HomePhilippine Scientific Journalvol. 55 no. 1 (2022)

Barriers to Medication and Treatment Adherence of People Living with HIV (PLHIV) in the Metro Manila Area during COVID-19 Lockdown: A Phenomenological Study

Marian Milan C Bayaua | Francine Louise B Clores | Christine Fatima Nicole M Esplanada | Reyah Crysztha B Fernandez | Pranav Kurva | Rishabh Mahanty | Daniw Erika C Macarulay | John Christian M Maniego | Hrishikesh Satish Pawar | Karl Raymond J Perez | Jian Larissa M Portacion | Ritik K Rai | Patricia Mae S Sepulveda | Rhea Angelica Jayma

Discipline: Medicine

 

Abstract:

Strict quarantine protocols are necessary to contain the spread of Covid-19, however limited mobility imposes considerable barriers to vulnerable individuals such as people living with human immunodeficiency virus (PLHIV). Therefore, it is necessary to document their experiences in order to provide the foundations for developing strategies for accessible medications. This study aims to determine the barriers to treatment adherence among PLHIV in Metro Manila during the lockdown (ie. ECQ, MCQ, and GCQ). Participant recruitment and data collection were conducted online. A total of ten male participants, ranging from twenty to sixty-five years old, residing in Metro Manila during lockdown, with stable internet access and Zoom application were included in the research. The online interview was semi-structured and the responses were transcribed and analyzed for emergent themes. The barriers identified were Psychological barrier, Social stigma, Treatment medication, Transportation, Financial constraint, and Systemic barrier. The major difference pre-lockdown and during lockdown were that issues in transportation and financial constraints worsened. The systems in place were unable to adapt to online means and required physical verification to provide aid, thus forcing PLHIV to leave their homes and risk exposure. In order to adapt to the new normal, this study finds that remote resources must be developed and explored to ameliorate financial and logistical concerns over health.