African Health Sciences
Makerere University Medical School
Vol. 21, No. 1, 2021, pp. 25-28
Bioline Code: hs21011
Full paper language: English
Document type: Report
Document available free of charge
African Health Sciences, Vol. 21, No. 1, 2021, pp. 25-28
© Copyright 2021 - Nasuuna E et al.
Short report: knowledge and perceptions of health workers that strengthen adherence for paediatric and adolescent clients on the intensive adherence counselling program in Kampala, Uganda: a qualitative study|
Nasuuna, Esther; Kigozi, Joanita; Muganzi, Alex; Sewankambo, Nelson & Nakanjako, Damalie
Background: Health care workers (HWs) support HIV positive children and adolescents with detectable HIV viral loads
on the intensive adherence counselling (IAC) program to achieve viral suppression through individual adherence counselling.
Low re-suppression rates of 23% showed low program effectiveness in fifteen public health facilities.
Objectives: We set out to determine the knowledge and perceptions of HWs that support this program to improve its
Methods: We conducted a qualitative study where five HWs that oversee clinical care for children on ART were interviewed
about the program. Data on their knowledge of the program, and perceptions on why it was not effective was collected.
Thematic analysis using the inductive approach was used. Transcripts were read, coded and emergent themes determined.
Results: Five HWs participated and all were knowledgeable about the program. Two themes emerged as barriers to IAC
program effectiveness, patient factors and health system factors. Patient factors were failure to attend appointments, failure
to change adherence practices, and lack of consent. Health system factors were work overload, delay in getting results and
drug stock outs.
Conclusions: HWs are knowledgeable about the IAC program and client specific barriers should be addressed to improve
viral suppression for children.
Intensive adherence counselling; health care worker barriers.