Examining factors that influence Anti-Retro viral Treatment (ART) adherence among HIV positive adolescents in Mwanza district- Malawi

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Date
2021-06-16
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Kamuzu University of Health Sciences
Abstract
Study type Quantitative study Statement of the problem Mwanza district has an adolescent HIV prevalence rate of 2.2% (Mwanza HMIS office, 2019). Despite having free ART services being offered at the district hospital, it registered a default rate of 23.2% among adolescents aged 10-19years old. (Mwanza HMIS, 2019). However, there is scarcity of studies that have addressed factors that influence ART adherence among adolescents in Malawi; therefore this study aims at unveiling factors that ART adherence among adolescents. Broad objective To explore factors that influence ART adherence among adolescents living with HIV aged 10-19 years old at Mwanza District Hospital in Mwanza district, Malawi. Specific objectives  To determine individual factors affecting ART adherence among HIV positive adolescents  To examine family and community factors affecting ART adherence among HIVpositive adolescents  To assess health system factors affecting ART adherence among HIV positive adolescents  To determine ART adherence rate among HIV- positive adolescents Study setting The study will be conducted at Mwanza District Hospital ART clinic. Study population All adolescents aged 10-19 living with HIV/AIDS and on life prolonging ART for more than six months. Inclusion criteria Adolescents aged 10-19 years old on ART for more than six months. Those under 18 years old will be required to have a caregiver to give consent on their behalf. Exclusion criteria HIV positive adolescents who are under 18 years old and do not have a caregiver. Data collection and management Collected data will be checked for mistakes then it will be entered into Statistical Package for Social Science Version 20.0 for analysis. Chi- square test will be used to calculate the association between demographic characteristics of the participants and the factors that influence ART adherence. Ethical consideration An ethical approval will be obtained from College of Medicine Research and Ethics Committee (COMREC) before data collection. Permission to conduct the study at Mwanza District Hospital will be sought from Mwanza District Health Office. Caregivers will give consent for those under 18 years of age and those without care givers will be excluded from the study. Study limitations The study is being done for academic purposes and with limited funds just to achieve the purpose therefore cannot be done on a large scale. Expected findings The study is expected to unveil the challenges that prevent adolescents from adhering to ART. Dissemination of findings Findings from the study will be disseminated through presentation at relevant forums and presentation of copies to College of Medicine Research and Ethics Committee (COMREC), Kamuzu College of Nursing and Mwanza District Health Office
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Research Subject Categories::MEDICINE
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