From:  Clinical and health system factors associated with antiretroviral therapy adherence among people living with HIV and AIDS: cross-sectional survey insights from three ART facilities in Tamale, Ghana

 Health system factors affecting ART adherence.

StatementFrequency (n)Percentage (%)
I was shouted at/treated harshly by healthcare providers.
Agree184.3
Disagree40095.7
Health workers took me through the importance of taking my medications.
Agree39594.5
Disagree235.5
I have a cordial relationship with my healthcare providers.
Agree38291.4
Disagree368.6
I experience discrimination and abuse in the healthcare unit.
Agree225.3
Disagree39694.7
I face high financial costs when accessing and receiving ART (e.g., transport, cost of drugs).
Agree6816.3
Disagree35083.7
Interrupted ART supply from healthcare provider (e.g., due to a shortage of drugs and other commodities).
Agree348.1
Disagree38491.9
It takes lots of time for a refill of my medications (long waiting time).
Agree266.2
Disagree39293.8
I lose my income on ART therapy including treating underlying diseases/infections.
Agree122.9
Disagree40697.1
The distance from where I stay to the ART centre influences my adherence.
Agree14835.4
Disagree27064.6
I get reminders from health workers for a refill (positive patient-provider partnership).
Agree29269.9
Disagree12630.1
The ART services are always available and easily accessible.
Agree40997.8
Disagree92.2
I receive social support (e.g., from the welfare unit, government, NGO, volunteers).
Agree9121.8
Disagree32778.2
There is a lack of confidentiality/respect for privacy at the facility.
Agree409.6
Disagree37890.4
The number of people accessing ARVs is always increasing at this hospital.
Agree23055
Disagree18845
Health workers are very slow and not organized because when you come, no matter how early, you will still leave late.
Agree286.7
Disagree39093.3
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Responses were binary (Agree/Disagree). ARV: antiretroviral