CASE STUDY RESEARCH: PERCEIVED BENEFITS AND BARRIERS OF HIV VIRAL LOAD MONITORING IN HIV-INFECTED PATIENTS WHO LOST TO FOLLOW-UP VIRAL LOAD
DOI:
https://doi.org/10.14456/tbps.2023.9Keywords:
HIV-infected patients, HIV viral load monitoring, Perceive the benefits, Perceived the barriers, Qualitative studyAbstract
HIV viral load monitoring is a way to track responses to antiretroviral drugs and identify treatment failures. This is a qualitative case study to explore the perceived benefits, perceived barriers, perceived self-efficacy, and social support in HIV-infected patients about HIV viral load monitoring. The in-depth interview reviewed 10 key pieces of information that remained on antiretroviral drugs for at least 6 months, but no HIV viral load was monitored in a public hospital in the central province. The study included analyzing qualitative data with content analysis. The results showed that a lack of information about HIV viral load monitoring results in HIV-infected patients being ignorant of the benefits of HIV viral load monitoring which lead to a lack of monitoring. HIV-infected patients perceive the barriers caused by personal and environmental factors differently. HIV-infected patients that are elderly and living outside of hospital service areas perceive travel and travel costs as their barriers. While HIV-infected patients with daily incomes may perceive the barriers to lack of income. Healthcare rights will continue to support HIV-infected patients for treatment. For the environmental factors, this study found that service timelines, appointments, and ineffective record-keeping were a barrier to tracking. All HIV-infected patients taking antiretroviral therapy are in good health. The patients are confident in their competence to be able to manage themselves to follow-up continuously. Social support from close people contributes to emotional and material support, resulting in encouragement and cooperation in monitoring. Also, medical personnel plays an important role in providing information about HIV viral load monitoring, goals for treatment and appointments. This will have an impact on the adherence of HIV viral load monitoring among HIV-infected patients.
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