Determinants of adherence to antiretroviral therapy among women accessing prevention of mother to child transmission services in Ebonyi State, Nigeria
Joseph Agboeze1,&, Babatunde Adedokun2, Ikeola Adeoye2, Matthew Nwali1
1Department of Obstetrics and Gynaecology, Federal Teaching Hospital Abakaliki, Nigeria, 2Department of Epidemiology and Medical statistics, College of Medicine, University of Ibadan, Nigeria
Joseph Agboeze, Department of Obstetrics and Gynaecology, Federal Teaching Hospital Abakaliki, Nigeria
globally, mother-to-child transmission (MTCT) of HIV accounts for over 90% of all pediatrics infection. High level of adherence to antiretroviral drugs is needed to achieve maximal reduction of transmission in pregnancy. The effect of poor adherence among patients is evidenced by rising numbers of HIV positive babies of mother on PMTCT Programme. The purpose of this research is to determine the level of adherence among HIV-infected pregnant women on antiretroviral therapy for prevention of mother-to-child transmission (PMTCT), and to establish the factors that contribute to adherence.
a cross-sectional study was conducted among HIV positive pregnant women from
PMTCT clinic of Federal Teaching Hospital Abakaliki. Two hundred and sixty-eight
268 were recruited by systematic random sampling using pre-tested interviewer-administered
questionnaire. Information on socio-demographic characteristics, knowledge of
PMTCT, barriers to PMTCT and obstetric characteristics were obtained. Knowledge
on PMTCT was accessed and a score of < 80% indicated poor knowledge. Adherence
was self- reported and calculated based on a 3-day recall. A value <95% indicated
poor adherence. Data were analyzed using descriptive statistics, Chi square
and logistic regression with confidence interval set at 95%.
the mean age was 30.7 ± 4.2 years. Two hundred and nineteen (81.7%) of the respondents were married, 124 (46.3%) were traders and 141 (52.6%) had secondary education. The level of good adherence was 89.2% and 227 (89.0%) had good knowledge of PMTCT. Fear of being identified as HIV positive (21%) pregnancy related illness (13.7%) and forgetfulness (12.5%) were the most common reasons for non-adherence. Partners support [OR = 0.03 (95% CI = 0.01-0.09)], and Duration of ART use [OR = 4.39 (95% CI = 1.3 - 14.5)] were found to be significantly associated with good adherence. Only partner’s support was predictor of good adherence [aOR = 0.03 (95% CI = 0.01 - 0.09)].
the level of adherence was high among study participants. Stigmatization and pregnancy-related illness were associated with poor adherence while having partners’ support improve adherence to HAART. Interventions aimed at improving ART adherence in pregnancy should focus on these factors to guide counseling and to design programs.
Nigeria CDC/Nigeria Field Epidemiology and Laboratory Training Programme 2<sup>nd</sup> Annual Scientific Conference (Abuja)
To create a platform for epidemiologists and public health physicians to share their scientific works, NCDC/NFELTP organized the 2nd annual scientific conference with the theme "strengthening one health through field epidemiology training" at Transcorp Hilton Hotel, Abuja, Nigeria from July 5-7, 2017. The objectives of the conference were to provide residents and graduates a forum to share findings from their field activities; provide training opportunity for trainees on scientific communication; provide an opportunity for epidemiological networking as well as create a forum to discuss pertinent public health issues. In attendance were dignitaries from the United States Centers for Disease Control and Prevention (CDC), USAID, WHO, Africa CDC, Ministries Departments and Agencies, University officials and other implementing partners. With the current rise in zoonotic diseases, the conference also featured a two-day pre-conference workshop on One Health which prioritized zoonotic infectious diseases in Nigeria using standardized prioritization methods. A second workshop focused on antimicrobial resistance. There were 38 oral presentations, 60 poster presentations and 2 plenary sessions. The presentations covered various sub-themes ranging from outbreak investigations, case management, health system strengthening, vaccine preventable diseases, communicable diseases and surveillance. The conference featured a National Night and climaxed with awards to outstanding presenters.
Dates: 05 Jul 17 - 07 Jul 17
Venue: Transcorp Hilton Hotel
Organizers: Nigeria Centre for Disease Control / Nigeria Field Epidemiology and Laboratory Training Programme
Contact person: Dr Patrick Nguku (firstname.lastname@example.org)