Factors affecting anti-retroviral drug adherence by children between 6-14 years in the Southern District of Harare Metropolitan Province. A case study of Mbare Hostel Clinic.
Maganga, Grace R.
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Several studies have shown that ART adherence by children is lower than the expected standards and several factors have contributed to poor pediatric ART adherence. The study sought to explore the factors that affect ART adherence by children between the ages of 6-14 years. The objectives of the study were to identify individual, family and institutional factors that affect ARV drug adherence by children as well as interventions that could be employed to enhance ART coverage and adherence by children. The study was carried out in the Southern District of Harare Metropolitan focusing on Mbare Hostel clinic. The study employed a case study research design. Data was collected from children, caregivers and health care providers using questionnaires and interview guides. A sample size of 16 children, 16 caregivers and 3 health care providers participated in this study. SPSS 20 was employed to analyze quantitative data and thematic analysis was also employed to analyze qualitative data. The study found out that stigma, discrimination, financial constraints for clinical attendance fees, food shortages and client-service relationships were factors that contributed immensely to poor ART adherence of children whereas health condition, transport cost and religious factors had little impact to pediatric ART adherence. The study recommends that intervention strategies should be employed in the promotion of pediatric ART and adherence and this include information dissemination, education, counselling services, default trackers and use of children support groups.