{"id":"https://openalex.org/W144095198","doi":null,"title":"Factors associated with poor adherence amongst patients receiving antiretroviral therapy at the intermediate hospital Oshakati in Namibia","display_name":"Factors associated with poor adherence amongst patients receiving antiretroviral therapy at the intermediate hospital Oshakati in Namibia","publication_year":2011,"publication_date":"2011-01-01","ids":{"openalex":"https://openalex.org/W144095198","mag":"144095198"},"language":"en","primary_location":{"id":"pmh:oai:etd.uwc.ac.za:11394/2930","doi":null,"is_oa":true,"landing_page_url":"http://hdl.handle.net/11394/2930","pdf_url":"http://hdl.handle.net/11394/2930","source":{"id":"https://openalex.org/S4306401169","display_name":"University of the Western Cape Electronic Theses and Dissertations Repository (University of the Western Cape)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I869660684","host_organization_name":"University of the Western Cape","host_organization_lineage":["https://openalex.org/I869660684"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"","raw_type":null},"volume":null,"type":"article","is_traditional":true,"indexed_in":[],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"http://hdl.handle.net/11394/2930","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5007756150","display_name":"Maria Francineth Bauleth","orcid":"https://orcid.org/0000-0003-3706-7922","observed_orcids":["https://orcid.org/0000-0003-3706-7922"]},"institutions":[],"countries":[],"is_corresponding":true,"raw_author_name":"Maria Francineth Bauleth","raw_affiliation_strings":[],"raw_orcid":"https://orcid.org/0000-0003-3706-7922","affiliations":[]}],"institutions":[],"countries_distinct_count":0,"institutions_distinct_count":0,"corresponding_author_ids":["https://openalex.org/A5007756150"],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10082","display_name":"HIV/AIDS Research and Interventions","score":0.9926999807357788,"subfield":{"id":"https://openalex.org/subfields/2725","display_name":"Infectious Diseases"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10082","display_name":"HIV/AIDS Research and Interventions","score":0.9926999807357788,"subfield":{"id":"https://openalex.org/subfields/2725","display_name":"Infectious Diseases"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11620","display_name":"Medication Adherence and Compliance","score":0.004900000058114529,"subfield":{"id":"https://openalex.org/subfields/2714","display_name":"Family Practice"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10526","display_name":"HIV/AIDS drug development and treatment","score":0.0003000000142492354,"subfield":{"id":"https://openalex.org/subfields/2725","display_name":"Infectious Diseases"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/antiretroviral-therapy-adherence","display_name":"antiretroviral therapy adherence","score":0.9480000138282776},{"id":"https://openalex.org/keywords/hiv-aids","display_name":"HIV/AIDS","score":0.6880000233650208},{"id":"https://openalex.org/keywords/treatment-default","display_name":"treatment default","score":0.6460000276565552},{"id":"https://openalex.org/keywords/stigma-and-discrimination","display_name":"stigma and discrimination","score":0.8399999737739563},{"id":"https://openalex.org/keywords/traditional-healers","display_name":"traditional healers","score":0.8809999823570251},{"id":"https://openalex.org/keywords/hiv-status-disclosure","display_name":"HIV status disclosure","score":0.6759999990463257},{"id":"https://openalex.org/keywords/patient-provider-relationship","display_name":"patient-provider relationship","score":0.6710000038146973},{"id":"https://openalex.org/keywords/alcohol-consumption","display_name":"alcohol consumption","score":0.7440000176429749},{"id":"https://openalex.org/keywords/socioeconomic-factors","display_name":"socioeconomic factors","score":0.6119999885559082},{"id":"https://openalex.org/keywords/health-care-access","display_name":"health care access","score":0.4009999930858612},{"id":"https://openalex.org/keywords/namibia","display_name":"Namibia","score":0.824999988079071},{"id":"https://openalex.org/keywords/hiv-treatment-programs","display_name":"HIV