Sex Transm Infect. Published Online First: 13 June 2007. doi:10.1136/sti.2007.025585
Paper |
Attitudes to directly observed antiretroviral treatment in a workplace HIV care programme in South Africa
1 Aragon Consulting, South Georgia and the South Sandwich Islands
2 Aurum Institute for Health Research, South Africa
3 CSIR Natural Resources and Environment Mining, South Africa
4 London School of Hygiene and Tropical Medicine, South Africa
* To whom correspondence should be addressed. E-mail: liesl{at}aragonconsulting.co.za.
Accepted 4 June 2007
Abstract
Attitudes to directly observed antiretroviral treatment amongst miners in South Africa 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 yrs) 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.
Key Words: Adherence, Antiretroviral treatment, Directly observed therapy, South Africa
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