TABLE OF CONTENTS
ABSTRACT................................................................................................................... i
AUTHORIZATION.....................................................................................................iii
DEDICATION............................................................................................................. iv
ACKNOWLEDGEMENT............................................................................................ v
TABLE OF CONTENTS............................................................................................. vi
LIST OF TABLES........................................................................................................ x
LIST OFABBREVIATIONS....................................................................................... xi
DEFINITIONS OF TERMS ....................................................................................... xii
CHAPTER ONE........................................................................................................... 1
INTRODUCTION ........................................................................................................ 1
1.1 Introduction of the study......................................................................................... 1
1.2 Problem Statement.................................................................................................. 3
1.3 Purpose of the study................................................................................................ 4
1.4 Specific objectives.................................................................................................. 4
1.5 Research questions.................................................................................................. 4
1.6 Justification of the study ......................................................................................... 4
CHAPTER TWO .......................................................................................................... 6
LITERATURE REVIEW ............................................................................................. 6
2.1Introduction.............................................................................................................. 6
2.2Socio economic challenges faced by HIV positive adolescents on ART ................ 6
2.3Health facility challenges faced by HIV positive adolescents in ART clinic.......... 9
Challenges faced by HIV positive adolescents on ART
vii
2.4 Summary of the reviewed literature...................................................................... 11
CHAPTER THREE .................................................................................................... 12
METHODOLOGY ..................................................................................................... 12
3.1 Introduction........................................................................................................... 12
3.2 Study design and rationale.................................................................................... 12
3.3 Study setting and rationale.................................................................................... 12
3.4 Study population ................................................................................................... 13
3.4.1 Sample size determination ................................................................................. 13
3.4.2 Sampling procedure ........................................................................................... 14
3.4.3Inclusion criteria ................................................................................................. 14
3.5 Study variables...................................................................................................... 15
3.5.1 Dependent variable ............................................................................................ 15
3.5.2 Independent variables ........................................................................................ 15
3.6Research instruments............................................................................................. 15
3.7 Data collection procedures.................................................................................... 15
3.7.1 Data management............................................................................................... 16
3.8 Data analysis and presentation.............................................................................. 16
3.9 Ethical considerations........................................................................................... 16
3.10Limitations of the study ....................................................................................... 17
3.11Dissemination ofthe results.................................................................................. 17
CHAPTER FOUR....................................................................................................... 18
RESULTS AND FINDINGS...................................................................................... 18
Challenges faced by HIV positive adolescents on ART
viii
4.1 Introduction........................................................................................................... 18
4.2Socio-demographic challenges faced by HIV positive adolescents ...................... 19
CHAPTER FIVE ........................................................................................................ 28
DISCUSSION, CONCLUSION AND RECOMMENDATION ................................ 28
5.1 Introduction........................................................................................................... 28
5.2 Discussion............................................................................................................. 28
5.2.1 Demographic data .............................................................................................. 28
5.2.2 Socio-demographic challenges faced by HIV positive adolescents .................. 29
5.2.3 Health facility challenges faced by HIV positive adolescents........................... 31
5.3 Conclusion ............................................................................................................ 32
5.5 Recommendation for further research .................................................................. 34
5.6 Implications to nursing practice............................................................................ 34
REFERENCES ........................................................................................................... 35
APPENDICES ............................................................................................................ 39
Appendix I: Consent Form.......................................................................................... 39
Appendix II: Questionnaire......................................................................................... 40
Appendix III: Letter of Approval................................................................................ 44
Appendix IV: Map of Uganda showing Rakai district ............................................... 45
Appendix V: Map of RakaidistrictshowingKabira Sub County ................................. 46
ABSTRACT The HIV positive adolescents attending ART clinic face various challenges in accessing these services which could potentially interfere with the objectives of ART and hence lead to negative consequences. The purpose of this study was to identify the challenges faced by HIV positive adolescents on ART attending ART clinic at Kabira Health Center III, Kabira Sub County, Rakai District. This study was conducted through a descriptive cross-sectional study design quantitative in nature at ART clinic, Kabira Health Center III for a period of two weeks using a convenient sampling method to select the participants. Out of 89 participants who were enrolled to assess on challenges faced by HIV Positive adolescents on ART attending ART Clinic, 80% were in the age group of 16-18 years while the least 20% were in age group of 12-15 years. The health of a person relies on one’s decision and life belongs to God. The findings of the study showed that 61% (54) of participants have never abandoned taking ARVs drug while 39% (35) said they have ever abandoned taking ARVs drug. About 51 (57%) participants do not get adequate supervision by health workers and few 38 (43%) get adequate supervision ,80% of the participants reported good rapport with health workers at the ART clinic and only 20% said had no good rapport. Health workers should provide enough information to the HIV positive adolescents on ART regarding the reasons for positive living