treatment programs","score":0.40700000524520874},{"id":"https://openalex.org/keywords/forgetfulness","display_name":"forgetfulness","score":0.5199999809265137},{"id":"https://openalex.org/keywords/illiteracy","display_name":"illiteracy","score":0.6930000185966492},{"id":"https://openalex.org/keywords/transport-barriers","display_name":"transport barriers","score":0.39100000262260437}],"concepts":[{"id":"https://openalex.org/C2993143319","wikidata":"https://www.wikidata.org/wiki/Q583050","display_name":"Antiretroviral therapy","level":4,"score":0.7153704166412354},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.6033424139022827},{"id":"https://openalex.org/C3013748606","wikidata":"https://www.wikidata.org/wiki/Q15787","display_name":"Human immunodeficiency virus (HIV)","level":2,"score":0.39466428756713867},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.3703875243663788},{"id":"https://openalex.org/C142462285","wikidata":"https://www.wikidata.org/wiki/Q2528140","display_name":"Viral load","level":3,"score":0.11304759979248047}],"mesh":[],"locations_count":3,"locations":[{"id":"pmh:oai:etd.uwc.ac.za:11394/2930","doi":null,"is_oa":true,"landing_page_url":"http://hdl.handle.net/11394/2930","pdf_url":"http://hdl.handle.net/11394/2930","source":{"id":"https://openalex.org/S4306401169","display_name":"University of the Western Cape Electronic Theses and Dissertations Repository (University of the Western Cape)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I869660684","host_organization_name":"University of the Western Cape","host_organization_lineage":["https://openalex.org/I869660684"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"","raw_type":null},{"id":"pmh:oai:uwcscholar.uwc.ac.za:10566/23486","doi":null,"is_oa":true,"landing_page_url":"https://hdl.handle.net/10566/23486","pdf_url":"https://uwcscholar.uwc.ac.za/bitstreams/3d688235-40e4-4075-a157-243a8201f36f/download","source":{"id":"https://openalex.org/S4306401169","display_name":"University of the Western Cape Electronic Theses and Dissertations Repository (University of the Western Cape)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I869660684","host_organization_name":"University of the Western Cape","host_organization_lineage":["https://openalex.org/I869660684"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"Thesis"},{"id":"mag:144095198","doi":null,"is_oa":false,"landing_page_url":"http://etd.uwc.ac.za/xmlui/bitstream/11394/2930/1/Bauleth_MPH_2013.pdf","pdf_url":null,"source":null,"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":null}],"best_oa_location":{"id":"pmh:oai:etd.uwc.ac.za:11394/2930","doi":null,"is_oa":true,"landing_page_url":"http://hdl.handle.net/11394/2930","pdf_url":"http://hdl.handle.net/11394/2930","source":{"id":"https://openalex.org/S4306401169","display_name":"University of the Western Cape Electronic Theses and Dissertations Repository (University of the Western Cape)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I869660684","host_organization_name":"University of the Western Cape","host_organization_lineage":["https://openalex.org/I869660684"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"","raw_type":null},"sustainable_development_goals":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":1.0}],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W144095198.pdf","grobid_xml":"https://content.openalex.org/works/W144095198.grobid-xml"},"referenced_works_count":91,"referenced_works":["https://openalex.org/W87168986","https://openalex.org/W106935269","https://openalex.org/W146040531","https://openalex.org/W197471460","https://openalex.org/W560125681","https://openalex.org/W579693642","https://openalex.org/W604972776","https://openalex.org/W617204114","https://openalex.org/W940024361","https://openalex.org/W1482713061","https://openalex.org/W1485798902","https://openalex.org/W1487663687","https://openalex.org/W1491347214","https://openalex.org/W1497537037","https://openalex.org/W1499806064","https://openalex.org/W1535698585","https://openalex.org/W1555038668","https://openalex.org/W1599