MPhil study projects

Factors associated with males’ disengagement from antiretroviral treatment at Royal Lesotho Defense Force health clinic in 2018

Student: Mampoi Seetsi

Country: Lesotho

A significant number of patients become disengaged from antiretroviral treatment (ART). This study sought to elucidate the factors contributing to high rates of male disengagement from ART and to identify appropriate support interventions to enhance adherence.

Employing a quantitative approach with convenience sampling, the study recruited a sample of 24 participants through advertising and utilised a questionnaire for data collection. Interviews were conducted face to face with participants opting for self-administered questionnaires.

Most participants fell in the 20-30 age bracket, with a significant portion being married, 46% possessing a primary level of education and 67% being employed. A considerable number received their HIV diagnosis between January and March 2018, with a majority receiving counselling. Side effects were reported by half of the participants, contributing to disengagement from ART.

Reasons included work-related issues, fear of disclosing their HIV status to partners, adherence challenges due to traditional beliefs and insufficient counselling. The study recommended implementing male-friendly healthcare services, extending operating hours and reducing waiting times. It also advocated greater involvement of employers in supporting male adherence to treatment and emphasised the need for psychosocial support to facilitate disclosure.