Factors Affecting Level of Adherence Among People Living with HIV Attending Antiretroviral Care at Nnamdi Azikiwe University Teaching Hospital, Nnewi, Anambra State

Mary Nnenna Ibezim; Uchechukwu Chibuzo Ogbodo; John Ndie; Ogonnaya Kanu-Oji; Ndubuisi Oji; Michael Olugbamila Dada; Emeka Victor Ifemenam

doi:doi:10.11648/j.cajph.20200602.15

Factors Affecting Level of Adherence Among People Living with HIV Attending Antiretroviral Care at Nnamdi Azikiwe University Teaching Hospital, Nnewi, Anambra State

Mary Nnenna Ibezim, Uchechukwu Chibuzo Ogbodo, John Ndie, Ogonnaya Kanu-Oji, Ndubuisi Oji, Michael Olugbamila Dada, Emeka Victor Ifemenam

Published in Central African Journal of Public Health (Volume 6, Issue 2)

Received: 26 January 2020 Accepted: 10 February 2020 Published: 21 February 2020

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Abstract

The effectiveness of Antiretroviral Therapy (ART) portends a viable remedy for Human Immunodeficiency Virus (HIV) infection with some context-specific factors identified to pose barriers to adherence to treatment. Consequently, non-adherence to treatment regimens impacts on desired improved health outcomes of affected individuals and socio-economic status of the nation. This study was thus conducted to elicit specific factors that may be responsible for the poor health outcomes attributed to non-adherence among people living with HIV recorded in the study area. A cross-sectional study was conducted on people living with Human Immunodeficiency Virus (HIV) and attending ART clinic at Nnamdi Azikiwe University Teaching Hospital Nnewi from February to August 2016. Adherence was defined as taking 95% of the prescribed doses in the week before the survey. Data collected using a standard interview questionnaire were analyzed on SPSS Version 21. Among the 272 study participants, the magnitude of adherence to ART in the week before interview was found to be 85%. The main reasons for nonadherence were forgetfulness (32%), being away from home (29%), and being busy doing other things (14%). Age and monthly income appeared to influence treatment adherence of clients sampled in the study. The researcher recommends a more inclusive approach to HIV care and treatment for a stronger adherence to treatment and implicates care-givers especially nurses at the center of the drive for higher adherence rates in Nigeria. A qualitative approach to the study is also recommended.

Published in	Central African Journal of Public Health (Volume 6, Issue 2)
DOI	10.11648/j.cajph.20200602.15
Page(s)	80-87
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2020. Published by Science Publishing Group

Keywords

Adherence, Antiretroviral Therapy, Human Immunodeficiency Virus, People Living with HIV

References

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APA Style

Mary Nnenna Ibezim, Uchechukwu Chibuzo Ogbodo, John Ndie, Ogonnaya Kanu-Oji, Ndubuisi Oji, et al. (2020). Factors Affecting Level of Adherence Among People Living with HIV Attending Antiretroviral Care at Nnamdi Azikiwe University Teaching Hospital, Nnewi, Anambra State. Central African Journal of Public Health, 6(2), 80-87. https://doi.org/10.11648/j.cajph.20200602.15

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ACS Style

Mary Nnenna Ibezim; Uchechukwu Chibuzo Ogbodo; John Ndie; Ogonnaya Kanu-Oji; Ndubuisi Oji, et al. Factors Affecting Level of Adherence Among People Living with HIV Attending Antiretroviral Care at Nnamdi Azikiwe University Teaching Hospital, Nnewi, Anambra State. Cent. Afr. J. Public Health 2020, 6(2), 80-87. doi: 10.11648/j.cajph.20200602.15

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AMA Style

Mary Nnenna Ibezim, Uchechukwu Chibuzo Ogbodo, John Ndie, Ogonnaya Kanu-Oji, Ndubuisi Oji, et al. Factors Affecting Level of Adherence Among People Living with HIV Attending Antiretroviral Care at Nnamdi Azikiwe University Teaching Hospital, Nnewi, Anambra State. Cent Afr J Public Health. 2020;6(2):80-87. doi: 10.11648/j.cajph.20200602.15

