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Adherence to Option B(+) Care for the Prevention of Mother-to-Child Transmission Among Pregnant Women in Ethiopia

PURPOSE: Even if progressive efforts were made in Ethiopia, half of new HIV infections result from mother-to-child transmission. Limited studies assessed the level and factors of adherence that differ among different populations across the country. So, this study aimed to investigate the level and p...

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Autores principales: Wondimu, Fikadu, Yetwale, Fisseha, Admassu, Endashew, Binu, Wakgari, Bulto, Gizachew Abdissa, Lake, Getie, Girmaye, Eden, Temesgen, Kababa, Marama, Taklu
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dove 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7682779/
https://www.ncbi.nlm.nih.gov/pubmed/33239922
http://dx.doi.org/10.2147/HIV.S282463
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author Wondimu, Fikadu
Yetwale, Fisseha
Admassu, Endashew
Binu, Wakgari
Bulto, Gizachew Abdissa
Lake, Getie
Girmaye, Eden
Temesgen, Kababa
Marama, Taklu
author_facet Wondimu, Fikadu
Yetwale, Fisseha
Admassu, Endashew
Binu, Wakgari
Bulto, Gizachew Abdissa
Lake, Getie
Girmaye, Eden
Temesgen, Kababa
Marama, Taklu
author_sort Wondimu, Fikadu
collection PubMed
description PURPOSE: Even if progressive efforts were made in Ethiopia, half of new HIV infections result from mother-to-child transmission. Limited studies assessed the level and factors of adherence that differ among different populations across the country. So, this study aimed to investigate the level and predictors of adherence to the prevention of mother-to-child transmission (PMTCT) Option B(+) care among pregnant women in central Ethiopia. METHODS: A facility-based cross-sectional study design was conducted to interview 347 HIV positive pregnant women. Using a multistage sampling technique, participants were recruited from twelve health facilities based on probability proportional to the number of clients. The collected data on socio-demographics, healthcare delivery, clinical and individual factors were entered into EpiInfo v7.2.2.6, and further analysis was done using SPSS v23 software. Adherence was measured based on client self-report either as adherent and non-adherent. Bivariate and multivariate logistic regressions were undertaken to see the association between variables. Statistically significant variables were declared using an adjusted odds ratio with a 95% confidence interval. RESULTS: The overall adherence to option B(+) was 80.2% (95% CI: 76.3–84.5%). Time of ART initiation (AOR=3.23; 95% CI: 1.09–6.59), fear of stigma for taking ARV (AOR=5.06; 95% CI: 1.79–10.26), ANC appointment (AOR=4.62; 95% CI: 1.48–6.42), male partner support (AOR=2.23; 95% CI: 1.11–4.50), and counseling (AOR=5.36: 95% CI: 1.00–8.58) were the associated factors with level of adherence. CONCLUSION: The overall adherence level to Option B(+) care in this study was inadequate to suppress the viral load during pregnancy. The result revealed that keeping adherence to ARVs during pregnancy is still challenging. So, all concerned bodies need to give attention to minimize the barriers from the client, environment, and health system perspectives.
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spelling pubmed-76827792020-11-24 Adherence to Option B(+) Care for the Prevention of Mother-to-Child Transmission Among Pregnant Women in Ethiopia Wondimu, Fikadu Yetwale, Fisseha Admassu, Endashew Binu, Wakgari Bulto, Gizachew Abdissa Lake, Getie Girmaye, Eden Temesgen, Kababa Marama, Taklu HIV AIDS (Auckl) Original Research PURPOSE: Even if progressive efforts were made in Ethiopia, half of new HIV infections result from mother-to-child transmission. Limited studies assessed the level and factors of adherence that differ among different populations across the country. So, this study aimed to investigate the level and predictors of adherence to the prevention of mother-to-child transmission (PMTCT) Option B(+) care among pregnant women in central Ethiopia. METHODS: A facility-based cross-sectional study design was conducted to interview 347 HIV positive pregnant women. Using a multistage sampling technique, participants were recruited from twelve health facilities based on probability proportional to the number of clients. The collected data on socio-demographics, healthcare delivery, clinical and individual factors were entered into EpiInfo v7.2.2.6, and further analysis was done using SPSS v23 software. Adherence was measured based on client self-report either as adherent and non-adherent. Bivariate and multivariate logistic regressions were undertaken to see the association between variables. Statistically significant variables were declared using an adjusted odds ratio with a 95% confidence interval. RESULTS: The overall adherence to option B(+) was 80.2% (95% CI: 76.3–84.5%). Time of ART initiation (AOR=3.23; 95% CI: 1.09–6.59), fear of stigma for taking ARV (AOR=5.06; 95% CI: 1.79–10.26), ANC appointment (AOR=4.62; 95% CI: 1.48–6.42), male partner support (AOR=2.23; 95% CI: 1.11–4.50), and counseling (AOR=5.36: 95% CI: 1.00–8.58) were the associated factors with level of adherence. CONCLUSION: The overall adherence level to Option B(+) care in this study was inadequate to suppress the viral load during pregnancy. The result revealed that keeping adherence to ARVs during pregnancy is still challenging. So, all concerned bodies need to give attention to minimize the barriers from the client, environment, and health system perspectives. Dove 2020-11-19 /pmc/articles/PMC7682779/ /pubmed/33239922 http://dx.doi.org/10.2147/HIV.S282463 Text en © 2020 Wondimu et al. http://creativecommons.org/licenses/by-nc/3.0/ This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (https://www.dovepress.com/terms.php).
spellingShingle Original Research
Wondimu, Fikadu
Yetwale, Fisseha
Admassu, Endashew
Binu, Wakgari
Bulto, Gizachew Abdissa
Lake, Getie
Girmaye, Eden
Temesgen, Kababa
Marama, Taklu
Adherence to Option B(+) Care for the Prevention of Mother-to-Child Transmission Among Pregnant Women in Ethiopia
title Adherence to Option B(+) Care for the Prevention of Mother-to-Child Transmission Among Pregnant Women in Ethiopia
title_full Adherence to Option B(+) Care for the Prevention of Mother-to-Child Transmission Among Pregnant Women in Ethiopia
title_fullStr Adherence to Option B(+) Care for the Prevention of Mother-to-Child Transmission Among Pregnant Women in Ethiopia
title_full_unstemmed Adherence to Option B(+) Care for the Prevention of Mother-to-Child Transmission Among Pregnant Women in Ethiopia
title_short Adherence to Option B(+) Care for the Prevention of Mother-to-Child Transmission Among Pregnant Women in Ethiopia
title_sort adherence to option b(+) care for the prevention of mother-to-child transmission among pregnant women in ethiopia
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7682779/
https://www.ncbi.nlm.nih.gov/pubmed/33239922
http://dx.doi.org/10.2147/HIV.S282463
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