Table 3.
Suggestions and adherence mitigation strategies from young adults through the Call for Life Uganda (CFLU) system.
| Subject and factors hindering ARTa adherence | Strategies proposed through CFLU | |||
| Personal barrier | ||||
|
|
Forgetfulness secondary to: | Mitigation | ||
|
|
|
Busy work schedule | Daily pill reminder function | |
|
|
|
School schedules | Daily pill reminder function | |
|
|
|
Sports activities | Daily pill reminder function | |
|
|
|
Dancing and alcohol | Daily pill reminder function | |
| Psychosocial | ||||
|
|
Nondisclosure of serostatus | Health tips call; psychosocial support | ||
|
|
|
Stigma (fear to be seen taking pills and raising suspicion from people) | Health tips on Psychosocial support | |
|
|
|
Mental issues (low self-esteem as a result of having HIV) | Health tips on Psychosocial support | |
|
|
|
Pride or irresponsibility | Health tips on Psychosocial support | |
|
|
Misconception about HIV results (go off drugs when they improve and the viral load is undetected) | Counseling | ||
|
|
Lack of psychosocial support | Treatment buddies and psychosocial support | ||
| Pill related | ||||
|
|
Drug-related side effects, for example, dizziness and big size of the pill | Symptom reporting and management through the CFLU system | ||
|
|
Sound or noise by pill hitting the pill bottles | Repacking of pills | ||
| Socioeconomic status | ||||
|
|
Missed clinic appointments | Clinic visit call reminders | ||
|
|
Missed clinic appointments because of lack of transport | Joining community drug distribution points | ||
aART: antiretroviral therapy.