Utilization and Barriers to Secondary prophylaxis for Rheumatic Heart disease at Tikur Anbessa Specialized Hospital adults outpatient clinic, Addis Ababa, Ethiopia.
No Thumbnail Available
Date
2020-12
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
Addis Abeba University
Abstract
Background: Rheumatic heart disease (RHD) is one of the major causes of cardiovascular
disease in developing countries, affecting most of the young population. Secondary prophylaxis
in the form of benzathine penicillin is effective for preventing recurrent acute rheumatic fever
(ARF) and the progression of RHD. However, the low adherence rate reduced the effectiveness.
Therefore, a systematic generalizable tool is necessary to tackle the barriers.
Objective: The purpose of the study was to assess adherence and barriers to use secondary
prophylaxis for RHD, at Tikur Anbessa specialized hospital (TASH).
Methods: Cross-sectional study was conducted from June 5, 2020, to September 4, 2020, at
Tikur Anbessa Specialized Hospital, Ethiopia. A structured questioner was used for the data
collection on awareness, adherence, and barriers for benzathine penicillin prophylaxis in adults
with RHD. Data were analyzed using SPSS version 26.
Results: A total of 385 patients participated in this study, 305(79.6%) patients were aware, sore
throat associated with heart disease, and about 288 (75.6%) patients; know that benzathine
penicillin prevents tonsillitis. The adherence rate was 77.9% for benzathine penicillin
prophylaxis (BPG) while the left 85 patients (22.1%) were non-adhered to the prophylaxis. The
main barriers for none adherence in this study were the nonavailability of medication, forgetting,
and health professionals refuse to inject benzathine penicillin. Increased age was found to have a
significant association with adherence to BPG. For each one-year increase in the age of patients
with RHD, the percent odds of adherence decreases by 3% (P value 0.006)
Conclusion: Adherence level was low, which is below WHO recommendation. This study
insight important major barriers that affect secondary prophylaxis for RHD that can be used to
develop an intervention to improve adherence.
Description
Keywords
Rheumatic heart disease, adherence, barriers, secondary prophylaxis, Tikur Anbessa specialized Hospital