@article {Page-Shipp383, author = {Liesl S Page-Shipp and Salome Charalambous and Surita Roux and Belinda Dias and Clement Sefuti and Gavin J Churchyard and Alison D Grant}, title = {Attitudes to directly observed antiretroviral treatment in a workplace HIV care programme in South Africa}, volume = {83}, number = {5}, pages = {383--386}, year = {2007}, doi = {10.1136/sti.2007.025585}, publisher = {The Medical Society for the Study of Venereal Disease}, 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{\textemdash}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.}, issn = {1368-4973}, URL = {https://sti.bmj.com/content/83/5/383}, eprint = {https://sti.bmj.com/content/83/5/383.full.pdf}, journal = {Sexually Transmitted Infections} }