Barriers to and facilitators of antiretroviral therapy adherence in Nepal: a qualitative study.

Wasti, S. P., Simkhada, P., Randall, J., Freeman, J.V. and Van Teijlingen, E., 2012. Barriers to and facilitators of antiretroviral therapy adherence in Nepal: a qualitative study. Journal of Health Population and Nutrition , 30 (4), 410 - 419 .

Full text available as:

Wasti et al Bangladesh J qual res 2012.pdf - Accepted Version



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 side-effects 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.

Item Type:Article
Uncontrolled Keywords:Anti-HIV Agents ; Female ; HIV Infections ; Humans ; Male ; Medication Adherence ; Motivation ; Narration ; Nepal ; Prescription Fees ; Qualitative Research ; Social Stigma ; Social Support
Group:School of Health and Social Care
ID Code:20918
Deposited By: Unnamed user with email symplectic@symplectic
Deposited On:16 Sep 2013 08:51
Last Modified:17 Jun 2015 09:26


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