Abstract:

BACKGROUND

This study sought to analyse the magnitude and factors associated with antiretroviral therapy defaulting using the patient electronic medical record system in Mabutsane health district.

OBJECTIVES

Objectives of the study are: to establish the factors associated with defaulting ARV and to analyse the outcomes of ARV defaulter.

METHODOLOGY

A retrospective cross-sectional survey was conducted. The target population for this research is adult clients on antiretroviral therapy registered in Mabutsane between December 2011 and December 2013. Descriptive statistics, x2 test and cross tabulation was used to analyse data.

RESULTS

Mabutsaneclinic has a defaulter rate of 11.3%. .More males (64.3%) defaulted treatment than females (35.7%). Majority 13 clients (92.9%) were on treatment for more than 1 year before defaulting.

Reasons for defaulting ART are as follow: Substances abused 42.9%, side effect of drugs 21.4%, Transport 14.3%, Work 14.3% and Religion7.1%. Mortality rate among defaulter stand at 21.4%.

No significant statistic relation between social economic variables (sex, substances abused, marriage status, and employment status) and variable defaulter was found in our study.

CONCLUSIONS

Mabutsane health district has a lower defaulter rate as compared to most of the African countries; however this rate is above the Botswana one in 2013.

No significant association between social economic variables and defaulter was found.

Factors such as substances abused, work, transport etc…have been mentioned as reasons for defaulting.

Case fatality rate among defaulters was low than what was observed in most of the Sub Saharan Africa countries.

KEY WORDS

Mabutsane has a low defaulter rate.

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