FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN KEPATUHAN PENDERITA HIV/AIDS MENGONSUMSI OBAT ANTIRETROVIRAL (ARV) DI KLINIK VOLUNTARY COUNSELING AND TESTING (VCT) RSUP H. ADAM MALIK MEDAN TAHUN 2014
ABSTRACT: The success of
Antiretroviral Therapy (ART) depends on maintaining a high level of adherence,
at least 95% of all doses shouldn’t be forgotten. Non-adherence is associated
with the emergence of resistance to HIV that can allow HIV remains replicate.
The cumulative number of people who were eligible for ART but not yet started
the therapy at Adam Malik Hospital in Medan is 993 people out of 3.525 people
(28%), and cumulative number of absentees and failed to follow-up>3 months
were 711 people out of 2.532 people (28%) up to April 2015.
This research is Cross Sectional study in order to know the factors
associated with adherence to ARV consumption towards HIV-infected individuals
at Adam Malik Hospital. The sample size was 65 people by consecutive sampling.
Data collected through medical records, observation and an interview using questionnaires.
Data analysis included descriptive study, Chi Square, Exact Fisher, and
Logistic Regression by using STATA software.
The result shown that adherence was 28 patients (43,08%) and
non-adherence was 37 patients (56,92%). The variables which associated to
adherence are job, saturation, stigma at health services, and health
insurances. Results of logistic regression test showed that saturation p=0,080
with Prevalence Ratio (PR) 6,20, health insurance (p=0,015; PR 5,00;), and job
(p=0,062; PR 0,216) which had dominant association with adherence to ARV
consumption at Adam Malik Hospital in Medan.
The adherence at Adam Malik Hospital was not optimal, it’s necessary to
find a way out to reduce the saturation such as modern HIV treatment which
could work well with adherence below 95% so the chances of the adherence in
patients HIV/AIDS consuming ARV could be increased..
Penulis: nanda safira, Rahayu
Lubis, Rasmaliah
Kode Jurnal: jpkesmasdd150242
