Effect of Perceived Stigma on Adherence to Highly Active Antiretroviral Therapy and Self-Confidence to Take Medication Correctly in Addis Ababa, Ethiopia

Stigma has been a major barrier to accessing HIV prevention, care, and treatment services. This study seeks to assess the effect of stigma on self-reported adherence to highly active antiretroviral therapy (HAART) and self-confidence to take medication correctly among HIV-infected adults in Addis Ababa, Ethiopia. A descriptive crosssectional study using both quantitative and qualitative data was carried out at Zewditu Memorial Hospital's HAART clinic. Selfreported Morisky scale was used to assess adherence to HAART, and Berger stigma scale was used to measure the level of perceived stigma. The three measures of stigma (negative self-image, concern about public attitude, and concern about disclosure) were negatively associated with self-reported adherence to HAART and with self-confidence to take medication correctly. In order to improve adherence, programs that address stigma need to be designed and implemented.