From Access to Adherence: The Challenges of Antiretroviral Treatment - Studies from Botswana, Tanzania and Uganda, 2006
(2006; 320 pages) View the PDF document
Table of Contents
View the documentAcknowledgments
View the documentAcronyms and abbreviations
View the documentForeword
Open this folder and view contents1. On hunger, transport costs and waiting time: a synthesis of challenges to ARV adherence in three African countries
Open this folder and view contents2. Overview of antiretroviral therapy, adherence and drug-resistance
Open this folder and view contents3. From training to action: the process of engaging health professionals in operational research on adherence to antiretroviral therapy
View the document4. There's hope - early observations of ARV treatment roll-out in South Africa
Open this folder and view contentsFactors that facilitate or constrain adherence to antiretroviral therapy among adults at four public health facilities in Botswana: a pre-intervention study
Open this folder and view contentsA study on antiretroviral adherence in Tanzania: a pre-intervention perspective, 2005
Close this folderFactors that facilitate or constrain adherence to antiretroviral therapy among adults in Uganda: a pre-intervention study
View the documentAcknowledgements
View the documentGlossary
View the documentExecutive summary
Open this folder and view contentsChapter 1: Introduction
Open this folder and view contentsChapter 2: Background to the study
Open this folder and view contentsChapter 3: Literature review
Close this folderChapter 4: Methodology
View the document4.1 Study design
View the document4.2 Study population
View the document4.3 Inclusion and exclusion criteria
View the document4.4 Sample size and selection
View the document4.5 Data collector selection and training
View the document4.6 Pilot testing
View the document4.7 Data collection
View the document4.8 Data analysis
View the document4.9 Evaluation of methods
View the document4.10 Ethical considerations
Open this folder and view contentsChapter 5: Description of the study sites
Open this folder and view contentsChapter 6: Results
Open this folder and view contentsChapter 7: Discussion, conclusions and recommendations
View the documentReferences
View the documentBack cover
 

4.4 Sample size and selection

A registry file from each facility's reception was used as a sampling frame from which ARV users were selected for the study, using systematic sampling. This was done to avoid bias in the sample. A total of 200 people participated in the study. Of these, 130 were ARV users interviewed through the use of one of the following tools: FGD guide, adherence tool, semi-structured interview (SSI) guide, exit interview guide, key informant interview guide and observation guide. Fifty of the study participants were community members interviewed using the FGD guide and key informant interview guide. The remaining 20 participants were staff members interviewed using the FGD guide, SSIs and the pharmacy records tool.

The study included 10 FGDs, (five with ARV users, four with community groups who were categorized by sex, and one with health workers) which helped clarify issues raised by participants. Twenty exit interviews were undertaken with ARV users to establish the quality of care, procedures and conduct while at the facility. Another 20 ART users completed adherence measurement interviews to assess levels of adherence. Two pharmacy stock records were completed.

Table 1: Summary of study participants

Tool

Public Facility Jinja Regional Referral Hospital

NGO Facility Nile Treatment Centre

Total

FGD* - staff

1x8

-

8

FGD - ARV users

3x10

2x10

50

FGD - community

2x10

2x10

40

SSI** - staff

5

5

10

SSI - ARV users

10

10

20

Key informants

10

10

20

Exit interviews

10

10

20

Adherence tool

10

10

20

Pharmacy records

1

1

2

Observations

5

5

10

Total

109

91

200

 

* Focus group discussion, ** Semi-structured interview

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Last updated: May 3, 2013