Antiretroviral therapy adherence and the youth: An assessment of teen clubs’ implementation fidelity in southern Malawi
Globallythereare2.1millionadolescentslivingwithHIV.1.7millionarein subSaharanAfrica.MalawihasoneofthehighestHIV/AIDSprevalenceratesinthe worldwith12.0%ofthoseaged15-49yearsinfected.AdherencetoARThasprovedto bedifficultforpeoplelivingwithHIVandoftenfallsbelowtherequiredlevelsandthus, youthsliving...
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| Автор: | |
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| Формат: | Дисертація |
| Мова: | English |
| Опубліковано: |
2021
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| Онлайн доступ: | http://nkhokwe.kuhes.ac.mw:8080/handle/20.500.12845/317 |
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Додати тег | _version_ | 1766578251322359808 |
|---|---|
| author | Kunje, Gertrude Magomero |
| author_facet | Kunje, Gertrude Magomero |
| author_sort | Kunje, Gertrude Magomero |
| collection | DSpace |
| description | Globallythereare2.1millionadolescentslivingwithHIV.1.7millionarein
subSaharanAfrica.MalawihasoneofthehighestHIV/AIDSprevalenceratesinthe
worldwith12.0%ofthoseaged15-49yearsinfected.AdherencetoARThasprovedto
bedifficultforpeoplelivingwithHIVandoftenfallsbelowtherequiredlevelsandthus,
youthslivingwithHIVareamongthepopulationgroupswithpoorerARTadherence
rates.Fidelityisdefinedasadherence,integrityandqualityofimplementationofan
intervention.HoweverhighlevelsofadherencearecrucialtothesuccessofHIV
therapiesinordertosustainviralsuppression.
Objective:ToassessthefidelityofimplementingteenclubsdesignedtoenhanceART
adherenceinBlantyreDistrict WeconductedaFormativeEvaluationQualitativeResearchthatwasguided
byaConsolidated FrameworkforImplementationResearchusing KeyInformant
Interviewstoestablishifteenclubinterventionisimplementedwithfidelity.Thestudy
wasconductedinfiveBlantyreHealthCentreTeenClubsnamely:Chilomoni,Chileka,
SouthLunzu,Mpemba,NdirandeandLightHouseClinicatQueenElizabethCentral
Hospital. Weusedacasestudymethodandpurposivesampling.Eligiblestudy
participantswereteenclubfacilitatorswhohavefacilitatedteenclubsforatleasta
year.IndepthInterviewswereaudiorecordedandthentranscribedverbatim.Thematic
contentanalysiswasusedtoanalyzethedatamanually.
HalfofthesampledteenclubshadguidelinesforconductingTeenClub
Activities.TheexistedguidelinescompliedwiththeBaylorInternationalPediatricsAIDS
Initiative.However,someelementswerenotfollowed.Trainingoftheteenclub
vi facilitatorswasoneofthefactorsthatinfluencedcompliancewiththeguidelines.
From theresults,theassessmenthasgeneratedinformationonattributes
thatleadtocomplianceandnoncomplianceofHIVteenclubguidelinesinrelationto
implementationfidelityoftheteenclubintervention.Ateenclubcannotbeoperated
withoutthedesignatedguidelinesthatareestablishedtobefollowedassuchthey
shouldbecompliedwith. |
| format | Thesis |
| id | oai:nkhokwe.kuhes.ac.mw:20.500.12845-317 |
| institution | My University |
| language | English |
| publishDate | 2021 |
| record_format | dspace |
| spelling | oai:nkhokwe.kuhes.ac.mw:20.500.12845-3172023-03-11T23:59:40Z Antiretroviral therapy adherence and the youth: An assessment of teen clubs’ implementation fidelity in southern Malawi Kunje, Gertrude Magomero Globallythereare2.1millionadolescentslivingwithHIV.1.7millionarein subSaharanAfrica.MalawihasoneofthehighestHIV/AIDSprevalenceratesinthe worldwith12.0%ofthoseaged15-49yearsinfected.AdherencetoARThasprovedto bedifficultforpeoplelivingwithHIVandoftenfallsbelowtherequiredlevelsandthus, youthslivingwithHIVareamongthepopulationgroupswithpoorerARTadherence rates.Fidelityisdefinedasadherence,integrityandqualityofimplementationofan intervention.HoweverhighlevelsofadherencearecrucialtothesuccessofHIV therapiesinordertosustainviralsuppression. Objective:ToassessthefidelityofimplementingteenclubsdesignedtoenhanceART adherenceinBlantyreDistrict WeconductedaFormativeEvaluationQualitativeResearchthatwasguided byaConsolidated FrameworkforImplementationResearchusing KeyInformant Interviewstoestablishifteenclubinterventionisimplementedwithfidelity.Thestudy wasconductedinfiveBlantyreHealthCentreTeenClubsnamely:Chilomoni,Chileka, SouthLunzu,Mpemba,NdirandeandLightHouseClinicatQueenElizabethCentral Hospital. Weusedacasestudymethodandpurposivesampling.Eligiblestudy participantswereteenclubfacilitatorswhohavefacilitatedteenclubsforatleasta year.IndepthInterviewswereaudiorecordedandthentranscribedverbatim.Thematic contentanalysiswasusedtoanalyzethedatamanually. HalfofthesampledteenclubshadguidelinesforconductingTeenClub Activities.TheexistedguidelinescompliedwiththeBaylorInternationalPediatricsAIDS Initiative.However,someelementswerenotfollowed.Trainingoftheteenclub vi facilitatorswasoneofthefactorsthatinfluencedcompliancewiththeguidelines. From theresults,theassessmenthasgeneratedinformationonattributes thatleadtocomplianceandnoncomplianceofHIVteenclubguidelinesinrelationto implementationfidelityoftheteenclubintervention.Ateenclubcannotbeoperated withoutthedesignatedguidelinesthatareestablishedtobefollowedassuchthey shouldbecompliedwith. 2021-08-24T19:31:09Z 2021-11-03T06:28:26Z 2021-08-24T19:31:09Z 2021-11-03T06:28:26Z 2020-03-01 Thesis http://nkhokwe.kuhes.ac.mw:8080/handle/20.500.12845/317 en application/pdf |
| spellingShingle | Kunje, Gertrude Magomero Antiretroviral therapy adherence and the youth: An assessment of teen clubs’ implementation fidelity in southern Malawi |
| title | Antiretroviral therapy adherence and the youth: An assessment of teen clubs’ implementation fidelity in southern Malawi |
| title_full | Antiretroviral therapy adherence and the youth: An assessment of teen clubs’ implementation fidelity in southern Malawi |
| title_fullStr | Antiretroviral therapy adherence and the youth: An assessment of teen clubs’ implementation fidelity in southern Malawi |
| title_full_unstemmed | Antiretroviral therapy adherence and the youth: An assessment of teen clubs’ implementation fidelity in southern Malawi |
| title_short | Antiretroviral therapy adherence and the youth: An assessment of teen clubs’ implementation fidelity in southern Malawi |
| title_sort | antiretroviral therapy adherence and the youth: an assessment of teen clubs’ implementation fidelity in southern malawi |
| url | http://nkhokwe.kuhes.ac.mw:8080/handle/20.500.12845/317 |
| work_keys_str_mv | AT kunjegertrudemagomero antiretroviraltherapyadherenceandtheyouthanassessmentofteenclubsimplementationfidelityinsouthernmalawi |