Barriers To Antiretroviral Therapy Adherence Among Inmates Living With Human Immunodeficiency Virus/Acuired Immune Deficiency Syndrome At Windhoek Central Prison

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ABSTRACT

This research aimed at assessing the barriers to ARV therapy adherence among inmates living with HIV/AIDS at Windhoek Central Prison. The researcher was interested in determining what are the barriers to adherence to ARV therapy in prison, and how these barriers can be addressed to assist inmates in Windhoek Central Prison to adhere to their ARV therapy. A qualitative, descriptive, explorative, phenomenological and contextual research was conducted to assess the barriers to ARV therapy adherence among inmates living with HIV/AIDS at the Windhoek Central Prison. Data was collected by means of in-depth interviews. Data was analysed manually by the researcher using the coding system that consists of categories, classification, rules and the words assigned to categories. The results of the interviews were divided into themes and categories. Trustworthiness was ensured throughout the whole process of data collection by using criterion of credibility, dependability, transferability and confirmability to avoid the criticism of lack of control over quality of the findings in qualitative research. Ethical consideration in this research was maintained throughout the study. During the course of the study the research study managed to identify gaps in ARV treatment and discovered that many factors were at play in hampering the adherence to ARV therapy. Such factors include stigmatization by fellow inmates and prison officials; lack of support groups in prison, lack of watches or wall clocks to stick to the time, lack of sufficient nutritional food and lack of adequate information on ARV.

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