Factors Associated with Adherence to Antiretroviral Therapy (ART) among Adult People Living with HIV & Attending Their Clinical Care, Eastern Ethiopia
BACKGROUND:
To
attain a successful treatment outcome, Antiretroviral Therapy (ART) treatment
for people living with HIV requires more than 95 % adherence level. The
adherence level varies depending on different population contexts. Thus, the
objective of this study was to investigate ART adherence level among HIV
positive patients attending their clinical care in public health facilities in
Harar and Dire Dawa, Eastern Ethiopia.
METHODS:
We
conducted a cross-sectional study among 626 ART attendees. Data were collected using
a structured questionnaire with a face-to-face interview. ART adherence was
considered when taking all antiretroviral treatment in a correctly prescribed
doses at a right time (no dose missed or delayed for greater than or equal to
90 min) in the week prior to the study. Multivariable logistic analysis
was applied to examine the association between the dependent and independent
variables. Statistical significance was set at p-value <0.05.
RESULTS:
The level
of ART adherence was 85 %. Adherence was more likely among patients of
35-44 years, had monthly income of
501.00-999.00 Ethiopian Birr (ETB), no
history of opportunistic infection, and
had good family support. However, those
who did not disclose their sero-status and did experience depression were less
likely adherent than their counter parts.
CONCLUSIONS:
The
level of ART adherence was sub-optimal. Concerted and collaborative efforts
through effective and efficient interventions are needed in view of the
identified factors in order to improve the adherence level.
Below: Reasons for skipping ARV drugs among adult patients on ART in public health institutions in Harar and Dire Dawa towns, Eastern Ethiopia, 2012
- 1Haramaya University, College of Health and Medical Sciences, School of Nursing and Mid wifery, Harar, Ethiopia. shife1973@gmail.com.
- 2Addis Ababa University, School of Nursing and Midwifery, Addis Ababa, Ethiopia. asrat_dem@yahoo.com.
- 3Haramaya University, College of Health and Medical Sciences, Department of Public Health, Harar, Ethiopia. Olemessa@yahoo.com.
- 4Haramaya University, College of Health and Medical Sciences, Department of Public Health, Harar, Ethiopia. yad_de2005@yahoo.com.
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