187207","https://openalex.org/W1604682389","https://openalex.org/W1726929985","https://openalex.org/W1927927528","https://openalex.org/W1965390852","https://openalex.org/W1966028457","https://openalex.org/W1966928324","https://openalex.org/W1981655325","https://openalex.org/W1997857043","https://openalex.org/W1999215333","https://openalex.org/W2002395312","https://openalex.org/W2006200870","https://openalex.org/W2011608109","https://openalex.org/W2015200066","https://openalex.org/W2018366432","https://openalex.org/W2019875816","https://openalex.org/W2025142189","https://openalex.org/W2027283874","https://openalex.org/W2029459877","https://openalex.org/W2036120729","https://openalex.org/W2037635462","https://openalex.org/W2038608488","https://openalex.org/W2043390279","https://openalex.org/W2043786489","https://openalex.org/W2044618211","https://openalex.org/W2049436005","https://openalex.org/W2058699555","https://openalex.org/W2063170800","https://openalex.org/W2064099042","https://openalex.org/W2071683523","https://openalex.org/W2077757285","https://openalex.org/W2083017339","https://openalex.org/W2084085196","https://openalex.org/W2088444557","https://openalex.org/W2090007886","https://openalex.org/W2091436615","https://openalex.org/W2101927695","https://openalex.org/W2104152339","https://openalex.org/W2106434939","https://openalex.org/W2108942104","https://openalex.org/W2119700561","https://openalex.org/W2119740264","https://openalex.org/W2123842353","https://openalex.org/W2124045267","https://openalex.org/W2125168028","https://openalex.org/W2125997132","https://openalex.org/W2129747146","https://openalex.org/W2133688319","https://openalex.org/W2137354881","https://openalex.org/W2145355470","https://openalex.org/W2148093477","https://openalex.org/W2148619239","https://openalex.org/W2151512706","https://openalex.org/W2152095411","https://openalex.org/W2153812676","https://openalex.org/W2155441883","https://openalex.org/W2159015690","https://openalex.org/W2161896309","https://openalex.org/W2164099498","https://openalex.org/W2166754635","https://openalex.org/W2166841925","https://openalex.org/W2185870002","https://openalex.org/W2197884210","https://openalex.org/W2272523073","https://openalex.org/W2414647901","https://openalex.org/W2606296903","https://openalex.org/W2619731159","https://openalex.org/W2726760418","https://openalex.org/W2756886542","https://openalex.org/W2891104163","https://openalex.org/W2989265742","https://openalex.org/W3023735680","https://openalex.org/W3196876339","https://openalex.org/W4242188684"],"related_works":["https://openalex.org/W7209061329","https://openalex.org/W2279119896","https://openalex.org/W186918455","https://openalex.org/W7017442773","https://openalex.org/W69945774","https://openalex.org/W2738021893","https://openalex.org/W2127340305","https://openalex.org/W2560379204","https://openalex.org/W2401895215","https://openalex.org/W2285253621"],"abstract_inverted_index":{"Namibia":[0,30],"is":[1,78,96,106],"severely":[2],"affected":[3,328],"by":[4,26,265,430],"the":[5,27,75,81,148,161,164,224,249,266,305,329,377,380,434,450],"HIV/AIDS":[6,17,59,418],"epidemic,":[7],"with":[8,33,108,139,220,242,246,392,417],"an":[9],"estimated":[10],"HIV":[11,112,297],"prevalence":[12],"of":[13,29,38,51,58,80,118,124,150,160,170,296,307,315,322,331,348,366,379,394,466],"17.8%.A":[14],"comprehensive,":[15],"public":[16],"treatment":[18,131,135,176,272,316,400,405,408,452,482],"and":[19,47,55,63,105,113,142,145,254,257,283,299,326,351,364,407,428,433,441],"care":[20],"programme":[21],"was":[22,90,215,240,260],"established":[23],"in":[24,31,74,100,157,248,304,457,462],"2003":[25],"government":[28],"association":[32],"its":[34],"development":[35],"partners.The":[36],"introduction":[37],"antiretroviral":[39,87,93],"therapy":[40,88,94],"[ART]":[41],"has":[42,136],"dramatically":[43],"decreased":[44],"HIVrelated":[45],"mortality":[46],"morbidity,":[48],"improved":[49,109],"quality":[50],"life,":[52],"revitalized":[53],"communities":[54,463],"transformed":[56],"perceptions":[57],"from":[60,175,194,223],"a":[61,67,97,464,478],"plaque":[62],"death":[64],"sentence":[65],"to":[66,