Authors :
Ayoma G. Omondi; Owenga J. Adhiambo; Onguru D. Ogungu
Volume/Issue :
Volume 7 - 2022, Issue 9 - September
Google Scholar :
https://bit.ly/3IIfn9N
Scribd :
https://bit.ly/3MJsued
DOI :
https://doi.org/10.5281/zenodo.7223126
Abstract :
HIV-AIDS remains a critical determinant of human
morbidity and mortality with profound impact on the
lives of those infected and affected. Antiretroviral
Treatment (ART) aims to reduce morbidity and mortality
among people living with HIV (PLHIV) and improve
their health. The use of ART also contributes to
preventing new HIV infections. To achieve ART goals,
implementing programs must comply with the relevant
local Ministry of Health guidelines by ensuring ART
services adhere to set standards. There have been
concerns regarding adherence to the Ministry of Health
guidelines regulating the implementation of ART
interventions and the effect of compliance or lack of it on
HIV treatment outcomes.
This descriptive retrospective and prospective study
sought to assess compliance with Ministry of Health
guidelines in the delivery of ART services to PLHIV. Key
informant interviews were conducted with health care
providers to identify structural factors influencing
compliance with guidelines on ART service quality. Three
hundred and sixty-seven records of PLHIV who received
ART services at KTRH in 2019 were selected through
systematic sampling and compliance performance of
select quality of care indicators assessed against
recommendations of ARV guidelines. Viral suppression
levels of PLHIV were also assessed as a proxy measure of
the quality of ART treatment outcomes.
Keywords :
Quality, ART, Compliance, Guidelines, Standards, Viral Load Suppression.
HIV-AIDS remains a critical determinant of human
morbidity and mortality with profound impact on the
lives of those infected and affected. Antiretroviral
Treatment (ART) aims to reduce morbidity and mortality
among people living with HIV (PLHIV) and improve
their health. The use of ART also contributes to
preventing new HIV infections. To achieve ART goals,
implementing programs must comply with the relevant
local Ministry of Health guidelines by ensuring ART
services adhere to set standards. There have been
concerns regarding adherence to the Ministry of Health
guidelines regulating the implementation of ART
interventions and the effect of compliance or lack of it on
HIV treatment outcomes.
This descriptive retrospective and prospective study
sought to assess compliance with Ministry of Health
guidelines in the delivery of ART services to PLHIV. Key
informant interviews were conducted with health care
providers to identify structural factors influencing
compliance with guidelines on ART service quality. Three
hundred and sixty-seven records of PLHIV who received
ART services at KTRH in 2019 were selected through
systematic sampling and compliance performance of
select quality of care indicators assessed against
recommendations of ARV guidelines. Viral suppression
levels of PLHIV were also assessed as a proxy measure of
the quality of ART treatment outcomes.
Keywords :
Quality, ART, Compliance, Guidelines, Standards, Viral Load Suppression.