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

Fikadu Wondimu,1 Fisseha Yetwale,2 Endashew Admassu,2 Wakgari Binu,3 Gizachew Abdissa Bulto,1 Getie Lake,2 Eden Girmaye,1 Kababa Temesgen,1 Taklu Marama4 1Department of Midwifery, College of Medicine and Health Sciences, Ambo University, Ambo, Ethiopia; 2School of Midwifery, College of Medicine and...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Wondimu F, Yetwale F, Admassu E, Binu W, Bulto GA, Lake G, Girmaye E, Temesgen K, Marama T
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2020
Materias:	pmtct care adherence level pregnant women ethiopia Immunologic diseases. Allergy RC581-607
Acceso en línea:	https://doaj.org/article/55e99f4510cc442d936ff6e99afa0484
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:55e99f4510cc442d936ff6e99afa0484
record_format	dspace
spelling	oai:doaj.org-article:55e99f4510cc442d936ff6e99afa04842021-12-02T16:04:04ZAdherence to Option B+ Care for the Prevention of Mother-to-Child Transmission Among Pregnant Women in Ethiopia1179-1373https://doaj.org/article/55e99f4510cc442d936ff6e99afa04842020-11-01T00:00:00Zhttps://www.dovepress.com/adherence-to-option-b-care-for-the-prevention-of-mother-to-child-trans-peer-reviewed-article-HIVhttps://doaj.org/toc/1179-1373Fikadu Wondimu,1 Fisseha Yetwale,2 Endashew Admassu,2 Wakgari Binu,3 Gizachew Abdissa Bulto,1 Getie Lake,2 Eden Girmaye,1 Kababa Temesgen,1 Taklu Marama4 1Department of Midwifery, College of Medicine and Health Sciences, Ambo University, Ambo, Ethiopia; 2School of Midwifery, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia; 3School of Public Health, College of Health Sciences and Medicine, Wolaita Sodo University, Wolaita Sodo, Ethiopia; 4Department of Midwifery, College of Health Sciences and Medicine, Wolaita Sodo University, Wolaita Sodo, EthiopiaCorrespondence: Wakgari BinuSchool of Public Health, College of Health Sciences and Medicine, Wolaita Sodo University, P.o. Box: 138, Wolaita Sodo, EthiopiaTel +251 910107704Email nubonsa@gmail.comPurpose: 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.Keywords: PMTCT care, adherence level, pregnant women, EthiopiaWondimu FYetwale FAdmassu EBinu WBulto GALake GGirmaye ETemesgen KMarama TDove Medical Pressarticlepmtct careadherence levelpregnant womenethiopiaImmunologic diseases. AllergyRC581-607ENHIV/AIDS: Research and Palliative Care, Vol Volume 12, Pp 769-778 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	pmtct care adherence level pregnant women ethiopia Immunologic diseases. Allergy RC581-607
spellingShingle	pmtct care adherence level pregnant women ethiopia Immunologic diseases. Allergy RC581-607 Wondimu F Yetwale F Admassu E Binu W Bulto GA Lake G Girmaye E Temesgen K Marama T Adherence to Option B+ Care for the Prevention of Mother-to-Child Transmission Among Pregnant Women in Ethiopia
description	Fikadu Wondimu,1 Fisseha Yetwale,2 Endashew Admassu,2 Wakgari Binu,3 Gizachew Abdissa Bulto,1 Getie Lake,2 Eden Girmaye,1 Kababa Temesgen,1 Taklu Marama4 1Department of Midwifery, College of Medicine and Health Sciences, Ambo University, Ambo, Ethiopia; 2School of Midwifery, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia; 3School of Public Health, College of Health Sciences and Medicine, Wolaita Sodo University, Wolaita Sodo, Ethiopia; 4Department of Midwifery, College of Health Sciences and Medicine, Wolaita Sodo University, Wolaita Sodo, EthiopiaCorrespondence: Wakgari BinuSchool of Public Health, College of Health Sciences and Medicine, Wolaita Sodo University, P.o. Box: 138, Wolaita Sodo, EthiopiaTel +251 910107704Email nubonsa@gmail.comPurpose: 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.Keywords: PMTCT care, adherence level, pregnant women, Ethiopia
format	article
author	Wondimu F Yetwale F Admassu E Binu W Bulto GA Lake G Girmaye E Temesgen K Marama T
author_facet	Wondimu F Yetwale F Admassu E Binu W Bulto GA Lake G Girmaye E Temesgen K Marama T
author_sort	Wondimu F
title	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_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_sort	adherence to option b+ care for the prevention of mother-to-child transmission among pregnant women in ethiopia
publisher	Dove Medical Press
publishDate	2020
url	https://doaj.org/article/55e99f4510cc442d936ff6e99afa0484
work_keys_str_mv	AT wondimuf adherencetooptionbcareforthepreventionofmothertochildtransmissionamongpregnantwomeninethiopia AT yetwalef adherencetooptionbcareforthepreventionofmothertochildtransmissionamongpregnantwomeninethiopia AT admassue adherencetooptionbcareforthepreventionofmothertochildtransmissionamongpregnantwomeninethiopia AT binuw adherencetooptionbcareforthepreventionofmothertochildtransmissionamongpregnantwomeninethiopia AT bultoga adherencetooptionbcareforthepreventionofmothertochildtransmissionamongpregnantwomeninethiopia AT lakeg adherencetooptionbcareforthepreventionofmothertochildtransmissionamongpregnantwomeninethiopia AT girmayee adherencetooptionbcareforthepreventionofmothertochildtransmissionamongpregnantwomeninethiopia AT temesgenk adherencetooptionbcareforthepreventionofmothertochildtransmissionamongpregnantwomeninethiopia AT maramat adherencetooptionbcareforthepreventionofmothertochildtransmissionamongpregnantwomeninethiopia
_version_	1718385272267210752

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

Ejemplares similares