scholarly journals Adherence to Combined Antiretroviral Therapy and Associated Factors Among People Living with HIV Attending Nekemte Specialized Hospital, Oromia, Ethiopia: A Cross-Sectional Study

2020 ◽  
Vol Volume 12 ◽  
pp. 97-106
Author(s):  
Mulu Ejigu ◽  
Zelalem Desalegn ◽  
Befirdu Mulatu ◽  
Getu Mosisa
2019 ◽  
Vol 16 (1) ◽  
Author(s):  
Juan M. Leyva-Moral ◽  
Blanca K. Loayza-Enriquez ◽  
Patrick A. Palmieri ◽  
Genesis M. Guevara-Vasquez ◽  
Ursula E. Elias-Bravo ◽  
...  

BMJ Open ◽  
2021 ◽  
Vol 11 (7) ◽  
pp. e049824
Author(s):  
Andreas D Haas ◽  
Cordelia Kunzekwenyika ◽  
Stefanie Hossmann ◽  
Josphat Manzero ◽  
Janneke van Dijk ◽  
...  

ObjectivesTo examine the proportion of people living with HIV who screen positive for common mental disorders (CMD) and the associations between CMD and self-reported adherence to antiretroviral therapy (ART).SettingSixteen government-funded health facilities in the rural Bikita district of Zimbabwe.DesignCross-sectional study.ParticipantsHIV-positive non-pregnant adults, aged 18 years or older, who lived in Bikita district and had received ART for at least 6 months.Outcome measuresThe primary outcome was the proportion of participants screening positive for CMD defined as a Shona Symptoms Questionnaire score of 9 or greater. Secondary outcomes were the proportion of participants reporting suicidal ideation, perceptual symptoms and suboptimal ART adherence and adjusted prevalence ratios (aPR) for factors associated with CMD, suicidal ideation, perceptual symptoms and suboptimal ART adherence.ResultsOut of 3480 adults, 18.8% (95% CI 14.8% to 23.7%) screened positive for CMD, 2.7% (95% CI 1.5% to 4.7%) reported suicidal ideations, and 1.5% (95% CI 0.9% to 2.6%) reported perceptual symptoms. Positive CMD screens were more common in women (aPR 1.67, 95% CI 1.19 to 2.35) than in men and were more common in adults aged 40–49 years (aPR 1.47, 95% CI 1.16 to 1.85) or aged 50–59 years (aPR 1.51, 95% CI 1.05 to 2.17) than in those 60 years or older. Positive CMD screen was associated with suboptimal adherence (aPR 1.53; 95% CI 1.37 to 1.70).ConclusionsA substantial proportion of people living with HIV in rural Zimbabwe are affected by CMD. There is a need to integrate mental health services and HIV programmes in rural Zimbabwe.Trial registration numberNCT03704805.


2011 ◽  
Vol 8 (1) ◽  
pp. 33 ◽  
Author(s):  
Eric Pefura Yone ◽  
Awa Betyoumin ◽  
André Kengne ◽  
François Kaze Folefack ◽  
Jeanne Ngogang

2020 ◽  
Author(s):  
Yosef Wasihun ◽  
Mengistu Yayehrad ◽  
Samuel Dagne ◽  
Yonatan Menber ◽  
Tadesse Awoke ◽  
...  

Abstract Introduction: Human immunodeficiency virus/ Acquired immunodeficiency syndrome (HIV/AIDS) is one of the major public health Problem worldwide and its epidemic is occurring in populations where malnutrition is already endemic. Ethiopia is among the countries most affected by under nutrition and HIV epidemic in the region. The objective of this study was to determine the prevalence of under nutrition and associated factors among adult people living with HIV/AIDS and on ART in Achefer Woreda, North West Ethiopia.Methods and Materials: Institution based cross sectional study design was used and conducted from May 01–30/2015. Systematic random sampling technique was used to select the study subjects and the data was collected using clinical assessment, measurements and interviewer administered questionnaire. To identify independent predictors of under nutrition of adult people living with HIV/AIDS and on ART, we performed multivariable logistic regression analyses using SPSS version 20 with CI of 95% at p-value < 0. 05.Result: Three hundred fifty HIV/AIDS on ART patients were included in the study. The overall prevalence of under nutrition was 26.9% and females were most affected 57 (18.1%). Anti-retroviral treatment duration of 6-11months and 12–24 months (AOR = 4.72, 95% CI, 1.10-20.35) and (AOR = 6.93, 95% CI, 1.614–29.754) respectively, WHO Stage two and three (AOR = 3.01, 95% CI,1.061–8.534) and (AOR = 12.56, 95% CI, 4.27–36.99) respectively and dietary counseling (AOR = 0.20, 95% CI, .05-.78) were significantly associated with under nutrition.Conclusion and Recommendation: Undernutrition was high in PLWHA and on ART. ART duration, WHO clinical staging, presence of eating problem and dietary counselling were the predictors for under nutrition of HIV patients on ART. Only increasing access to ART can’t solve problem of under nutrition, therefore nutrition therapy and support, site expansion also as an accessory to the initiation of ART should be considered.


2021 ◽  
Author(s):  
Andreas D Haas ◽  
Cordelia Kunzekwenyika ◽  
Stefanie Hossmann ◽  
Josphat Manzero ◽  
Janneke H van Dijk ◽  
...  

Objectives: To examine the proportion of people living with HIV who screen positive for common mental disorders (CMD) and the associations between CMD and self-reported adherence to antiretroviral therapy (ART). Setting: Sixteen government-funded health facilities in the rural Bikita district of Zimbabwe. Design: Cross-sectional study. Participants: HIV-positive non-pregnant adults, aged 18 years or older, who lived in Bikita district and had received ART for at least six months. Outcome measures: The primary outcome was the proportion of participants screening positive for CMD defined as a Shona Symptoms Questionnaire (SSQ-14) score of 9 or greater. Secondary outcomes were the proportion of participants reporting suicidal ideation, perceptual symptoms, and suboptimal ART adherence and adjusted prevalence ratios (aPR) for factors associated with CMD, suicidal ideation, perceptual symptoms, and suboptimal ART adherence. Results: Out of 3,480 adults, 18.8% (95% confidence interval [CI] 14.8-23.7) screened positive for CMD, 2.7% (95% CI 1.5-4.7) reported suicidal ideations, and 1.5% (95% 0.9-2.6) reported perceptual symptoms. Positive CMD screens were more common in women (adjusted prevalence ratio [aPR] 1.67, 95% CI 1.19-2.35) than in men and were more common in adults aged 40-49 years (aPR 1.47 95% CI 1.16-1.85) or aged 50-59 years (20.3%; aPR 1.51 95% CI 1.05-2.17) than in those 60 years or older. Positive CMD screen was associated with suboptimal adherence (aPR 1.53; 95% CI 1.37-1.70). Conclusions: A substantial proportion of people living with HIV in rural Zimbabwe are affected by CMD. There is a need to integrate mental health services and HIV programs in rural Zimbabwe.


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