Assessment of Anti-Retroviral Therapy Adherence and its Determinants among HIV-Positive Mentally Ill Patients Attending Outpatient Department at Amanuel Mental Specialized Hospital, and St. Paul Hospital Millennium Medical College

Mulushoa, Adiyam

Assessment of Anti-Retroviral Therapy Adherence and its Determinants among HIV-Positive Mentally Ill Patients Attending Outpatient Department at Amanuel Mental Specialized Hospital, and St. Paul Hospital Millennium Medical College

Files

Adiyam Mulushoa.pdf (1.12 MB)

Date

2018-06

Authors

Mulushoa, Adiyam

Publisher

Addis Ababa Universty

Abstract

Background: HIV is an infectious disease that affects people without any boundary and health status. While mental disorders could predispose individuals to different communicable diseases including HIV, people who already encountered HIV could sustain depression and mental disorders where adherence to antiretroviral therapy (ART) could be hampered. Despite this fact, there is a paucity of information in this area. Objective: the aim of the study is to asses ART adherence and its determinants among HIV positive mentally ill patients attending outpatient department at Amanuel Mental Specialized Hospital and St. Paul Hospital Millennium Medical College. Method :a quantitative cross-sectional study was undertaken among 416 HIV positive mentally ill patients attending outpatient services at antiretroviral therapy units of Amanuel Mental Specialized Hospital and St. Paul Hospital Millennium Medical College. The data was collected using structured questionnaire and analyzed using SPSS 21. Result: A total of 416 were interviewed. The principal reasons reported for skipping doses in this study were being busy, falling asleep, and running out of medication and religious beliefs. The overall self-reported ART dose adherence among the mentally ill was only 57.2%. Adherence was independently associated with being employed (OR 0.505, 95% CI 0.321-0.797), running out of drugs (OR 0.031, 95% CI 0.003-0.276), being busy (OR 0.015, 95% CI 0.003-0.064), falling asleep (OR 0.032 95% CI 0.004-0.281) and Depression wasn’t significantly associated with ART adherence. Conclusion: the self-reported adherence level was low in the study area. The study showed that mentally ill patients are more influenced by personal and emotional reasons than the other factors like, medication related, patient-provider relationship, and health care delivery system.