Findings from Evaluation Team

1
Findings from Evaluation Team

• Skill Building Workshop
• ARV Adherence Counseling

2
Adherence measurement tools

• Self-reported adherence form by trained
  interviewer nurse
• yesterday, 1 week ago , 1 month ago (at 4 month
  visit)
• today, yesterday, 2days ago, 3 days ago,
  7 days ago, 1 month ago (at 12 month visit)
• Pill count form by ART clinic nurse
• (Expect to fill in the form for every visit)

3
Self report adherence for GPO-vir within 1 month
at month 12
4
Adherence Self Efficacy (10 50)
Note 10 item questionnaire, possible range of
scores 10-50, total scores used for analysis.
5
QOL Mental Health (0-100)
There were significant difference at baseline and
month 4 between the arms.
6
QOL Physical Health (0-100)
There was no significant difference at baseline
between the arms
7
Stigma/Discrimination (13-39)
There was significant difference at day 0
8
Difference in determinant factor (1)
9
Difference in determinant factor (2)
10
Conclusion

• 11.3 died in one year but 9.3 in first 4
  months. Low CD4 and poor health status are main
  factors leading to Death
• 1.3 stop ART in first year
• (exclude death prisoners)
• Significant change in SES and health service
  utilization
• Safer sexual risk behavior is much improve at 12
  months

11
Conclusion

• Factors related to adherence
• Perception to ART, self efficacy, QOL,
  discrimination, relationship with health personal
  peer educator in ARM II are significantly
  better that ARM III
• However since adherence is very high (gt 95)
  99in all ARMs, so we can not demonstrate any
  association between those factors and Patients
  adherence in this study