REASONS FOR MISSING DOSE AMONG HIV POSITIVE PATIENTS AT CIPTO MANGUNKUSUMO HOSPITAL JAKARTA

Ekki Riztriawan, Hepa Susami1,, Evy Yunihastuti, Zubairi Djoerban, Samsuridjal Djauzi,

Integrated HIV Clinic/Special Working Group on AIDS, Cipto Mangunkusumo Hospital, Jakarta

BACKGROUND
Antiretroviral therapy (ART) has been significantly proven in reducing mortality and morbidity on People Living with HIV/AIDS. To attain such target, minimum 95% adherence rate in taking ART is demanded. Poor adherence rate could increase virus mutation and resistance towards the drugs. In Indonesia, it would augment the need for second line drugs.

OBJECTIVE
To portray adherence rate in Cipto Mangunkusumo Hospital, research conducted to evaluate the the effects of adverse event towards adherence rate of HIV patients with first line regimen in 2009. This article used the dataset to describe reasons for missing dose of such patients at the hospital.

METHOD
Dataset of 144 participants included in the research was assessed using descriptive analysis.

RESULT
Demographic items captured greater number of male patients (72.9%), median of age 33 (SD ±6, min. 24, max. 62), injecting drug using contributed 104 (72.2%) followed by heterosexual 36 (25%). Most of the participants were positive to HCV (62.5%), whereof 87 (83.7%) factored by IDU. Prominent reasons for missing dose were felt asleep before taking medicine (27.1%), busy schedule (25.7%), needed to remain anonymous in treatment towards others (24.3%), totally forgotten (22.9%) and alteration in daily activities (22,9%).

CONCLUSION
Knowing these reasons would help the health facilitators to start developing approaches to alleviate the problems. Alleviation could, at the end, improve the adherence rate for patients taking ART to remain in first line drugs.

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