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@article{10.11648/j.cajph.20200602.15,
  author = {Mary Nnenna Ibezim and Uchechukwu Chibuzo Ogbodo and John Ndie and Ogonnaya Kanu-Oji and Ndubuisi Oji and Michael Olugbamila Dada and Emeka Victor Ifemenam},
  title = {Factors Affecting Level of Adherence Among People Living with HIV Attending Antiretroviral Care at Nnamdi Azikiwe University Teaching Hospital, Nnewi, Anambra State},
  journal = {Central African Journal of Public Health},
  volume = {6},
  number = {2},
  pages = {80-87},
  doi = {10.11648/j.cajph.20200602.15},
  url = {https://doi.org/10.11648/j.cajph.20200602.15},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.cajph.20200602.15},
  abstract = {The effectiveness of Antiretroviral Therapy (ART) portends a viable remedy for Human Immunodeficiency Virus (HIV) infection with some context-specific factors identified to pose barriers to adherence to treatment. Consequently, non-adherence to treatment regimens impacts on desired improved health outcomes of affected individuals and socio-economic status of the nation. This study was thus conducted to elicit specific factors that may be responsible for the poor health outcomes attributed to non-adherence among people living with HIV recorded in the study area. A cross-sectional study was conducted on people living with Human Immunodeficiency Virus (HIV) and attending ART clinic at Nnamdi Azikiwe University Teaching Hospital Nnewi from February to August 2016. Adherence was defined as taking 95% of the prescribed doses in the week before the survey. Data collected using a standard interview questionnaire were analyzed on SPSS Version 21. Among the 272 study participants, the magnitude of adherence to ART in the week before interview was found to be 85%. The main reasons for nonadherence were forgetfulness (32%), being away from home (29%), and being busy doing other things (14%). Age and monthly income appeared to influence treatment adherence of clients sampled in the study. The researcher recommends a more inclusive approach to HIV care and treatment for a stronger adherence to treatment and implicates care-givers especially nurses at the center of the drive for higher adherence rates in Nigeria. A qualitative approach to the study is also recommended.},
 year = {2020}
}

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TY  - JOUR
T1  - Factors Affecting Level of Adherence Among People Living with HIV Attending Antiretroviral Care at Nnamdi Azikiwe University Teaching Hospital, Nnewi, Anambra State
AU  - Mary Nnenna Ibezim
AU  - Uchechukwu Chibuzo Ogbodo
AU  - John Ndie
AU  - Ogonnaya Kanu-Oji
AU  - Ndubuisi Oji
AU  - Michael Olugbamila Dada
AU  - Emeka Victor Ifemenam
Y1  - 2020/02/21
PY  - 2020
N1  - https://doi.org/10.11648/j.cajph.20200602.15
DO  - 10.11648/j.cajph.20200602.15
T2  - Central African Journal of Public Health
JF  - Central African Journal of Public Health
JO  - Central African Journal of Public Health
SP  - 80
EP  - 87
PB  - Science Publishing Group
SN  - 2575-5781
UR  - https://doi.org/10.11648/j.cajph.20200602.15
AB  - The effectiveness of Antiretroviral Therapy (ART) portends a viable remedy for Human Immunodeficiency Virus (HIV) infection with some context-specific factors identified to pose barriers to adherence to treatment. Consequently, non-adherence to treatment regimens impacts on desired improved health outcomes of affected individuals and socio-economic status of the nation. This study was thus conducted to elicit specific factors that may be responsible for the poor health outcomes attributed to non-adherence among people living with HIV recorded in the study area. A cross-sectional study was conducted on people living with Human Immunodeficiency Virus (HIV) and attending ART clinic at Nnamdi Azikiwe University Teaching Hospital Nnewi from February to August 2016. Adherence was defined as taking 95% of the prescribed doses in the week before the survey. Data collected using a standard interview questionnaire were analyzed on SPSS Version 21. Among the 272 study participants, the magnitude of adherence to ART in the week before interview was found to be 85%. The main reasons for nonadherence were forgetfulness (32%), being away from home (29%), and being busy doing other things (14%). Age and monthly income appeared to influence treatment adherence of clients sampled in the study. The researcher recommends a more inclusive approach to HIV care and treatment for a stronger adherence to treatment and implicates care-givers especially nurses at the center of the drive for higher adherence rates in Nigeria. A qualitative approach to the study is also recommended.
VL  - 6
IS  - 2
ER  -

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Author Information

Mary Nnenna Ibezim

Department of Nursing Sciences, National Open University of Nigeria, Enugu Study Center, Enugu, Enugu State, Nigeria
Uchechukwu Chibuzo Ogbodo

Department of Applied Biochemistry, Nnamdi Azikiwe University, Awka, Anambra State, Nigeria
John Ndie

Department of Nursing Sciences, National Open University of Nigeria, Enugu Study Center, Enugu, Enugu State, Nigeria
Ogonnaya Kanu-Oji

Department of Medicine and Surgery, Abia State University, Uturu, Abia State, Nigeria
Ndubuisi Oji

Institute of Development Studies, University of Nigeria, Enugu Campus, Enugu, Enugu State, Nigeria
Michael Olugbamila Dada

Department of Public Health, Texila American University, Georgetown, Guyana, USA
Emeka Victor Ifemenam

Department of Mechanical Engineering, Nnamdi Azikiwe University, Awka, Anambra State, Nigeria

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Mary Nnenna Ibezim, Uchechukwu Chibuzo Ogbodo, John Ndie, Ogonnaya Kanu-Oji, Ndubuisi Oji, et al. (2020). Factors Affecting Level of Adherence Among People Living with HIV Attending Antiretroviral Care at Nnamdi Azikiwe University Teaching Hospital, Nnewi, Anambra State. Central African Journal of Public Health, 6(2), 80-87. https://doi.org/10.11648/j.cajph.20200602.15

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ACS Style

Mary Nnenna Ibezim; Uchechukwu Chibuzo Ogbodo; John Ndie; Ogonnaya Kanu-Oji; Ndubuisi Oji, et al. Factors Affecting Level of Adherence Among People Living with HIV Attending Antiretroviral Care at Nnamdi Azikiwe University Teaching Hospital, Nnewi, Anambra State. Cent. Afr. J. Public Health 2020, 6(2), 80-87. doi: 10.11648/j.cajph.20200602.15

