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
Open this folder and view contentsChapter 4: Methodology
Close this folderChapter 5: Description of the study sites
View the document5.1 Jinja Regional Referral Hospital
View the document5.2 Nile Treatment Centre
View the document5.3 Study limitations
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
 

5.2 Nile Treatment Centre

The Nile Treatment Centre (NTC) which opened in January 2004 is a nongovernmental agency located on the Jinja to Kampala highway, 5 kilometres from Jinja. The location makes it less accessible than the public facility and allows for greater privacy. NTC is funded by PEPFAR and is under the aegis of the Uganda Business Coalition against HIV/AIDS, which has two other centres in Kampala.

NTC has 12 staff members: three doctors, two counsellors, two phlebotomists, one dispenser, one pharmacist, two nurses, and one medical assistant who offer services to PLWHIV. It is open five days a week and the staff work a half-day on Saturdays. The Centre receives 30 patients a day on average and the doctor patient ratio is 1:15, with two doctors on duty at any one time. Like JRRH, NTC follows the National Antiretroviral Treatment and Care Guidelines and offers similar regimens.

NTC opens at 0830 hours. On arrival patients are welcomed into comfortable seats and welcomed by a receptionist who then asks for the patient's confidential number. The receptionist keys this number into the computer and checks whether the patient has come for their appointment on the correct day. She then refers the patient to the health workers they are scheduled to meet that day.

For all new patients, the importance of near-perfect adherence is emphasized by the adherence counsellor on the first visit. This counselling is carried out in groups or individually on request. Patients are then sent to the doctor, who assesses the patient's condition and requests blood or other tests, including a repeat HIV test. Prior to testing, the phlebotomist checks that the client is aware of the critical importance of adherence. A similar check is carried out by the pharmacist before releasing medicines to any patient.

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Last updated: May 3, 2013