Adherence to antiretroviral therapy among adults attending the ART clinic at Kira Health Center IV, Wakiso district: a cross-sectional study.

Background: ART adherence is essential for achieving HIV control among individuals with HIV/AIDS; adherence rates remain low in Uganda due to certain factors. This study aimed to determine factors affecting ART adherence among adults attending the ART clinic at Kira Health Center IV, Wakiso District. Methodology: A descriptive cross-sectional study design employing quantitative data collection methods was used. Fifty (50) adults attending the ART clinic at Kira Health Center IV were selected through a simple random sampling method. Data were collected using a questionnaire, analyzed using Microsoft Excel, and presented in the form of tables and figures. Results: The study involved 34 females (68%) and 16 males (32%). the most, 24(48%) had 26-35 years, 24(48%) had tertiary education level, 24(48%) were single while 2(4%) were widowed. Findings show that being female (68%, age between 26-35 years, 48%, tertiary education level, 48%, and being single, 48%) was predictive of high adherence to ART. Socio-economically, urban residence, 62%, being employed, 76%, support from families, 64%, positively affected adherence; long distance, 40%, negative health workers’ attitude, 84%, uncomfortable operating hours, 78%, and long waiting hours, 70% compromised the level of ART adherence. Conclusion: While family-social support increased adherence levels, the attitude of health workers, which compromised the patient-health worker relationship, negatively affected adherence. Socio-economic disparities like low income and long distances equally affect adherence Recommendation: Health workers should educate and counsel patients about ART adherence. The health facility administration should develop strategies, like calling and sending messages, to remind patients of their visits and whether they are taking their medication as prescribed.