scholarly journals Depression and Associated Factors Among Adult HIV/AIDS Patients Attending Antiretroviral Therapy at Wolaita Sodo University Teaching and Referral Hospital, Southern Ethiopia

2020 ◽  
Vol Volume 12 ◽  
pp. 707-715
Author(s):  
Abera Beyamo ◽  
Terefu Bashe ◽  
Wolde Facha ◽  
Tezera Moshago
2019 ◽  
Author(s):  
Muktar Abadiga

Abstract BACK GROUND Antiretroviral therapy has a remarkable clinical effect in decreasing the viral replication, reducing the progress of AIDS and deaths related to AIDS. The clinical outcome of ART depends on the strict adherence to antiretroviral medication. However; only a few studies have been done on the adherence status of ART and its determinant factors in Ethiopia and this study could provide an opportunity to identify obstacles to taking medication. Therefore, the purpose of this study was to assess adherence status and associated factors among HIV infected patients on ART attending Nekemte referral hospital, West Ethiopia. METHODS Institutional based cross-sectional study was conducted on 311 HIV/AIDS patients, from March 01 to March 30, 2019. The study participants were selected by simple random sampling method and were interviewed using structured questionnaires. The data were coded, checked, cleaned and entered into Epi data version 3.1 and then exported to SPSS window version 20.0 for analysis. Multivariable logistic regression was used to find the independent variables which best predict adherence. Association and statistical significance were measured using odds ratio at 95% confidence interval and p-value less than 0.05. RESULTS A total of 305 HIV/AIDS patients were included in this study. Out of this,73.1% were adhered to their medication. Respondent’s knowledge about HIV and its treatment (AOR=8.13, 95% CI: 3.06, 21.61), family/social support (AOR=7.36, 95% CI: 2.07, 26.10), adverse effects of ARV medications (AOR=5.62, 95% CI: 2.11, 14.93), co-morbidity of other chronic illness (AOR=5.46, 95% CI: 1.86, 16.02), and family disclosure status (AOR= 5.27, 95% CI: 2.20, 12.62) were significantly associated with adherence to medication among HIV/AIDS patients. CONCLUSION In this study, the level of adherence to antiretroviral therapy was found low compared to the WHO standard. The clinician should emphasize adverse drug reaction, early detect and treat co-morbidities, improve knowledge through health education, and encourage HIV/AIDS patient to disclose their HIV status.


2020 ◽  
Vol 78 (1) ◽  
Author(s):  
Tsegu Hailu Gebru ◽  
Haftea Hagos Mekonen ◽  
Kbrom Gemechu Kiros

Abstract Background Undernutrition and HIV/AIDS are highly prevalent in sub-Saharan Africa, Ethiopia inclusive as linked in a vicious cycle. Thus, several studies have documented that undernutrition among HIV/AIDS patients increases the risk of mortality, decrease survival rates, affect the overall clinical outcome and quality of life. Despite this fact, information about the burden of undernutrition and associated factors among adults receiving antiretroviral therapy is lacking in the particular study area. Hence, this study aimed to examine the prevalence of undernutrition and associated factors among adult HIV/AIADS patients receiving antiretroviral therapy patients in Eastern Zone of Tigray, Northern Ethiopia. Methods A cross-sectional research design was adopted in data collection while systematic sampling technique was employed to sample and select the study subjects. A structured questionnaire was used to collect information from 394 study subjects through face to face method. Also, data on demographics, laboratory and anthropometric variables were collected from each selected patients sampled. The data collected were entered and analyzed using SPSS version 22.. Bivariate and multivariable logistic regression analysis with 95% confidence interval were used to find factors associated with undernutrition. The adjusted odds ratio was calculated to show the strength of the association. Variables with p-value of < 0.05 were considered statically significant. Results The mean age of the respondents was 41 (± 10). Out of 394 study respondents, about 42.9% of them were undernourished (95% CI: 37.8–47.7). Respondents who had CD4+ count less than 200 cells/μl (AOR = 1.84; 95% CI: 1–3.36), being advanced clinical staging (AOR = 3.6; 95% CI: 2.11–6.18), and not taking co-trimoxazole preventive therapy (AOR = 2.38; 95% CI: 1.21–4.6) were independently associated with undernutrition. Conclusion The result of this study indicated that the prevalence of undernutrition was high. Respondents with advanced clinical stage of CD4+ count less than 200 cells/ul and those that were not taking co-trimoxazole preventive therapy was found to be positively associated with undernutrition. Therefore, the implementation of nutritional programs is very crucial to improve the nutritional status of HIV/AIDS patients in the particular study.


Anemia ◽  
2020 ◽  
Vol 2020 ◽  
pp. 1-6
Author(s):  
Yeshimebet Gebereselassie ◽  
Mesganaw BirhanSelassie ◽  
Tadesse Menjetta ◽  
Jemal Alemu ◽  
Aster Tsegaye

Background. Anemia is a widespread public health problem associated with increased risk of morbidity and mortality. Infants, under-5-year-old children, and pregnant women have greater susceptibility to anemia. The magnitude and associated risk factors for anemia vary in different settings. The study aimed to assess the magnitude, severity, and associated factors of anemia at Hawassa University Teaching and Referral hospital, Hawassa, southern Ethiopia. Methods. In a hospital-based cross-sectional study, a total of 422 under-five children were included. Sociodemographic data and other predisposing factors were collected by structured questionnaire. Venous blood samples were collected and analyzed for hemoglobin determination using a Cell-Dyn 1800 automated analyzer. Stool samples were collected and processed using direct wet mount and formol-ether concentration method to detect intestinal parasites. Data were entered and analyzed using SPSS version 20 statistical packages. Binary and multiple logistic regressions were computed to assess factors associated with anemia. p value less than 0.05 was taken as statistically significant. Result. The overall prevalence of anemia was found to be 41.7%. The mean hemoglobin level was 10.59 g/dl. Anemia was of mild, moderate, and severe type in 6.6%, 19%, and 16.1% of the children, respectively. Children in the age group 6–23 months (AOR = 2.04 (95% CI: 1.13, 3.69)), and mothers having no formal education (AOR = 1.73 (95% CI: 0.99, 3.02)) were identified as associated factors for anemia. Conclusion. The prevalence of anemia among the study subjects was 41.7% indicative of the fact that anemia is an important public health problem. It was associated with the child’s age, residence, mother’s education level, and intestinal parasite (Ascaris lumbricoides). It clearly indicates that there should be well integrated public health interventions to improve the health status that needs to be prioritized to prevent anemia among children under five years of age.


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