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ART ADHERENCE, COUNSELING, AND SUPPORT

Site Implementation Officer

SLH-SYOTI

Consequences of inadequate adherence

Inadequate viral suppression

Development of drug resistant strains

Ongoing viral replication

Deterioration of immune system

Clinical disease progression

Treatment failure

Death

Importance of adherence

>ART adherence is important in order to avoid the development of resistant strains of HIV and treatment failure.

>For viral suppression to be successful the body needs continuous supply of drugs.

Adherence Counseling-Every visit

IRIS

Immune Reconstitution Inflammatory Syndrome (IRIS)

There is no single agreed upon definition for IRIS

There are 2 presentations

Paradoxical IRIS: worsening of symptoms of a known disease during ART

Unmasking IRIS: present of an occult opportunistic infection , in which disease that was not clinically apparent prior to ART, manifests during ART

How to take the drugs correctly

How not taking the drugs correctly leads to resistance and treatment failure

Strategies to help improve adherence: using reminders, involving a family member

Assess adherence to condom use

Thank You

BARRIERS TO ADHERENCE

DEFINITION OF ADHERENCE

Poor counseling to treatment

Lack of family/community support

Side effects of drugs

Long term therapy

Stigma and discrimination

Health status of a patient

Financial status: examinations cost may hinder the client from receiving help)

Distance to the health facility

Missing appointments

Taking the correct number of doses at the correct time in the correct way for as long as prescribed is called adherence to treatment.

The client should at least take 95% of the doses to suppress the virus.

The client should be able to Keep all clinic appointments and other instructions given by clinic staff is called adherence to care.

Learning Objective

By the end of this session the participants should be able to:

Define adherence

Describe the importance of adherence in successful antiretroviral Therapy

Drugs Resistance

IRIS

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