Omogbadegun, Zacchaeus O. and Okuboyejo, Sena (2013) Investigating Cognitive, Behavioural, and Environmental Barriers to HIV/AIDS’ Patients Adherence in Nigeria. International Association of Providers of AIDS Care (IAPAC) Journal. p. 40.
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Abstract
Background Much of health care today involves helping patients manage conditions whose outcomes can be greatly influenced by lifestyle or behaviour change. HIV/AIDS is an imminent lifethreatening disease. HIV/AIDS patients’ adherence to health behaviours is related to their perceptions of the severity of a potential illness or the consequences of not preventing or treating the illness. Nonadherence involves patients taking medications incorrectly or not at all, forgetting or refusing to make essential behavioural changes for their care, and persisting in behaviours including high-risk sexual activity that jeopardize their health. Adoption of technology is slow in behavioural healthcare. This paper investigates the inherent individual and environmental barriers to HIV/AIDS’ patient adherence in an ongoing research on Women’s Health in Nigeria. Methods A mix of both qualitative and quantitative indicators are used to develop case studies of the inherent individual and environmental barriers to patient adherence. Focus groups discussions and semi-structured interviews. The study currently covers a clinic and a university teaching hospital each in case selected across rural and urban Ekiti, Lagos, Ogun, Ondo, and Oyo States of Nigeria. Results The primary causes of nonadherence are poor provider–patient communication, lack of understanding of the treatment and its importance, lack of trust and mutual caring in the therapeutic relationship, and provider behaviour that is controlling and paternalistic. Depressed patients with HIV have decreased adherence to antiretroviral therapy. Increased patient adherence to diagnostic and therapeutic plans leads to greater clinical efficiency and effectiveness. Conclusion The main drivers fuelling Nigeria’s HIV/AIDS epidemic include low risk perception, multiple concurrent sexual partners, informal transactional and intergenerational sex, lack of STI services, gender inequalities, stigma and discrimination, and inadequate health services. HIV/AIDS’ patients are required to take 95% or more of antiretroviral medications to control the disease. Keywords: adherence, behaviour, clinician-patient relationship, healthcare, HIV/AIDS, medication
| Item Type: | Article |
|---|---|
| Subjects: | Q Science > QA Mathematics > QA76 Computer software |
| Divisions: | Faculty of Engineering, Science and Mathematics > School of Electronics and Computer Science |
| Depositing User: | Dr ibukun Afolabi |
| Date Deposited: | 20 Jun 2017 10:05 |
| Last Modified: | 20 Jun 2017 10:05 |
| URI: | http://eprints.covenantuniversity.edu.ng/id/eprint/8339 |
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