Level of non-adherence and its associated factors among adults on first-line antiretroviral therapy in Amhara Regional State, Ethiopia.
<h4>Background</h4>In Ethiopia, nearly one-third of people living with human immunodeficiency viruses do not adhere to antiretroviral therapy. Moreover, information regarding non-adherence and its associated factors among adults on first-line antiretroviral therapy in Northeast Ethiopia...
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doaj-eab70391950848d79599c00c369d085f2021-08-14T04:30:30ZengPublic Library of Science (PLoS)PLoS ONE1932-62032021-01-01168e025591210.1371/journal.pone.0255912Level of non-adherence and its associated factors among adults on first-line antiretroviral therapy in Amhara Regional State, Ethiopia.Setognal Birara AychiluhmAbay Woday TadesseKusse Urmale MareMequannent Sharew MelakuIbrahim Mohammed IbrahimOsman AhmedOumer Abdulkadir EbrahimMohammed WagrisYonatan MenberAyesheshim Muluneh Kassa<h4>Background</h4>In Ethiopia, nearly one-third of people living with human immunodeficiency viruses do not adhere to antiretroviral therapy. Moreover, information regarding non-adherence and its associated factors among adults on first-line antiretroviral therapy in Northeast Ethiopia is limited. Therefore, this study aimed to assess the level of non-adherence and its associated factors among adults on first-line antiretroviral therapy in North Shewa Zone, Amhara Regional State, Ethiopia.<h4>Methods</h4>A facility-based cross-sectional study was conducted on 326 participants selected by systematic random sampling technique from the five randomly selected public health facilities. Data were collected using the questionnaire adapted from the studies conducted previously and the collected data were entered into Epi data version 3.1 and exported to Stata version 14 for further analysis. Multivariable logistic regression analysis was done and an adjusted odds ratio with its corresponding 95% confidence interval was used to declare a statistical significance.<h4>Results</h4>The overall prevalence of non-adherence was 17.4% [95% CI: (12.8%, 21.2%)]. Patients with no formal education [AOR (95% CI) = 5.57 (1.97, 15.88)], those who did not use memory aids to take their medications [AOR (95% CI) = 3.01 (1.27, 7.11)], travel more than 10 kilometers to visit the nearby antiretroviral therapy clinics [AOR (95% CI) = 2.42 (1.22, 25.86)], those who used substance [AOR (95% CI) = 3.57 (1.86, 28.69)], and patients whose medication time interfered with their daily routine activities [AOR (95% CI) = 15.46 (4.41, 54.28) had higher odds of having non-adherence to first-line antiretroviral therapy compared to their counter groups.<h4>Conclusion</h4>The level of non-adherence to first-line antiretroviral therapy was 17.4%, higher compared to WHO's recommendation. Hence, patients counseling focused on avoiding substance use, use memory aids, and adjusting working time with medication schedule are very crucial. Furthermore, the ministry of health and the regional health bureau with other stakeholders should expand antiretroviral therapy service delivery at health facilities that are close to the community to address distance barriers.https://doi.org/10.1371/journal.pone.0255912 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Setognal Birara Aychiluhm Abay Woday Tadesse Kusse Urmale Mare Mequannent Sharew Melaku Ibrahim Mohammed Ibrahim Osman Ahmed Oumer Abdulkadir Ebrahim Mohammed Wagris Yonatan Menber Ayesheshim Muluneh Kassa |
spellingShingle |
Setognal Birara Aychiluhm Abay Woday Tadesse Kusse Urmale Mare Mequannent Sharew Melaku Ibrahim Mohammed Ibrahim Osman Ahmed Oumer Abdulkadir Ebrahim Mohammed Wagris Yonatan Menber Ayesheshim Muluneh Kassa Level of non-adherence and its associated factors among adults on first-line antiretroviral therapy in Amhara Regional State, Ethiopia. PLoS ONE |
author_facet |
Setognal Birara Aychiluhm Abay Woday Tadesse Kusse Urmale Mare Mequannent Sharew Melaku Ibrahim Mohammed Ibrahim Osman Ahmed Oumer Abdulkadir Ebrahim Mohammed Wagris Yonatan Menber Ayesheshim Muluneh Kassa |
author_sort |
Setognal Birara Aychiluhm |
title |
Level of non-adherence and its associated factors among adults on first-line antiretroviral therapy in Amhara Regional State, Ethiopia. |
title_short |
Level of non-adherence and its associated factors among adults on first-line antiretroviral therapy in Amhara Regional State, Ethiopia. |
title_full |
Level of non-adherence and its associated factors among adults on first-line antiretroviral therapy in Amhara Regional State, Ethiopia. |
title_fullStr |
Level of non-adherence and its associated factors among adults on first-line antiretroviral therapy in Amhara Regional State, Ethiopia. |
title_full_unstemmed |
Level of non-adherence and its associated factors among adults on first-line antiretroviral therapy in Amhara Regional State, Ethiopia. |
title_sort |
level of non-adherence and its associated factors among adults on first-line antiretroviral therapy in amhara regional state, ethiopia. |
publisher |
Public Library of Science (PLoS) |
series |
PLoS ONE |
issn |
1932-6203 |
publishDate |
2021-01-01 |
description |
<h4>Background</h4>In Ethiopia, nearly one-third of people living with human immunodeficiency viruses do not adhere to antiretroviral therapy. Moreover, information regarding non-adherence and its associated factors among adults on first-line antiretroviral therapy in Northeast Ethiopia is limited. Therefore, this study aimed to assess the level of non-adherence and its associated factors among adults on first-line antiretroviral therapy in North Shewa Zone, Amhara Regional State, Ethiopia.<h4>Methods</h4>A facility-based cross-sectional study was conducted on 326 participants selected by systematic random sampling technique from the five randomly selected public health facilities. Data were collected using the questionnaire adapted from the studies conducted previously and the collected data were entered into Epi data version 3.1 and exported to Stata version 14 for further analysis. Multivariable logistic regression analysis was done and an adjusted odds ratio with its corresponding 95% confidence interval was used to declare a statistical significance.<h4>Results</h4>The overall prevalence of non-adherence was 17.4% [95% CI: (12.8%, 21.2%)]. Patients with no formal education [AOR (95% CI) = 5.57 (1.97, 15.88)], those who did not use memory aids to take their medications [AOR (95% CI) = 3.01 (1.27, 7.11)], travel more than 10 kilometers to visit the nearby antiretroviral therapy clinics [AOR (95% CI) = 2.42 (1.22, 25.86)], those who used substance [AOR (95% CI) = 3.57 (1.86, 28.69)], and patients whose medication time interfered with their daily routine activities [AOR (95% CI) = 15.46 (4.41, 54.28) had higher odds of having non-adherence to first-line antiretroviral therapy compared to their counter groups.<h4>Conclusion</h4>The level of non-adherence to first-line antiretroviral therapy was 17.4%, higher compared to WHO's recommendation. Hence, patients counseling focused on avoiding substance use, use memory aids, and adjusting working time with medication schedule are very crucial. Furthermore, the ministry of health and the regional health bureau with other stakeholders should expand antiretroviral therapy service delivery at health facilities that are close to the community to address distance barriers. |
url |
https://doi.org/10.1371/journal.pone.0255912 |
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