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AMA Style

Mary Nnenna Ibezim, Uchechukwu Chibuzo Ogbodo, John Ndie, Ogonnaya Kanu-Oji, Ndubuisi Oji, et al. Factors Affecting Level of Adherence Among People Living with HIV Attending Antiretroviral Care at Nnamdi Azikiwe University Teaching Hospital, Nnewi, Anambra State. Cent Afr J Public Health. 2020;6(2):80-87. doi: 10.11648/j.cajph.20200602.15

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@article{10.11648/j.cajph.20200602.15,
  author = {Mary Nnenna Ibezim and Uchechukwu Chibuzo Ogbodo and John Ndie and Ogonnaya Kanu-Oji and Ndubuisi Oji and Michael Olugbamila Dada and Emeka Victor Ifemenam},
  title = {Factors Affecting Level of Adherence Among People Living with HIV Attending Antiretroviral Care at Nnamdi Azikiwe University Teaching Hospital, Nnewi, Anambra State},
  journal = {Central African Journal of Public Health},
  volume = {6},
  number = {2},
  pages = {80-87},
  doi = {10.11648/j.cajph.20200602.15},
  url = {https://doi.org/10.11648/j.cajph.20200602.15},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.cajph.20200602.15},
  abstract = {The effectiveness of Antiretroviral Therapy (ART) portends a viable remedy for Human Immunodeficiency Virus (HIV) infection with some context-specific factors identified to pose barriers to adherence to treatment. Consequently, non-adherence to treatment regimens impacts on desired improved health outcomes of affected individuals and socio-economic status of the nation. This study was thus conducted to elicit specific factors that may be responsible for the poor health outcomes attributed to non-adherence among people living with HIV recorded in the study area. A cross-sectional study was conducted on people living with Human Immunodeficiency Virus (HIV) and attending ART clinic at Nnamdi Azikiwe University Teaching Hospital Nnewi from February to August 2016. Adherence was defined as taking 95% of the prescribed doses in the week before the survey. Data collected using a standard interview questionnaire were analyzed on SPSS Version 21. Among the 272 study participants, the magnitude of adherence to ART in the week before interview was found to be 85%. The main reasons for nonadherence were forgetfulness (32%), being away from home (29%), and being busy doing other things (14%). Age and monthly income appeared to influence treatment adherence of clients sampled in the study. The researcher recommends a more inclusive approach to HIV care and treatment for a stronger adherence to treatment and implicates care-givers especially nurses at the center of the drive for higher adherence rates in Nigeria. A qualitative approach to the study is also recommended.},
 year = {2020}
}

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TY  - JOUR
T1  - Factors Affecting Level of Adherence Among People Living with HIV Attending Antiretroviral Care at Nnamdi Azikiwe University Teaching Hospital, Nnewi, Anambra State
AU  - Mary Nnenna Ibezim
AU  - Uchechukwu Chibuzo Ogbodo
AU  - John Ndie
AU  - Ogonnaya Kanu-Oji
AU  - Ndubuisi Oji
AU  - Michael Olugbamila Dada
AU  - Emeka Victor Ifemenam
Y1  - 2020/02/21
PY  - 2020
N1  - https://doi.org/10.11648/j.cajph.20200602.15
DO  - 10.11648/j.cajph.20200602.15
T2  - Central African Journal of Public Health
JF  - Central African Journal of Public Health
JO  - Central African Journal of Public Health
SP  - 80
EP  - 87
PB  - Science Publishing Group
SN  - 2575-5781
UR  - https://doi.org/10.11648/j.cajph.20200602.15
AB  - The effectiveness of Antiretroviral Therapy (ART) portends a viable remedy for Human Immunodeficiency Virus (HIV) infection with some context-specific factors identified to pose barriers to adherence to treatment. Consequently, non-adherence to treatment regimens impacts on desired improved health outcomes of affected individuals and socio-economic status of the nation. This study was thus conducted to elicit specific factors that may be responsible for the poor health outcomes attributed to non-adherence among people living with HIV recorded in the study area. A cross-sectional study was conducted on people living with Human Immunodeficiency Virus (HIV) and attending ART clinic at Nnamdi Azikiwe University Teaching Hospital Nnewi from February to August 2016. Adherence was defined as taking 95% of the prescribed doses in the week before the survey. Data collected using a standard interview questionnaire were analyzed on SPSS Version 21. Among the 272 study participants, the magnitude of adherence to ART in the week before interview was found to be 85%. The main reasons for nonadherence were forgetfulness (32%), being away from home (29%), and being busy doing other things (14%). Age and monthly income appeared to influence treatment adherence of clients sampled in the study. The researcher recommends a more inclusive approach to HIV care and treatment for a stronger adherence to treatment and implicates care-givers especially nurses at the center of the drive for higher adherence rates in Nigeria. A qualitative approach to the study is also recommended.
VL  - 6
IS  - 2
ER  -

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