ORGANISATION FACTORS AND ADHERENCE TO ANTI-RETROVIRAL THERAPY AMONG HIV/AIDS PATIENTS AT KISENYI HEALTH CENTRE, KAMPALA CAPITAL CITY AUTHORITY

Abstract

The study sought to investigate the contribution of organization factors towards adherence to Anti-Retroviral Therapy (ART) in HIV/AIDS patients at Kisenyi H/C IV. The objectives that guided the study included; examining the contribution of health care provider and adherence to ART, to investigate the contribution of health facility and adherence to ART and to establish the relationship between health care system and adherence to ART among HIV/AIDS patients at Kisenyi health centre IV. The study adopted a correlational case study design with a sample size of 97 respondents. The overall response rate of the respondents was 97.1%. Purposive and simple random sampling methods were used to select the respondents. Data was collected from both the staff and patients of Kisenyi Health Centre using self administered questionnaires and interview guide. The findings revealed that establishing good relationships with patients, good health workers’ attitude towards HIV/AIDS patients and health workers reporting early at work improved adherence to ART among HIV/AIDS patients. Likewise, the findings showed that having the clinic in reach of all clients to medication, reducing waiting time, having convenient working hours, conducive environment and good infrastructure improved adherence to ART among HIV/AIDS patients. The findings established that health care system factors determined adherence to ART among HIV/AIDS patients which was implication that the existence of the required health care system factors, would enhance the adherence to ART among HIV/AIDS patients. The study recommends therefore, that management at Kisenyi Health Centre should offer specialized training to staff and patients in the area of organisational factors. To study the true nature and quality of organisational factors and adherence to ART, a longitudinal study is more appropriate. Since the model could only explain 32.6% in variance of the adherence to ART, the study recommends that another study be carried out comprising of other variables which were not part of the model.