|Title:||The practice and challenges of providing anti-retroviral therapy in Kuyu Hospital, North Shoa|
|Keywords:||The study was conducted in Kuyu hospital,|
|Publisher:||Addis Ababa University|
|Abstract:||The study was conducted in Kuyu hospital, North Shoa zone which is located at 155 K.ms away from Addis Ababa, the capital city of Ethiopia, on the main road to Northern part of Ethiopia. The study was aimed at the assessment of levels of HAART adherence and factors affecting it. An observational and cross-sectional study using IMB model was conducted on a randomly selected 138 HIV/AIDS patients on a HAART regimen in the Hospital. Data collection was done by interviewing respondents using a structured questionnaire. The descriptive and inferential statistics was performed using SPSS program to summarize, describe and to assess association between the ART adherences to other explanatory variables. Consequently, the results revealed that the majority of the HIV patients are females (62.3%) of the age above 14 years (88.4%). It also showed that more percent of the patients lived with HIV for more than 15 years (52.2%). More patients are found to be from urban/town (55.8%) and the majority are married (56.48%). They are mostly Orthodox religion followers (68.1%) and are from Oromo ethnic group (81.2%). The educational status of the patients was assessed and most of them can read and write (44.9%) and are farmers (55.1%). Regarding the information on ART, the majority gets information from health care providers (77.54%). The majority of the patients do not have awareness in the benefits of the regimen (52.17%). Nearly 85.51% believes that all HIV patients are eligible for ART. Most patients tend to understand about the adherence (85.1%). The majority of the patients have started ART in the last 1-3 months (52.34%). But, majority of the patients do not know about the types of the medications (58.7%), however they benefited an improved quality of life after they start ART (74.64%). More patients have also told about the side effects (46.38%) and the most frequent side effect they experienced is headache (38.41%). They have also assessed for the measures taken to relief the side effects and the majorities tend to stop taking the pills (41.30%). By stopping the pills they get improved oral thrush (85.51%). They have also assessed whether they have been admitted and the majority have admitted to the hospital (72.88%). The majority of the patients are not also convinced when they start the ART (51.45%). More patients are using pill boxes as a schedule for memory aids (50.72%) and most of them have got emotional practical supports from their friends with high care and emotion (54.35%). The majority have got unstable emotional pattern (46.38%). The majority are using active substance such drug and alcohol (54.52%). The active substance they use is mainly alcohol (50%). The majorities of the patients belief in efficacy of the medication. More have a missed day experiences (49.28%) and the majority have willingness to count the pills (48.55%). The majority do not follow the clinical appointments regularly because of some unknown reasons (57.25%). From the tests of association, the results have shown that males have better understanding about adherence. we can also see that males needs family and other support and more females belief in efficacy of medication and needs education about the importance of medication for adherence. Moreover, we can see that patients from urban have better understanding about adherence and more patients from urban needs family and other support and belief in efficacy of medication when compared to patients from rural, and more patients from rural needs education about the importance of medication for adherence. Finally, the result revealed that more singles need family and other support and more married belief in efficacy of medication followed by widowed patients for adherence.|
|Appears in Collections:||Thesis-Psychology|
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