Adherence to Antiretroviral Therapy (Art) among Pregnant Women Living with HIV/AIDS in Okigwe Imo State, Nigeria
Asian Journal of Biochemistry, Genetics and Molecular Biology, Volume 12, Issue 4,
Page 60-74
DOI:
10.9734/ajbgmb/2022/v12i4271
Abstract
The antiretroviral medication (ART) compliance of expectant HIV/AIDS patients in Nigeria's Okigwe Imo state was investigated in this study. In particular, the study established the prevalence of HIV among expectant mothers in Okigwe Imo State, Nigeria, identified the behavioral and demographic factors associated with ART adherence, and looked at the obstacles to ART use among expectant mothers in Okigwe Imo State, Nigeria. The study adopted the AIDS risk reduction model by Catania and Coates, (1990), the pathway of survival model theory by Mosley and Chen (1984) and the health belief model by Rosenstock et al (1950). From the responses obtained and analysed, the findings revealed that the extent of the prevalence of HIV among pregnant women in Okigwe Imo State, Nigeria is low. Also, the findings revealed that there is a significant relationship between demography and ART adherence among pregnant women in Okigwe Imo State, Nigeria. The findings further revealed that there is a significant relationship between behaviour and ART adherence among pregnant women in Okigwe Imo State, Nigeria. The study therefore recommends that PMTCT services should be accessible to every pregnant woman attending antenatal care, either onsite or through a referral to a nearby clinic, to improve coverage. When it comes to locating PMTCT facilities, using a geographic information system can help eliminate inequity and enhance accessibility within states.
- Adherence
- antiretroviral therapy
- pregnant women
- HIV/AIDS
How to Cite
References
United Nations Program for HIV/AIDS (UNAIDS). HIV/AIDS and its effect on women in low income countries; 2018.
Abdool-Karim Q, Sibeko S, Baxter C. Preventing HIV infection in women: a global health imperative, Clinical Infectious Diseases. 2018;50(3):S122-S129 [Online].
Available:http://cid.oxfordjournals.org/content/50/Supplement_3/S122.full
Shaahu V, Lawoyin T, Sangowawa A. Adherence to highly active antiretroviral therapy (HAART) at a Federal Medical Centre. African Journal of Medical Sciences. 2018;37(1):29-36.
Suleiman I, Momo A. Adherence to antiretroviral therapy and its determinants among persons living with HIV/AIDS in Bayelsa state, Nigeria, Pharmacy Practice. 2016;14(1):1-8.
Amusa S. Towards promoting an African medical system: a critique of government responses to claims of a cure for HIV/AIDS in Nigeria, 1986-2007, Health, Culture and Society. 2015;4(1):37-51.
Ebuy H, Yebyo H, Alemayehu M. Level of adherence and predictors of adherence to the option B+ PMTCT programme in Tigray, northern Ethiopia. International Journal of Infectious Diseases. 2015;33:123-129.
United Nations Program for HIV/AIDS (UNAIDS). HIV/AIDS and its effect on women in low income countries; 2018.
Shaahu V, Lawoyin T, Sangowawa A. Adherence to highly active antiretroviral therapy (HAART) at a Federal Medical Centre. African Journal of Medical Sciences. 2018;37(1):29-36.
Suleiman I, Momo A. Adherence to antiretroviral therapy and its determinants among persons living withHIV/AIDS in Bayelsa state, Nigeria, Pharmacy Practice. 2016;14(1):1-8.
Abdool-Karim Q, Sibeko S, Baxter C. Preventing HIV infection in women: a global health imperative, Clinical Infectious Diseases. 2018;50(3):S122-S129 [Online].
Available: http://cid.oxfordjournals.org/content/50/Supplement_3/S122.full
Alemu F, Yalew A, Fantahun M, Ashu E. Antiretroviral therapy and pregnancy outcomes in developing countries: a systematic review. International Journal MCH and AIDS. 2015;3(1):31–43
Townsend C, Cortina-Borja M, Peckham C, Tookey P. Antiretroviral therapy and premature delivery in diagnosed HIV-infected women in the United Kingdom and Ireland, AIDS. 2017;21(8):1019-1026.
United Nations Children's Fund (UNICEF). Women: at the heart of the HIV response for children; 2018.
Available: https://data.unicef.org/wp-content/uploads/2018/07/Women-at-the- heart-of-the-HIV-response-for-children-report.pdf
Chesney M. Factors affecting adherence to antiretroviral therapy, Clinical Infectious Diseases. 2016;30(2):171-176.
Connor E, Sperling R, Gelber R, Kiselev P, Scott G, O'Sullivan M, Van Dyke R, Bey M, Shearer W, Jacobson R. Reduction of maternal-infant transmission of human immunodeficiency virus type 1 with zidovudine treatment, New England Journal of Medicine. 2014;331(18):1173-1180.
Dapaah J, Senah K. HIV/AIDS clients, privacy and confidentiality; the case of two health centres in the Ashanti Region of Ghana, BMC Medical Ethics. 2016;17(41):1-8.
Adedimeji A, Abboud N, Merdekios B, Shiferaw M. A qualitative study of barriers to effectiveness of interventions to prevent mother-to-child transmission of HIV in Arba Minch, Ethiopia. International Journal of Population Research. 2015;1-7.
Adefolalu A. Cognitive-behavioural theories and adherence: application and relevance in antiretroviral therapy. South African Journal of HIV Medicine. 2018;19(1):1-7.
Adekunle O. Influence of the level of awareness of secondary school students and their attitudes towards risky social behavior; 2013.
