Epidemiology and health 2016 Oct 13() doi 10.4178/epih.e2016043
Adherence of HIV positive pregnant and lactating mothers to ART is a central component in PMTCT. Thus, the aim of this study was to measure the level of adherence and identify factors associated with adherence to option B+ PMTCT among pregnant and lactating mothers in selected government health facilities of South Wollo Zone, Amhara region, North East Ethiopia.
An institution based cross sectional quantitative study design was employed from March 1 to April 14, 2016 using standard structured data collection instrument. A sample of 191 HIV+ pregnant and lactating mothers who were on PMTCT follow up in the selected health facilities are participated in the study. The data were entered using EpiData 3.1 and analysis was done using SPSS version 21. Bi-variate and multivariate logistic regression analyses were employed to identify associated factors for adherence. P-value less than 0.05 with 95 % confidence interval was used to state the association between independent predictors and the outcome variable.
The level of adherence on option B+ PMTCT drug was 87.9 %. Women who attend in Hospital, who live in the rural area and those who faced challenges in the same day they diagnosed of HIV and initiated lifelong option B+ treatment were less likely to adhere to the treatment [(AOR 0.3(0.11-0.82), (AOR 0.26 (0.1-0.73) and (AOR 0.08 (0.02-0.37), respectively].
Collaborative efforts of zonal health department with health facility administrators and counselors were recommended for effective and efficient interventions focusing on hospitals, rural area and those who faced.