HIV Positive Status Disclosure and Highly Active Antiretroviral Therapy Adherence among People Living with HIV in Ambo Hospital, West Shewa Zone, Oromia Region, Ethiopia

Fituma, Shewaye (2012) HIV Positive Status Disclosure and Highly Active Antiretroviral Therapy Adherence among People Living with HIV in Ambo Hospital, West Shewa Zone, Oromia Region, Ethiopia. Masters thesis, Addis Ababa University.

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Abstract

Background: Disclosure of HIV sero-status and adherence to Anti-retroviral therapy (ART) medication is important for the prevention and control of HIV/AIDS. Little is known about the relationship between HIV positive status disclosure and highly active anti-retroviral therapy (HAART) adherence in developing countries including Ethiopia. Objective: To assess the relationship between HIV positive status disclosure and HAART adherence among PLHIV attending ART clinic of Ambo Hospital in West Shewa Zone. Methods: A cross-sectional study using quantitative research approach and supplemented by qualitative methods was conducted from January to February 2012 among 420 people living with HIV (PLHIV) attending ART clinic in Ambo Hospital. Simple random sampling method was used to select the study participants. Data were collected through face to face interview and focus group discussion using pre-tested structured questionnaire and semi structured guides, respectively. The data were summarized in percentages, tables and graphs; crude and adjusted odds ratios using logistic regression analysis were used to explore associations between different variables and HIV status disclosure and ART adherence. Results: The study revealed that the prevalence of HIV status disclosure to at least one person and highly active anti-retroviral therapy adherence was 86.2% (95% CI: 82.52-89.34) and 86% (95% CI: 82.2-89.13) respectively. Prevalence of HAART adherence among PLHIV who disclosed their sero status was 88.7% (95% CI: 84.95-91.75) where as the prevalence of HAART adherence among PLHIV who didn‟t disclose their status was 69% (95% CI: 55.46-80.46). HIV status disclosure to at least one person (AOR=3.42, 95%CI: 1.60-7.29) and being literate (AOR=2.13, 95%CI: 1.08-4.22) were significantly associated with HAART adherence. Conclusions: HIV positive status disclosure was a significant predictor of HAART adherence. Hence, intervention programs to improve HAART adherence should consider both the potential benefits and risks associated with HIV status disclosure and assist PLHIV to prepare for HIV status disclosure and reduce potential negative impacts that come with it

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:	29 Nov 2018 10:08
Last Modified:	29 Nov 2018 10:08
URI:	http://thesisbank.jhia.ac.ke/id/eprint/8010

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