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Factors associated with missed appointments among adults on anti-retroviral therapy in the uThukela District in Kwazulu-Natal, South Africa
Dissertation (MSc (Nursing Science))--University of Pretoria, 2024.
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| Format: | Thesis |
| Language: | English |
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University of Pretoria
2024
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| _version_ | 1867613593633030144 |
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| access_status_str | Open Access |
| author2 | Musie, Maurine Rofhiwa |
| author_browse | Musie, Maurine Rofhiwa |
| author_facet | Musie, Maurine Rofhiwa |
| collection | Thesis |
| dc_rights_str_mv | © 2023 University of Pretoria. All rights reserved. The copyright in this work vests in the University of Pretoria. No part of this work may be reproduced or transmitted in any form or by any means, without the prior written permission of the University of Pretoria. |
| description | Dissertation (MSc (Nursing Science))--University of Pretoria, 2024. |
| format | Thesis |
| id | oai:repository.up.ac.za:2263/99176 |
| institution | University of Pretoria (South Africa) |
| language | English |
| last_indexed | 2026-06-10T12:38:36.983Z |
| license_str | Other — see source repository |
| provenance_str_mv | Harvested via OAI-PMH from UPSpace — University of Pretoria Institutional Repository |
| publishDate | 2024 |
| publishDateRange | 2024 |
| publishDateSort | 2024 |
| publisher | University of Pretoria |
| publisherStr | University of Pretoria |
| record_format | dspace |
| source_str | UPSpace — University of Pretoria Institutional Repository |
| spelling | oai:repository.up.ac.za:2263/99176 Factors associated with missed appointments among adults on anti-retroviral therapy in the uThukela District in Kwazulu-Natal, South Africa Musie, Maurine Rofhiwa dlamininomcebo.mpih@gmail.com Mulaudzi, Mavis Dlamini, Nomcebo Philile UCTD Sustainable Development Goals (SDGs) Anti-retrovirals Anti-retroviral therapy Appointment Associate Factors HIV/AIDS Missed Adults Dissertation (MSc (Nursing Science))--University of Pretoria, 2024. Introduction: High rates of missed clinic appointments among adults on Anti-Retroviral Therapy (ART) in KwaZulu-Natal pose a great threat to the success of the ART programme in South Africa. This is seen in the number of missed appointments reported by the Three Interlinked Electronic Registers system. Missed appointments predict poor adherence to ART and are associated with sub-optimal clinical outcomes. Demographic, patient-related, health systems and socio-cultural related factors reportedly contribute to missed appointments. Purpose: This study aimed to determine the factors associated with missed appointments among adults on Anti-Retroviral Therapy in the uThukela District of KwaZulu-Natal. Methods: A comparative descriptive study using a cross-sectional survey was conducted. Using the convenience sampling technique, 104 adults on ART (missed appointment group = 52, adherent group = 52) were recruited for the study. Data were collected using a structured and validated survey questionnaire. Statistical Package for the Social Sciences (SPSS) version 20 was used for data analysis. Descriptive statistics such as frequencies were used to summarise the results. Inferential statistics namely, Chi-square, Mann-Whitney and Fisher’s exact tests, were used to compare the responses between the groups. Principles of beneficence, respect for human, confidentiality and voluntary participation were maintained. Results: Three (n=3) demographic, seven (n=7) patient-related and eight (n=8) health-related factors were significantly associated with missed appointments (p<0.05). The factors are gender, employment status, HIV status disclosure, stigma, discrimination or isolation, lack of adequate nutrition, side effects of ARVs, mistreatment by the clinic staff, lack of counselling regarding ARVs, use of traditional medicine, lack of transport or transport fare, unacceptable facility setting, unacceptable rendering of HIV services, lack of nutritional support, inadequately prepared clinic staff, lack of comprehensive HIV care package, staff attitudes, dissatisfaction with the quality of services and being turned back without receiving health care services. Conclusion and Recommendations: The results identified factors that contributed to missed ART appointments. The results are expected to contribute to the existing body of knowledge on missed appointments. Recommendations for further research, patient care, staff training and strengthened stakeholder engagement have been provided to address ART missed appointments in this region. Nursing Science MSc (Nursing Science) Unrestricted Faculty of Health Sciences SDG-03: Good health and well-being 2024-11-19T11:01:47Z 2024-11-19T11:01:47Z 2025-04 2024-06 Dissertation * A2025 http://hdl.handle.net/2263/99176 DOI: https://doi.org/10.25403/UPresearchdata.26999788.v1 10.25403/UPresearchdata.26999788 en © 2023 University of Pretoria. All rights reserved. The copyright in this work vests in the University of Pretoria. No part of this work may be reproduced or transmitted in any form or by any means, without the prior written permission of the University of Pretoria. application/pdf University of Pretoria |
| spellingShingle | UCTD Sustainable Development Goals (SDGs) Anti-retrovirals Anti-retroviral therapy Appointment Associate Factors HIV/AIDS Missed Adults Factors associated with missed appointments among adults on anti-retroviral therapy in the uThukela District in Kwazulu-Natal, South Africa |
| title | Factors associated with missed appointments among adults on anti-retroviral therapy in the uThukela District in Kwazulu-Natal, South Africa |
| title_full | Factors associated with missed appointments among adults on anti-retroviral therapy in the uThukela District in Kwazulu-Natal, South Africa |
| title_fullStr | Factors associated with missed appointments among adults on anti-retroviral therapy in the uThukela District in Kwazulu-Natal, South Africa |
| title_full_unstemmed | Factors associated with missed appointments among adults on anti-retroviral therapy in the uThukela District in Kwazulu-Natal, South Africa |
| title_short | Factors associated with missed appointments among adults on anti-retroviral therapy in the uThukela District in Kwazulu-Natal, South Africa |
| title_sort | factors associated with missed appointments among adults on anti retroviral therapy in the uthukela district in kwazulu natal south africa |
| topic | UCTD Sustainable Development Goals (SDGs) Anti-retrovirals Anti-retroviral therapy Appointment Associate Factors HIV/AIDS Missed Adults |
| url | http://hdl.handle.net/2263/99176 |