percent unsuppressed and 22 percent suppressed. Marital status (married) (p=0.005), having no formal education (p=0.035), being Christian (p=0.007), alcohol consumption (p= 0.021) and viral load suppression had significant association with non-adherence to ARV treatment among participants. After adjusting for confounders, only non-Christians and unsuppressed viral loads were the independent predictors of non-adherence. Conclusion: The main contributing factors to ART non-adherence among participants on ARVs were marital status, level of education, religion, and Christians were more adherent to the treatment than non-Christians. Alcohol consumption also contributed to non-adherence and viral load. Adherence counseling should be done on each and every visit to remind the participants on the importance of taking their treatment. These factors need to be addressed to improve adherence to the treatment, decrease the virus in the blood (viral load) and improve their health in general.
- Full Text:
- Date Issued: 2018
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