Adherence to Antiretroviral Therapy (Art) among Pregnant Women Living with HIV/AIDS in Okigwe Imo State, Nigeria

E. C. Uloeme, N. J. Caleb, V. C. Nwankwo, C. Nosiri
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Abstract

The antiretroviral medication (ART) compliance of expectant HIV/AIDS patients in Nigeria's Okigwe Imo state was investigated in this study. In particular, the study established the prevalence of HIV among expectant mothers in Okigwe Imo State, Nigeria, identified the behavioral and demographic factors associated with ART adherence, and looked at the obstacles to ART use among expectant mothers in Okigwe Imo State, Nigeria. The study adopted the AIDS risk reduction model by Catania  and Coates, (1990), the pathway of survival model theory by Mosley and Chen (1984) and the health belief model by Rosenstock et al (1950). From the responses obtained and analysed, the findings revealed that the extent of the prevalence of HIV among pregnant women in Okigwe Imo State, Nigeria is low. Also, the findings revealed that there is a significant relationship between demography and ART adherence among pregnant women in Okigwe Imo State, Nigeria. The findings further revealed that there is a significant relationship between behaviour and ART adherence among pregnant women in Okigwe Imo State, Nigeria. The study therefore recommends that PMTCT services should be accessible to every pregnant woman attending antenatal care, either onsite or through a referral to a nearby clinic, to improve coverage. When it comes to locating PMTCT facilities, using a geographic information system can help eliminate inequity and enhance accessibility within states.
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尼日利亚奥基圭伊莫州感染艾滋病毒/艾滋病的孕妇坚持抗逆转录病毒治疗(Art
本研究调查了尼日利亚Okigwe Imo州HIV/AIDS准患者抗逆转录病毒药物治疗依从性。特别是,该研究确定了尼日利亚Okigwe Imo州孕妇中艾滋病毒的流行情况,确定了与抗逆转录病毒治疗依从性相关的行为和人口因素,并研究了尼日利亚Okigwe Imo州孕妇使用抗逆转录病毒治疗的障碍。本研究采用了卡塔尼亚和科茨(1990)的艾滋病风险降低模型,Mosley和Chen(1984)的生存模型路径理论和Rosenstock等(1950)的健康信念模型。从获得和分析的答复来看,调查结果显示,尼日利亚奥基圭伊莫州孕妇中艾滋病毒的流行程度很低。此外,调查结果显示,尼日利亚奥基圭伊莫州孕妇的人口统计学与抗逆转录病毒治疗依从性之间存在显著关系。研究结果进一步表明,尼日利亚奥基圭伊莫州孕妇的行为与抗逆转录病毒治疗依从性之间存在显著关系。因此,该研究建议,每个参加产前保健的孕妇都应该能够获得预防母婴传播服务,无论是在现场还是通过转诊到附近的诊所,以提高覆盖率。在确定预防母婴传播设施的位置时,使用地理信息系统可以帮助消除不平等现象,提高各州的可及性。
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