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[A study on antiretroviral treatment compliance in Casablanca (Morocco)]
K Benjaber1, J L Rey, H Himmich
1Centre René-Labusquière (laboratoire santé développement), université Victor-Segalen, 33076 Bordeaux cedex, France. wurida@yahoo.com
Insights
Therapeutic education programs significantly improve antiretroviral (ARV) treatment adherence for HIV patients. Addressing challenges like administration schedules and travel is key to successful HIV management.
Area of Science:
- Infectious Diseases
- Public Health
- Pharmacology
Context:
- HIV/AIDS treatment adherence is critical for global access to antiretroviral (ARV) therapy, particularly in Africa.
- A study was conducted in September 2003 at Casablanca University Hospital, Morocco, focusing on HIV-positive patients undergoing ARV treatment.
- Patients were enrolled in a therapeutic educational program within the infectious diseases department.
Purpose:
- To assess obstacles impacting patient compliance with antiretroviral treatment.
- To identify potential solutions for improving treatment adherence among HIV-infected individuals.
- To evaluate the effectiveness of a therapeutic educational program on ARV treatment compliance.
Summary:
- A cross-sectional study surveyed 89 HIV-positive patients (aged 21-65) on ARV treatment for 2-67 months.
- Educators reported good compliance (>90%) for 78 patients.
- Key barriers to adherence included difficulty with administration schedules, long travel distances, adverse effects, and co-existing diseases.
Impact:
- The study highlighted the significant role of therapeutic educational programs in enhancing ARV treatment compliance.
- Findings provide insights for optimizing HIV care strategies in resource-limited settings.
- Improved adherence can lead to better patient outcomes and reduced HIV transmission rates.
Objective:
Compliance in HIV infection treatment is a major stake to give worldwide access to antiretroviral (ARV) treatment and especially in Africa. In September 2003, we undertook a study on compliance among HIV positive patients under antiretroviral treatment. These patients were included in a therapeutic educational program in the infectious diseases department of the Casablanca University Hospital (Morocco). The main objective of the study was to assess obstacles to compliance and to find possible solutions.
Design:
A transversal investigation was made, based on questionnaires for patients under ARV treatment, chosen consecutively. The physician's and the educator's opinion on patient compliance was collected.
Results:
Patients were between 21 and 65 years of age. Ninety-two patients were questioned and 89 analyzed. Treatment duration lasted from 2 to 67 months. Compliance according to educators was good (>90%) for 78 patients. The main obstacles for a good compliance were difficulty to respect administration schedule and the long distance between home and hospital, or the presence of adverse effects and other diseases.
Conclusions:
The role of the therapeutic educational program in improving compliance was largely highlighted.
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