Table 3 Predisposing factors of ART access and adherence among OPLWH
ABM Domain | Barrier/Facilitator | Select quote | Access | Adherence |
|---|---|---|---|---|
Predisposing factors | Health literacy | Reporting about the instructions she was given about her medicine for HIV, the old woman said; ‘they told me not to miss (take the drugs daily) they asked me the convenient time I would take and I told them at 9:00. Septrins are the ones that I take during the day and these others I take at night when I am going to sleep!’ Woman, aged 60–69 | ✔ | |
Alcohol use | ‘It (alcohol) enable me get sleep and once I have taken some of it, I sleep like a dead body!’ Man, discontinued ART, aged 80-plus | ✔ | ||
Stigma | The bad thing is that when one is told that he is HIV infected, it scares him/puts him to shame. Woman on ART, aged 60–69 | ✔ | ✔ | |
Depression | Staying alone can prevent someone from not taking the drugs because she does not have anyone to assist with housework and by the time she finishes doing this and the other, she ends up forgetting. She concluded thus; ‘loneliness is a severe danger!’ She gave an example of an elderly community woman who was found dead in her house. She was staying all alone. Woman on ART, aged 60–69 | ✔ | ✔ |