Anti-Retro Viral Treatment implementation and its barrier at St. Paul’s hospital millennium medical college

Abstract

Background: HIV infection is the major public health, social and economical problem around the world. However, retain patients in care and adherence to antiretroviral therapy standards are the major problems, Ethiopia has an estimated 298,512 adults on ART.

Objective: To study ART implementation and its barriers at St. Paul’s hospital millennium medical college.

Methods: By using cross-sectional study, 299 clinical records of adults were randomly retrieved from Sept 11, 2013, to Sept 10, 2014, and an in-depth interview was done on 9 key informants SPSS version 20 and thematic analysis were used for the quantitative data and qualitative data analysis. The associations were measured by odds ratio along with its 95% confidence interval.

Results: About 64.9% (194) of clients were missing important components of HIV care recommended by the national guidelines. There is no resource problem regarding antiretroviral therapy; implementation guideline, trained staff, laboratory facilities and drugs were available. However, there is a high workload due to the shortage of human resource.

Conclusion: Adherence to standards of HIV/AIDS care at the facility was inadequate. Compliance was better at the start of ART but declined during the follow-up period. Regular assessment of ART implementation with the national guideline can optimize the effectiveness of national ART programs