92,134,152,181,203,301,333,354,359,374,410,413,446,455,459,469,474],"manageable":[68],"chronic":[69],"condition.Intermediate":[70],"Hospital":[71,209,231],"Oshakati":[72,165,232],"(IHO)":[73],"Oshana":[76],"region,":[77],"one":[79],"six":[82],"pilot":[83],"hospitals":[84],"where":[85],"highly":[86],"(HAART)":[89],"initiated.Adherence":[91],"(ART)":[95],"key":[98],"factor":[99],"ensuring":[101],"optimal":[102],"clinical":[103,143],"outcomes":[104],"associated":[107,138],"survival":[110],"among":[111,205],"AIDS":[114],"patients.Sustained":[115],"high":[116],"levels":[117],"adherence":[119,133,180,190,202,332,453,461],"(taking":[120],"95%":[121],"or":[122],"more":[123],"medication":[125,303],"as":[126,183,236,277,312,341,387,397,399,404,426,436,438],"prescribed)":[127],"are":[128,419],"essential":[129],"for":[130,268],"success.Suboptimal":[132],"been":[137],"virologic,":[140],"immunologic":[141],"failure,":[144],"may":[146],"increase":[147],"risk":[149],"resistance":[151],"first-line":[153],"ART":[154,182,204,334],"drugs.Studies":[155],"conducted":[156,219],"various":[158],"parts":[159],"country":[162],"including":[163],"district,":[166],"report":[167],"small":[168],"proportions":[169],"patients":[171,206,222,286,476],"defaulting":[172,193,269],"on":[173,270,472],"ART.Defaulting":[174],"raises":[177],"questions":[178],"about":[179,449,481],"it":[184],"can":[185],"be":[186,470],"assumed":[187],"that":[188,199,372],"poor":[189,201,237,313,342,447],"would":[191],"precede":[192],"treatment.This":[195],"study":[196,214,381],"explored":[197],"factors":[198,275,310,339,371,385],"influence":[200],"at":[207,229,439],"Intermediate":[208,230],"Oshakati.":[210],"MethodologyAn":[211],"explorative,":[212],"qualitative":[213],"conducted.In-depth":[216],"interviews":[217,245],"were":[218,234,251,357,368],"12":[221],"Communicable":[225],"Disease":[226],"Clinic":[227],"(CDC)":[228],"who":[233],"identified":[235],"adherents.This":[238],"data":[239],"triangulated":[241],"four":[243],"key-informant":[244],"health-workers":[247],"facility.Data":[250],"audio-tape":[252],"recorded":[253],"transcribed":[255],"verbatim.Thematic":[256],"content":[258],"analysis":[259],"done.":[261],"ResultsThe":[262],"reasons":[263],"given":[264],"participants":[267],"their":[271],"included":[273],"social":[274,423],"such":[276,311,340,386,403,425],"spiritual":[278],"beliefs,":[279,281],"cultural":[280],"stigma":[282,427],"discrimination":[284,429],"contributed":[285,412],"first":[287],"seek":[288],"traditional":[289],"healers'":[290],"opinions":[291],"before":[292],"consulting":[293],"health-worker,":[294],"non-disclosure":[295],"status":[298],"unwillingness":[300],"take":[302],"presence":[306],"others.Patient":[308],"related":[309,338,384,389,401],"understanding":[314,448,480],"regimen,":[317],"forgetfulness,":[318],"alcohol":[319],"use,":[320],"lack":[321,393],"v":[323],"commitment,":[324],"travelling":[325],"illiteracy":[327],"level":[330],"adherence.The":[335],"health":[336,349,355],"service":[337],"patient-health":[343],"provider":[344],"relationship,":[345],"negative":[346],"attitudes":[347],"providers":[350],"long":[352],"distance":[353],"facility":[356],"reported":[358],"have":[360,411,477],"influenced":[361],"non":[362],"adherence.Unemployment":[363],"unavailability":[365],"transport":[367],"major":[369,422],"socio-economic":[370],"led":[373],"defaulting.In":[375],"addition":[376],"findings":[378],"show":[382],"work":[383,388],"pressure,":[390],"together":[391],"employers":[395],"support,":[396],"well":[398,437],"factors,":[402],"side-effects":[406],"fatigue,":[409],"defaulting.":[414],"ConclusionsPeople":[415],"living":[416],"still":[420],"facing":[421],"challenges":[424],"family":[431],"members":[432],"community":[435],"work,":[440],"these":[442],"hamper":[443],"adherence.Illiteracy":[444],"contributes":[445],"importance":[451],"leading":[454],"non-adherence.Therefore":[456],"order":[458],"improve":[460],"lot":[465],"effort":[467],"needs":[468],"put":[471],"literacy":[473],"enable":[475],"better":[479],"adherence.vi":[483]},"counts_by_year":[],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2016-06-24T00:00:00"}