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Sex Transm Infect. 2007 Aug;83(5):383-6. Epub 2007 Jun 13.

Attitudes to directly observed antiretroviral treatment in a workplace HIV care programme in South Africa.

Author information

1
Aragon Consulting, Craighall, South Africa. liesl@aragonconsulting.co.za

Abstract

OBJECTIVE:

To investigate attitudes to directly observed antiretroviral therapy (DOT ART) among HIV infected adults attending a workplace HIV care programme in South Africa.

METHODS:

Clients attending workplace HIV clinics in two regions were interviewed using a semi-structured questionnaire.

RESULTS:

100 individuals (99% male, mean age 40.2 years) participated, 61% were already taking ART by self administration. 71% had previous tuberculosis (TB) with the majority having received DOT for TB. 65% of individuals indicated that they would not like to receive ART by DOT-the main reason given was a desire to take responsibility for their own treatment. This contrasted with 79% who thought TB treatment by DOT a good idea. On questioning about disclosure, 70% reported disclosure to their sexual partners and 21% to fellow workers. 78% of individuals indicated willingness to support someone else taking ART.

CONCLUSION:

ART by DOT was not an immediately popular concept with our patients, primarily because of a desire to retain responsibility for their own treatment. More work is needed to understand what key elements of treatment support are needed to promote adherence.

PMID:
17567686
PMCID:
PMC2659034
DOI:
10.1136/sti.2007.025585
[Indexed for MEDLINE]
Free PMC Article
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