Attitudes to directly observed antiretroviral treatment in a workplace HIV care programme in South Africa
- Liesl S Page-Shipp1,
- Salome Charalambous2,
- Surita Roux2,
- Belinda Dias3,
- Clement Sefuti2,
- Gavin J Churchyard4,
- Alison D Grant5
- 1Anglogold Health Service, South Africa
- 2Aurum Institute for Health Research, Klerksdorp, South Africa
- 3CSIR Natural Resources and the Environment Mining, South Africa
- 4Aurum Institute for Health Research, Johannesburg, Collaborative AIDS Programme of Research in South Africa, University of Kwa-Zulu Natal, South Africa
- 5London School of Hygiene and Tropical Medicine, South Africa
- Correspondence to: Dr Liesl Page-Shipp Aragon Consulting, PO Box 412126, Craighall, South Africa, 2024;
- Accepted 4 June 2007
- Published Online First 13 June 2007
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.
- ART, antiretroviral treatment
- DOT, directly observed therapy
- DOTS, directly observed therapy, short course
- TB, tuberculosis