It is therefore important that all those caring for HIV patients undertake strategies of improving and sustaining adherence to treatment with ARV
(i) Patient related strategies
In order to improve adherence:
Health care workers should negotiate a treatment plan that the patient understands and to which he/she commits.
Patient’s "readiness" to be on life long medication should be clearly established.
Patients must understand that the first ART regimen has the best chance of long-term success.
Family members should be recruited to become participants in the plan for treatment.
(ii) Clinician and health team related strategies should include:
Building a trusting relationship with patients
Provider attitudes and behaviours that are supportive and non-judgmental will encourage patients to be honest about their adherence and about problems they have with adherence.
Monitoring and encourage adherence at every clinical encounter.
Explain possible side effects when initiating treatment.
(iii) Regimen-related strategy
Regimens should be simplified by reducing the number of pills and the frequency of taking drugs
Minimizing drug interactions and side effects through rational drug selection.
Minimizing differences between medication requirements e.g., with food, without food