Barriers to and Facilitators of Antiretroviral Therapy Adherence in Nepal: A Qualitative Study

Sharada Prasad Wasti (Corresponding Author), Padam Prasad Simkhada, Julian Adrian Randall, Jennifer Freeman, Edwin van Teijlingen

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12 Citations (Scopus)

Abstract

Patient’s adherence is crucial to get the best out of antiretroviral therapy (ART). This study explores in-depth
the barriers to and facilitators of ART adherence among Nepalese patients and service providers prescribing
ART. Face-to-face semi-structured interviews were conducted with 34 participants. Interviews were audiotaped,
transcribed, and translated into English before being analyzed thematically. ART-prescribed patients
described a range of barriers for failing to adhere to ART. Financial difficulties, access to healthcare
services, frequent transport blockades, religious/ritual obstacles, stigma and discrimination, and sideeffects
were the most-frequently discussed barriers whereas trustworthy health workers, perceived health
benefits, and family support were the most-reported facilitators. Understanding barriers and facilitators can
help in the design of an appropriate and targeted intervention. Healthcare providers should address some
of the practical and cultural issues around ART whilst policy-makers should develop appropriate social
policy to promote adherence among ART-prescribed patients.
Original languageEnglish
Pages (from-to)1-10
Number of pages10
JournalThe Journal of Health, Population and Nutrition
Volume30
Issue number4
Early online date25 Nov 2012
Publication statusPublished - Dec 2012

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Keywords

  • Adherence
  • Antiretroviral drugs
  • Barriers
  • Facilitators
  • HIV/AIDS
  • South Asia

Cite this

Wasti, S. P., Simkhada, P. P., Randall, J. A., Freeman, J., & van Teijlingen , E. (2012). Barriers to and Facilitators of Antiretroviral Therapy Adherence in Nepal: A Qualitative Study. The Journal of Health, Population and Nutrition, 30(4), 1-10.