Ashimi A, Omole-Ohonsi A, Amole T, Ugwa E. Pregnant women's knowledge and attitude to mother to child transmission of human immuno-deficiency virus in a rural community in Northwest Nigeria. West African Journal of Medicine. 2014;33(1):68-73.
Desmond C. Consequences of HIV for children: avoidable or inevitable? AIDS Care. 2019;21(S1):98–104.
Enwereji E, Eke R. Review of useful theories for working with people who are living with HIV and AIDS. Journal of Clinical Research in HIV AIDS and Prevention. 2016;2(3):30-49.
Enwereji E, Enwereji K. Assessing factors that affect childbirth choices of people living positively with HIV/AIDS in Abia state of Nigeria. Oman Medical Journal. 2015;25(2):91–99.
United Nations Program for HIV/AIDS (UNAIDS). HIV/AIDS among pregnant women, the way forward; 2015.
United States Agency for International Development (USAID). Integrating prevention of mother-to-child transmission of HIV interventions with maternal, newborn, and child health services technical brief; 2016.
United Nations Children's Fund (UNICEF). Nigeria PMTCT; 2017.
Available:http://www.unicef.org/aids/files/Nigeria_PMTCTFactsheet_2010.pdf
(Accessed: March, 2022).
European Centre for Disease Prevention and Control. Evidence brief: men who sex with men; 2013.
Available:http://ecdc.europa.eu/en/publications/Publications/dublin-monitoring- evidence-brief-men-who-have-sex-with-men-october-2013.pdf
(Accessed: 19 March, 2022).
Duff P, Kipp W, Wild T, Rubaale T, Okech-Ojony J. Barriers to accessing highly active antiretroviral therapy by HIV-positive women attending an antenatal clinic in a regional hospital in western Uganda. Journal of the International AIDS Society. 2015;13(37):1-9.
United Nations Children's Fund (UNICEF) Nigeria PMTCT; 2017.
Available:http://www.unicef.org/aids/files/Nigeria_PMTCTFactsheet_2010.pdf (Accessed: March, 2022).
Boateng D, Kwapong G, Agyei-Baffour P. Knowledge, perception about antiretroviral therapy (ART) and prevention of mother-to-child-transmission (PMTCT) and adherence to ART among HIV positive women in the Ashanti Region, Ghana: a cross-sectional study, BMC Women’s Health. 2013;13(2):1-8.
United Nations Children's Fund (UNICEF) Nigeria PMTCT; 2017.
Available:http://www.unicef.org/aids/files/Nigeria_PMTCTFactsheet_2010.pdf
(Accessed: March, 2022).
United Nations Children's Fund (UNICEF) Nigeria PMTCT; 2018.
Available:http://www.unicef.org/aids/files/Nigeria_PMTCTFactsheet_2010.pdf
(Accessed: March, 2022).
Udoyen P. Understanding the basic concepts of a research process – iprojectblog; 2019.
European centre for disease prevention and control. Evidence brief: men who sex with men; 2013.
Available:http://ecdc.europa.eu/en/publications/Publications/dublin-monitoring- evidence-brief-men-who-have-sex-with-men-october-2013.pdf
(Accessed: 19 March, 2022).
Nwana D. Principles and practice of education for West Africa. Matanmi and Sons Publishing Company: Ilorin; 2005.
Torty V. Research methodology made easy-iprojectblog; 2021.
Duffy L. Culture and context of HIV prevention in rural Zimbabwe: the influence of gender inequality. Journal of Transcultural Nursing. 2015;16(1):23-31.
Elias M, Mmbaga E, Mohamed A, Kishimba R. Male partner involvement in the prevention of mother to child transmission of HIV infection in Mwanza Region, Tanzania. Pan African Medical Journal. 2017;27(90):1-7.
Rudrum S, Oliffe J, Brown H. Antenatal care and couples’ HIV testing in rural northern Uganda: a gender relations analysis. American Journal of Men’s Health. 2017;11(4):811–822.
Wiley Henry Mosley, Chen Lincoln C. An analytical framework for the study of child survival in developing countries Bull World Health Organ. 1984;81(2):140-5.
Rosenstock IM, Strecher VJ, Becker MH. Social learning theory and the health belief model. Health Education Quarterly. 1988;15:175–183.
Rujumba J, Neema S, Byamugisha R, Tylleskär T, Tumwine J, Heggenhougen H. Telling my husband I have HIV is too heavy to come out of my mouth: pregnant women's disclosure experiences and support needs following antenatal HIV testing in eastern Uganda. Journal of the International AIDS Society. 2013;15(2):1-10.
Emeka-Nwabunnia I, Ibeh B, Ogbulie T. High HIV sero-prevalence among students of institutions of higher education in Southeast Nigeria. Asian Pacific Journal of Tropical Disease. 2014;4(2):159–165.
Stephen O, Jakonda A, Alexander P. Cultural practices and prevalence of HIV/AIDS among Nigerian women: a case study of Lafia. Nigeria Research on Humanities and Social Sciences. 2015;5(18):12-16.
Saleem H, Kyeyagalire R, Lunsford S. Patient and provider perspectives on improving the linkage of HIV-positive pregnant women to long-term HIV care and treatment in eastern Uganda. African Journal of AIDS Research. 2014;13(1): 45-51.
Catania JA, Kegeles SM, Coates TJ. Towards an understanding of risk behavior: An AIDS risk reduction model (ARRM). Health Education Quarterly. 1990;17(1):53–72.
-
Abstract View: 151 times
PDF Download: 116 times
