Mirkena, Kassahun (2017) Assessment of Antiretroviral Therapy Adherence and Associated Factors among Adult HIV-Infected Persons in Oromia Special Zone Surrounding Finfine, 2017. Masters thesis, Addis Ababa University.
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PDF (Assessment of Antiretroviral Therapy Adherence and Associated Factors among Adult HIV-Infected Persons in Oromia Special Zone Surrounding Finfine, 2017)
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Abstract
Background: The introduction of combination ART has resulted in striking reductions in HIV related mortality. Numerous reports have documented that the key to success of the HAART is the ability and willingness of HIV-positive individuals to adhere to ART regimens, and at least 95% adherence is required for the prescribed ART doses to be fully effective. However, pertinent data regarding the issue has been lacking in the study area. Objectives: The main aim of this study was to assess the level of adherence and associated factors among adult HIV patients who were receiving ART from health centers of Finfine Surrounding Oromia Special Zone. Methods: A facility based retrospective cross-sectional study was conducted from October 2016 to May 2017 on 389 patients’ selected using systematic sampling technique. The study focused on assessment of ART adherence & its associated factors among Adult on ART whose ages were greater than 18 years & above. A pre tested & structured questionnaire was used to collect the necessary data & the collected data were entered into Epidata version 3.1 & analyzed using SPSS version 21. Then the magnitude of association between the different variables in relation to the adherence to ART was assessed through chi square test & then further analysis done using multivariate regression to confirm the effects of independent variables. During analysis, the significance level was set at 95% CI and P-value of <0.05 & the results were presented using tables containing frequency and percentage. Results: The adherence rate of the study patients was 80.5%. Majorities were females (66.3%), their median age was 36 and mean duration of treatment 3.3 years. Disclosing own status to sexual partners or others [(AOR 6.6, 95% CI 3.58,8.32)], doing assessment & counseling on adherence [(AOR 13, 95% CI 5.94,15.13)] & presence of regular ARV drug supply [(AOR 5.4, 95% CI 3.91,9.72)] were significantly associated with ART adherence. Conclusion: The self-reported ART adherence level in this study is low compared to the expected standard. Disclosing own status to sexual partners or others, doing assessment & counseling on adherence , & regular ARV drug supply were associated with patients’ adherence status.
| Item Type: | Thesis (Masters) |
|---|---|
| Subjects: | R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine |
| Divisions: | Africana |
| Depositing User: | Emmanuel Ndorimana |
| Date Deposited: | 04 Jul 2018 15:34 |
| Last Modified: | 04 Jul 2018 15:34 |
| URI: | http://thesisbank.jhia.ac.ke/id/eprint/6645 |
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