An exploration of the experiences of caregivers of children living with HIV who experience treatment failure to antiretroviral therapy (art) in Maseru, Lesotho

Abstract

Globally, 1.8 million children (aged 0-14 years) are living with HIV, with Sub- Saharan Africa (SSA) remaining the most heavily affected region, accounting for almost 90% of children living with HIV (CLHIV). Unlike adults, children living with HIV suffer higher treatment failure rates, usually because of non-adherence to antiretroviral therapy. Factors associated with paediatric anti-retroviral therapy (ART) adherence can be related to caregivers (parents or guardians), children themselves, the medication/regimen, socioeconomic, or service delivery issues. Caregivers play a significant role in the care of HIV-infected children on anti-retroviral therapy, including the administration of medication. The ability of caregivers to provide care to children may be negatively affected by psychological and socioeconomic factors, experience, knowledge, and beliefs about ART.