Abstract:

Background: a non- compliance among PLHIV to attending at CTC and to antiretroviral therapy (ARV) is among the leading cause of mortality to HIV patients in Tanzania. It brings a big challenge in care and treatment Centre (CTC) as many HIV clients are not attending clinics as per scheduled failure or poor attendance to CTC and poor adherence to drug cause high mortality rate, occurrence of advanced opportunistic infection, low CD4 count, high viroload and drug resistance among HIV/AIDS patient.

Objectives: the objective of this study was to assess the prevalence and outcome of noncompliance HIV patients who attending CTC at SEKOU TOURE hospital between Jan 2014 and Jan 2019.

Methodology: this was a cross sectional study that includes 150 participants, a questionnaire was used to collect data among these participants.SPSS was used for data analysis and interpretations. The results were represented using frequency tables.

Result: the prevalence of non-compliance HIV patient attending CTC at SEKOU TOURE is low (20%), most of the clients were good compliance to ART (80%), overall outcome of adherence to ART among clients in this study was revealed that 62.7% of participants was WHO clinical stage one and stage four 3.3%. most of participants were on the first line regime 84.7%, 91.3% of participants had viral load of less than 1000 copies per ml, CD4 count of greater than 500 cells/mm3 was 70.7% and CD4 count less than 200 cells/mm3 was 0.70 %.

Conclusion: this study concluded that overall compliance to ART among PLHIV was good. Good compliance was influenced by health personnel, regularly attending to CTC, having informal education. Through barriers emanated from donors, stigma, long waiting time, side effects, loss of follow up to clinic and poverty that led poor adherence to ART.