Evaluation of adherence to highly active antiretroviral therapy in adults in Jamaica

K. M. Harvey*, D. Carrington, J. Duncan, J. P. Figueroa, L. Hirschorn, D. Manning, S. Jackson

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

21 Scopus citations


Background and Purpose: Highly active antiretroviral therapy (HAART) has improved morbidity and mortality and quality of life, revitalized communities and transformed the perception of HIV/AIDS from being a "death sentence" to a chronic illness. Strict and sustained adherence to medication is essential long-term viral suppression. In April 2005, an Adherence Support Programme was introduced to Jamaica's HIV Programme, whereby Persons Living with HIV/AIDS (PLWHA) who had achieved high levels of adherence were trained to provide support to other PLWHA in order to increase their adherence to HAART regimens. Methods: A cross-sectional survey of 116 individuals with advanced HIV and on HAART was performed in June and July 2006. Results: Many participants were unemployed, poor persons with limited education. Based on self-report of seven-day adherence, 54.8% of persons were 95-100% adherent, 37.5% were 80-94% adherent and 7.7% were < 80% adherent. Having interacted with an adherence counsellor was not associated with adherence levels. Factors associated with nonadherence were: being away from home (38%), sleeping through dose-time (37%), forgetfulness (37%) and running out of pills (31%). Having no food (26.9%), not wanting to be seen taking medication (20%) and intolerable side effects (18.8%) were also reasons given. Only 44% of persons used aids to remind them of dose times. Conclusion: Adherence in this study group is low and may have worsened since 2005. More emphasis must be placed on preparing adults to start HAART. The use of pillboxes and other reminders such as alarm clocks and cell phones must be reinforced.

Original languageEnglish (US)
Pages (from-to)293-297
Number of pages5
JournalWest Indian Medical Journal
Issue number3
StatePublished - Jun 1 2008

ASJC Scopus subject areas

  • Medicine(all)


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