Primary appraisal antiretroviral adherence and nonadherence among people living with HIV (PLWH)

HIV is an iceberg phenomenon that still needs a problem solving. The data from the voluntary counselling and testing in Waluyojati General Hospital show that every month about 8-15 new people got HIV infection and Antiretroviral Therapy. Some of them adhered to undergo ARV, but some did not. One of influential factors for adherence to ARV is individual factor which consists of primary appraisal includes perceived susceptibility, severity, benefit, barrier and motivational relevance and secondary appraisal includes selfefficacy, perceived control outcome and emotion, and external factors. The aim of this study is to describe primary appraisal of antiretroviral adherence and nonadherence among People Living With HIV (PLWH). This study is a qualitative study using a content analysis. This study carried out in-depth interviews with 10 PLWH who received ART for about two weeks – three months. The results show that non adherence to ART is caused by several factors, such as income, perceived susceptibility, perceived severity, perceived barriers. Some of non adherence patients are bored to taking ARV every day and get several side effects, such as nausea and vomitting, erythema, HIV disclosure, fear of stigma. Both patients who adhere and do not to ARVperceived that taking ARV makes them healthy, resistant to be tired, less anxious or hospital care costs, and motivated like people with no HIV infection. Patients who do not adhere to ARV have more perceived barrier than perceived benefit and motivational relevance.