Determinants of adherence to antiretroviral therapy among people living with HIV receiving care in health facilities in Tamale Metropolis, Ghana

The study identified a sub-optimal adherence rate of 93% among PLHIV with key determinants of ART adherence. Among individual factors, educational attainment and forgetfulness played a significant role in influencing adherence levels. In terms of sociocultural factors, inclinations toward alternative therapies, such as traditional or herbal remedies, and active engagement in peer support networks were found to impact adherence. The Ghana AIDS Commission and its partners should implement targeted educational programs, interventions such as reminder systems (e.g., mobile phone alerts, pill organizers) should be developed and promoted, develop culturally sensitive outreach programs that respect traditional beliefs while promoting the benefits of ART and strengthen peer support networks.