Barriers and Facilitators for Adherence to Antiretroviral Therapy in Papua New Guinea

A.      Kelly; H.      Worth; N.      Man; S.      Nosi; R.      Emori; A.      Mek; F.      Akuani; M.      Kupul; B.      Kepa; L.      Walizopa; L.      Pirpir; B.      Cangah; P.      Siba; A.      Frankland; P.      Rawstorne

doi:10.2174/157016210794088191

Abstract

Papua New Guinea (PNG) is in a phase of scaling up access to antiretroviral therapy (ART), and adherence to the newly available drug therapy is becoming an important issue. This paper examines adherence to ART in a sample of 374 HIV-positive people in six provinces in PNG. Participants were recruited to the study using non-probability sampling. Sixty-two % of participants reported complete adherence (no missed or late doses in the past week) and 79% reported not missing any doses in the last week. Revival church members were significantly more likely to report having missing a treatment dose(s) (66%). Those living in the Highlands and those attending Catholic health clinics were significantly more likely to be adherent to their treatment. Age, gender, marital status, education level and employment type did not show significant association with treatment adherence. Adherence rates in PNG are not alarming, indicating that people with HIV can adhere to treatment despite the challenges of living in PNG.

Keywords: HIV, AIDS, antiretroviral therapy (ART), adherence, resource-poor settings, Papua New Guinea, sexually transmitted infections, drug resistance, psychological symptoms, gold-standard, Statistical Analysis, non-adherent, Bivariate analyses, Pearson chi-square test, socio-demographic characteristics, CD4 count, AIDS-related conditions, Catholic Health Service (CHS), non-stigmatising care, adherence rates