Exploring Community Based Organizations Approaches in Compliance with Treatment  Of HIV/AIDs  in Larkana District.

Humaira Ayoob Chandio; Shaheer Ellahi Khan; Zirak Khan; Abdul Salam Laghari; Jazba Khan; Roshan Khan

doi:10.51253/pafmj.v76iSUPPL-8.13998

Authors

Humaira Ayoob Chandio Department of Public Health, Health Services Academy, Islamabad Pakistan
Shaheer Ellahi Khan Department of Public Health, Health Services Academy, Islamabad Pakistan
Zirak Khan Department of Public Health, Health Services Academy, Islamabad Pakistan
Abdul Salam Laghari Department of Public Health, Health Services Academy, Islamabad Pakistan
Jazba Khan Department of Public Health, Health Services Academy, Islamabad Pakistan
Roshan Khan Department of Public Health, Health Services Academy, Islamabad Pakistan

DOI:

https://doi.org/10.51253/pafmj.v76iSUPPL-8.13998

Keywords:

Antiretroviral Therapy, Community Health Services, Healthcare Disparities, HIV, Medication Adherence, Pakistan, Social Stigma

Abstract

Objective: To analyze the factors affecting adherence to ART and the role of CBOs in providing for individuals facing stigma and accessibility challenges.

Study design: Qualitative, phenomenological study.

Place and Duration of Study: HIV/AIDS Control Program from May 2024 to July 2024.

Methodology: Interviews and structured conversations were conducted with individuals affected by HIV/AIDS and CBO members to gather qualitative data on adherence challenges.

Results: Stigma emerged as a significant barrier, contributing to social isolation, stress, and treatment withdrawal. Geographical and infrastructural obstacles, particularly in remote areas such as the tehsil of Ratodero and Dokri, hinder access to healthcare facilities. CBOs have implemented psychosocial interventions and counseling to address stigma, introduced mobile health devices, and conducted community awareness classes. However, cultural resistance and traditionalism continue to pose challenges. The economic burden of HIV/AIDS care exacerbates adherence issues, with many survivors struggling to afford follow-up care despite donor support.

Conclusion: CBOs play a crucial role in bridging the gap between formal healthcare systems and marginalized communities. The study concludes that integrated medical, psychological, and community-led approaches are essential for improving treatment adherence and reducing health disparities faced by HIV-positive populations in Pakistan.