Date of Submission
Medication adherence explains the degree to which persons take medicines as recommended. Medication Adherence for HIV patients in sub-Saharan African has been low due to various factors including culture, stigma, lack of knowledge about status, cost of transportation to the hospital and other issues. This problem results in health complications such as drug resistance, hospitalizations, mortality, disease progression, mortality, and increasing healthcare costs. Even though ideal adherence can be achieved regardless of available resources, long-term medication adherence has been a challenge in sub-Saharan Africa. Barriers to optimal adherence include individual (biological, socio-cultural, behavioral), pharmacological and societal factors (Bijker et al., 2017). Mortality and morbidity that occurs as a result of drug resistance in sub-Saharan Africa are immense. There is a need to address the various challenges that make people in this region fail to take HIV medications as they are required. This issue deserves attention since HIV continues to spread and to affect the young people in these countries.
Healthcare providers are the change agents to address this problem. Counselling is important for people who are diagnosed with HIV since it helps them to understand the magnitude of the problem. Healthcare providers are responsible for providing an intervention that would assist patients to understand the importance of medication adherence. Further, healthcare institutions have a role of educating the general public about HIV by conducting organizing rallies, seminars, trainings to provide information. Also, these institutions have a task of ensuring that everybody who visits the institution is provided with information to increase the knowledge of the people and address ignorance issues in this region. Further, leaders must be involved in this problem since they can be helpful in convincing the people who are barred by their cultural backgrounds, the importance of taking medications as advised by doctors (Abongomera et al., 2017).
Patients are likely to benefit from this proposal as their knowledge will increase therefore improving medication adherence, and ultimately deaths and disability that is caused by HIV will reduce. Healthcare organizations will also benefit since they will have a few sick people to treat per day. This will reduce the workload of healthcare providers and the costs of healthcare.
The interested parties include;
• Health care agencies
• Joint Commission
• Healthcare professionals
• Hospitals and others
Among HIV patients in sub-Saharan Africa, how does individual counselling versus group counselling affect medication adherence?
The purpose of the project is to determine the level of medication adherence in sub-Saharan Africa to be able to establish the most appropriate intervention for optimal adherence. The objectives of the study are to
• Determine the level of medication adherence by testing monitoring medication intake in sub-Saharan Africa among HIV patients within three months
• To determine the most appropriate intervention method between individual and group counselling to address medication adherence issues among HIV patients within three months
• Ensure there is at least a 50% change of practice in hospitals to ensure that this problem is handled efficiently within three months
Medication Adherence for HIV patients in sub-Saharan African is an essential issue for nurses to resolve. People living with HIV have difficulty in long-term medication adherence which affects their health causing premature disability or death (Omonaiye et al., 2018). It also results in drug resistance and increases health care costs for the government and healthcare providers. This problem must be addressed using the most appropriate interventions that will improve the knowledge about the disease. A proper intervention is also required to ensure that nurses become change agents by educating patients through counselling to address individual, pharmacological and societal issue that are considerable barriers to adherence.
Abongomera, G., Cook, A., Musiime, V., Chabala, C., Lamorde, M., Abach, J., … & Kityo, C. (2017). Improved adherence to antiretroviral therapy observed among HIV-infected children whose caregivers had positive beliefs in medicine in Sub-Saharan Africa. AIDS and Behavior, 21(2), 441-449.
Bijker, R., Jiamsakul, A., Kityo, C., Kiertiburanakul, S., Siwale, M., Phanuphak, P., … & Boender, T. S. (2017). Adherence to antiretroviral therapy for HIV in sub‐Saharan Africa and Asia: a comparative analysis of two regional cohorts. Journal of the International AIDS Society, 20(1), 21218.
Omonaiye, O., Kusljic, S., Nicholson, P., & Manias, E. (2018). Medication adherence in pregnant women with human immunodeficiency virus receiving antiretroviral therapy in sub-Saharan Africa: a systematic review. BMC public health, 18(1), 805.
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