Re: Problems of Compliance with the use of Anti Retroviral Drugs.

[Guest guest]

This is to give comment on the statement that AIDS is a frightening

disease. For me, AIDS should not be considered a scary disease if

only the people are given the adequate information and education about

the mode of transmission through which the infection is acquired. We

should bear in mind that the most common modes of transmission;

through blood and body fluids which can be taken through risky sexual

behavior and sharing contaminated needles; having multiple sexual

partner; blood transfusion with an infected blood; and mother to child

transmission during pregnancy and delivery.

With regards to compliance with anti-retroviral drugs I don't see any

logical reason behind for not complying the treatment if only the

patient who are positive on HIV infection are given adequate education

on the nature of the disease and the possibility of serious

complications that might set-in when the immune system of the affected

patient is destroyed as a consequence of failure to comply the

treatment regimen and some sexual behavior modification. The patient

should be thought about the following preventive measures as follow:

a) abstinence, be faithful, c) use condom correctly and

consistently, d) never use illicit drugs and share needles, e)

education about the nature and consequence of HIV infection and its

complication.

Baldono, M.D.

Municipal Health Officer

Maydolong, Eastern Samar

Philippines

[Guest guest]

Dear All,

Greeting to you. As you all know Almost two thirds (63%) of all people

living with HIV globally live in sub-Saharan Africa coutries . ARTs

are mainly given for the patients with out payment in these countries

because the people can't afford to bye these medications.The major

donors of these drugs are global fund and PEPFAR.The sustainiblity of

the ART program mainly depend on donation.It is hard to guess what

will happen if the donors stop suppying the drugs .How many patients

will afford to buy the drugs and adhere to the treatment?

Ribka Mekonnen

Drug Administration and Control Authority of Ethiopia

[Guest guest]

Dear Ribika!

You have very rightly described the problem of UNAFFORDABILITY in

relation to non adherence to antiretroviral therapy.

Could you think of some more problems?

-- In netrum , " mekonnenrg " <mekonnenrg@...> wrote:

>

>

>

> Dear All,

> Greeting to you. As you all know Almost two thirds (63%) of all

people

> living with HIV globally live in sub-Saharan Africa coutries .

ARTs

> are mainly given for the patients with out payment in these

countries

> because the people can't afford to bye these medications.The major

> donors of these drugs are global fund and PEPFAR.The sustainiblity

of

> the ART program mainly depend on donation.It is hard to guess what

> will happen if the donors stop suppying the drugs .How many

patients

> will afford to buy the drugs and adhere to the treatment?

>

> Ribka Mekonnen

> Drug Administration and Control Authority of Ethiopia

>

[Guest guest]

Dear Husin! A

All the 3 factors described by you are absolutely CORRECT as regards

the non-adherence of anti retroviral therapy.

I want some from you...Intelligent Doctor!

Dr.Kiran V.Barar

>

> First of December is known as a day of us to memorize the very

> scarry disease find out that is AIDS. As we know that AIDS is

caused

> by HIV one of retro viral groups. People infected by HIV day by

day

> increasing rapidly. No body can find out a drug to stop it untill

> now. Beside doing promotion on prevention of infection from the

HIV,

> people use Anti Retroviral drugs for the person who has identified

> having HIV. The Anti Retroviral Drugs should be taken continously

> following the doctor advise. But now the persons with HIV some of

> them are not compliance with the use of Anti Retroviral Drugs. Why

> do they do like that even they know it consequency?. Lets try to

> share to explore the problem. In my side there are three main

> factors influence : 1) Low access to the drugs because of whether

> the shortage of the drugs or the patient can not afford the drugs

2)

> Lack motivation of the patient because they are feel better

healthy

> and not need anymore drugs and 3)Lack of monitoring from the

> volunteers because of limited number of volunteers or the patients

> hiding or go away. I would like to call all of you and appreciate

> your comment who like to share about it.

>

> Husin Fahmi

> Senior Medical Advisor

> GTZ-Health Sector Support

> NTT-NTB Provinces, Indonesia

> Email address: husin_fahmi55@...

> fahmi_gtz@...

>

[Guest guest]

Dear Dr.Sudeera!

You are quite correct in saying about lack of affordability in

relation to compliance problems with the use of ART drugs.

What more can you think Madam?

Dr.Kiran V.Barar

>

> Though the anti retroviral therapy has descovered it is not popular.

> Because the cost for the treatment is so high when comparing to the

> effect of the treatment. Very few countrise can afford the treatment

> for their patients. Therefore assesability and affordability are

very

> low, resulting in poor complence with the anti retroviral therapy.

>

> Dr. Sudheera Jayasinghe

> Probationary lecturer

> Department of Pharmacology

> Faculty of Medicine

> University of Ruhuna

> Sri Lanka

> E-mail: sudheerasj@... or sudheerasj@...

>