School of Health Sciences (Western Campus)

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Browsing School of Health Sciences (Western Campus) by Subject "Adherence"

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    Factors influencing adherence to option b+ among hiv positive pregnant and lactating mothers at kalisizo hospital, Rakia district
    (Kampala international international: School of Health Sciences, 2017-04) Sylvia, Bukirwa
    Globally, 30-45% of infants born to HIV-positive mothers become infected during pregnancy, child birth and breastfeeding due to poor ARV adherence. Therefore, the purpose of the study was to determine factors influencing adherence to option B+ among HIV positive pregnant and lactating mothers at Kalisizo hospital, Rakai district. A descriptive cross-sectional study and quantitative methods of data collection was used. 58 mothers were selected by purposive sampling technique. Data collected using well- structured questionnaire was analyzed using Microsoft excel and word. 90% of the mothers knew the meaning of adherence to option B+. 60%did not adhere to EMTCT drugs as 49% lacked transport, 20% were fearing people, 20% were feeling healthy state and 9% reported forgetfulness, while the least2% missed drugs while away from home. 52% reported that EMTCT/Option B+ helps to prevent HIV transmission to babies. Major socio-economic factor was transport challenge as 69% used >2000/= and74% used Bodaboda. 84%moved 6KM or more from home and 57% could wait for services for over 4 hours. Although 59% were satisfied with the health staff assistance and overall rate towards quality of services was good, still study findings revealed poor adherence due to the above factors. Emphasis on intensive adherence counseling to the HIV positive pregnant and lactating mothers is needed to improve on adherence. Advising them on income generating activities is needed to enable them earn some money.
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    The level of art adherence among HIV and aids patients attending Kilembe mines hospital art-clinic, Kasese district
    (Kampala international international: School of Health Sciences, 2017-07) Latifa, Nankya
    Background: Introduction and adopted use of ART has shown reduction in HIV related mortality and morbidity in people with HIV/AIDS. However high levels of ART adherence (>95%) is required to achieve effective suppression of viral load among patients. Objective: The study was aimed at determining the level of ART adherence and the associated factors among HIV/AIDS patients attending Kilembe mines hospital in Kasese District. Methods: A cross-sectional descriptive study design was used to obtain qualitative data using a structured questionnaire administered to participants. Systematic random sampling was used to obtain 109 study participants attending Kilembe Mines Hospital. The data analyzed was presented using frequency tables. Results: The results indicated that the adherence to ART by patients at the Kilembe Hospital ART Clinic was 70%. This level of adherence was associated with several factors including stigmatization, distance to health facility, gender discrimination and side effects arising from ART. Conclusion: The observed level of ART adherence was 70% associated with patient, treatment and health system factors. Continuous community health education and campaigns against stigma and gender discrimination will improve ART adherence among HIV patients.