American Journal of Public Health Research
ISSN (Print): 2327-669X ISSN (Online): 2327-6703 Website: http://www.sciepub.com/journal/ajphr Editor-in-chief: Apply for this position
Open Access
Journal Browser
Go
American Journal of Public Health Research. 2015, 3(2), 60-67
DOI: 10.12691/ajphr-3-2-5
Open AccessArticle

Assessment of Factors Affecting Art Adherence among People Living with Human Immune Virus in Bale Robe Hospital, South East Ethiopia

Ahmed Yasin Mohammed1, , Muktar Beshir Ahmed1 and Tomas Benti Tefera1

1Department of Public Health, College of Medicine and Health Science, Madawalabu University, Bale Goba, Ethiopia

Pub. Date: March 19, 2015

Cite this paper:
Ahmed Yasin Mohammed, Muktar Beshir Ahmed and Tomas Benti Tefera. Assessment of Factors Affecting Art Adherence among People Living with Human Immune Virus in Bale Robe Hospital, South East Ethiopia. American Journal of Public Health Research. 2015; 3(2):60-67. doi: 10.12691/ajphr-3-2-5

Abstract

Human Immune Virus now a day is one of the devastating illnesses witnessed worldwide. It becomes a prevalent disease and presents a global public health concern without a cure. Among East Africa countries, Ethiopia is one of which Human Immune Virus becomes major public health emergency. Antiretroviral Treatment (ART) services are important and effective in prevention and palliative treatment of the virus. Non adherence is the risk for the development of drug resistance and failurity of therapy. The objective of this study is to assess factors affecting ART adherence among People Living With Human immune virus. A facility based cross sectional study was conducted on 245 subjects on ART follow up at Bale Robe Hospital selected using systematic random sampling from March 18 to April 13/2013. A structured and pre- tested interviewer administered questionnaires were used for data collection. The item consists of socio demographic variables, psychosocial, Clinical, Behavioral factors and items measure level of ART adherence. Data were analyzed using SPSS version 20. Frequency and percentages were calculated. The x2 (chi – square) test and P values determined and associations were assessed. P < 0.05 considered statistically significant association with ART adherence status. The rate ART dose adherence of the study subjects were 83.1%. The finding emphasize that important multiple psychosocial factors: patients disclosure status, types of social support, stigma, depression, social isolation and active substance use were significantly associated (P < 0.05) with adherence level. Additionally other barriers like being too busy and attitude towards the drug has been significantly associated (P < 0.05) with adherence. The adherence rate found in this study seems to be encouraging. However, focusing on strengthening psychosocial aspects affecting ART adherence behavior and appropriate monitoring of patients could potentially help them to maintain adherence and therefore improve the outcome.

Keywords:
ART adherence associated factors HIV ethiopia

Creative CommonsThis work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/

References:

[1]  Anthony’s. Hauser, Dennis L. Kasper et al, Allianf Human immune Deficiency Virus Diseases. In. Harrison’s Principles of Internal medicine, 2012, 2695.
 
[2]  EDHS, (2005), Ethiopia Demographic and Health Survey reports.
 
[3]  Ministry of Health Ethiopia and Federal HIV/AIDS prevention and control office single point HIV prevalence estimate. Addis Ababa, Ethiopia, 2007.
 
[4]  Chesney MA, Factors affecting adherence to ART. Clin Infec Dec 2000, 30; 5171-5176.
 
[5]  Wright MT, The old problem of adherence research on treatment adherence and its relevance for HIV/AIDS: AIDS care, 12 (6), 2000, 703-710.
 
[6]  Carter M, Adherence. Information service for HIV positive people, 2005.
 
[7]  Bale Robe Hospital second quarter report, 2013.
 
[8]  Gordillo V, del Amo J, Soriano V, Gonzalez-Lahoz J. (1999). Socio demographic and psychological variables influencing adherence to antiretroviral therapy. PMED AIDS; 13 (13): 1763-9.
 
[9]  Carballo E, Suarez CC, Carrera I, et al. (2004).Assessing relationships between health-related quality of life and adherence to antiretroviral therapy. Qual Life Research Apr; 13 (3): 587-99.
 
[10]  Bonolo, Palmira de Fae, Casar, Cibele Cb, Acurio, Fransisco A ac, et al. (2006). Non-adherence among patients initiating antiretroviral therapy: a challenge for health professionals in Brazil. JAIDS; 19 Sppl 4: S5-S13.
 
[11]  Nachega Jean B, Michael Hislop, Dowdy David W, et al., (2006). Adherence to Highly Active Antiretroviral Therapy Assessed by Pharmacy Claims Predicts Survival in HIV Infected South African Adults. J Acquir Immune Defic Syndr; 43 (1): 1-7.
 
[12]  Tadios Y & Davey G. (2006): Antiretroviral treatment adherence and its correlates among people living with HIV/AIDS on highly active antiretroviral therapy in Addis Ababa, Ethiopia. EMJ; 44 (2): 237-244.
 
[13]  Mengesha A & Worku A. (2005), Assessment of antiretroviral treatment among HIV infected persons in the Ministry of Defense Hospitals. AAU.
 
[14]  Byakika-JusiimeJ, et al. (2003). Ability to purchase& secure stable therapy are significant predictors of nonadherence to antiretroviral therapy in Kampala Uganda (abstract). 10th conference on Retroviruses and Opportunistic Infection, Boston, February
 
[15]  Lawent, et al. (2003). Long-term follow up of a cohort of patients on HAART in Senegal (abstract). 10th Conference on Retroviruses & Opportunistic Infections, Boston, February
 
[16]  Day J, Godoka N, Nyamafeni P, Chigwanda M et al. (2002). Adherence to ART in clinical trial settings in Zimbabwe and Uganda: lessons learned; Int. Conf. AIDS Jul 11-16; 15 Bangkok Thailand.
 
[17]  Adriana A, Paola TM, Rita M et al. (2002), Correlates and predictors of adherence to Highly Active Antiretroviral Therapy. JAIDS; 31 supplement 3: s123-s127.
 
[18]  Olisah, VO Baiyewu O & Sheikh TL, (2010). Adherence to highly active antiretroviral therapy in depressed patients with HIV/AIDS attending a Nigerian university teaching hospital clinic. Afr J Psychiatry; 13: 275-279.
 
[19]  Endrias Markos, Alemayehu Worku & Gail Davey. (2008). Adherence to ART in PLWHA at Yirgalem Hospital, South Ethiopia Ethiop.J.Health Dev; 22 (2).
 
[20]  Alemayehu Amberbir, Kifle Woldemichael, Sofonias Getachew, et al. (2008). Predictors of adherence to antiretroviral therapy among HIV-infected persons: a prospective study in Southwest Ethiopia. BMC Public Health; 8: 265.