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 Community-based organizations in providing for individuals facing stigma and accessibility challenges.

Study Design: Qualitative, phenomenological study.

Place and Duration of Study: Taluka Hospital, Larkana District, Sindh, Pakistan, from May to July 2024.

Methodology: Interviews and structured conversations were conducted with individuals affected by HIV/AIDS and members of Community-Based Organizations (CBOs) to gather qualitative data on adherence challenges.

Results: Stigma emerges as a major obstacle, leading to social isolation, stress, and treatment dropout. Geographical and infrastructural barriers, especially in remote areas like the tehsil of Ratodero and Dokri, obstruct access to healthcare. Community organizations have provided psychosocial support and counseling to combat stigma, introduced mobile health devices, and held community awareness sessions. Yet, cultural resistance and traditional beliefs remain challenges. The financial strain of HIV/AIDS care worsens adherence problems, with many survivors unable to afford follow-up care despite donor assistance.

Conclusion: Community-based organizations are vital in connecting formal healthcare systems with marginalized communities. The study concludes that integrated medical, psychological, and community-led approaches are crucial for enhancing treatment adherence and reducing health disparities faced by human immunodeficiency virus-positive populations in Pakistan.

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