{"title":"ilubabor地区公立医院HIV暴露儿童预防治疗依从性及其有效实施的挑战:回顾性随访研究","authors":"Dessalegn Nigatu","doi":"10.35248/2385-4529.21.8.36","DOIUrl":null,"url":null,"abstract":"Introduction: Despite World health organization universal recommendation of Preventive Therapy, only 56% of pediatrics on ART receiving this intervention. The aim of this study was to determine the magnitude of Preventive Therapy and challenges in its effective implementation among HIV exposed children in Ilu Ababor zone public hospitals. Materials: A facility based retrospective cohort study was used among 300 children’s’ reviewing records by standard structured questionnaires and interviewing their primary caregivers. Data were cleared and entered into Epi-info version 3.1 and exported into SPSS version 24 for further analysis and a binary logistic regression was used to investigate factors associated with uptake of Preventive Therapy. Variables with p-value <0.2 in bivariable analysis were entered into the multivariable analysis. Odds ratio with 95% confidence interval was estimated to show the strength of association and the p-value <0.05 was used to declare as statistical significance in the multivariable analysis. Results: Out of 300 (293) records were reviewed with a response rate of 97.6%. Almost all of the respondents were female 279 (93%) also about half (48%) of the respondents were orthodox in religion and a few (3.4%) of them have had primary education. More than half the exposed infants’ age was b/n 13-18 months. Moreover, about 65.5% of guardians were well awared about preventive treatment. The strongest independent predictors of poor adherence to Preventive Therapy are not able to read [OR=0.153 (0.027-0.863) P< 0.330], long procedure in getting the drug (OR=9.913[2.825, 34.731], p=<0.000), Shortage of drug availability [OR=9.91 (2.829-34.73), P< 0.000], missed dose greater than three doses [OR=2.69 (1.17-6.26), p=<0.022], Persistent diarrhoea [OR=4.324 (1.067-17.530), p=0.040] were associated with Preventive Therapy among HIV exposed children. Conclusion: Preventive Therapy in study area was found to be relatively high and long procedure, shortage of preventive drug and persistent diarrhea were found to be significant predictors of Preventive Therapy, Hence, to avert this, accessing drugs, treating persistent diarrhea and decreasing waiting time were plays unfold role to increases uptake of Preventive Therapy.","PeriodicalId":72104,"journal":{"name":"Advances in pediatric research","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Preventive treatment adherence and challenges in its effectiveimplementation among HIV exposed children in the public hospitals inIlubabor zone: Retrospective follow-up study\",\"authors\":\"Dessalegn Nigatu\",\"doi\":\"10.35248/2385-4529.21.8.36\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Introduction: Despite World health organization universal recommendation of Preventive Therapy, only 56% of pediatrics on ART receiving this intervention. The aim of this study was to determine the magnitude of Preventive Therapy and challenges in its effective implementation among HIV exposed children in Ilu Ababor zone public hospitals. Materials: A facility based retrospective cohort study was used among 300 children’s’ reviewing records by standard structured questionnaires and interviewing their primary caregivers. Data were cleared and entered into Epi-info version 3.1 and exported into SPSS version 24 for further analysis and a binary logistic regression was used to investigate factors associated with uptake of Preventive Therapy. Variables with p-value <0.2 in bivariable analysis were entered into the multivariable analysis. Odds ratio with 95% confidence interval was estimated to show the strength of association and the p-value <0.05 was used to declare as statistical significance in the multivariable analysis. Results: Out of 300 (293) records were reviewed with a response rate of 97.6%. Almost all of the respondents were female 279 (93%) also about half (48%) of the respondents were orthodox in religion and a few (3.4%) of them have had primary education. More than half the exposed infants’ age was b/n 13-18 months. Moreover, about 65.5% of guardians were well awared about preventive treatment. The strongest independent predictors of poor adherence to Preventive Therapy are not able to read [OR=0.153 (0.027-0.863) P< 0.330], long procedure in getting the drug (OR=9.913[2.825, 34.731], p=<0.000), Shortage of drug availability [OR=9.91 (2.829-34.73), P< 0.000], missed dose greater than three doses [OR=2.69 (1.17-6.26), p=<0.022], Persistent diarrhoea [OR=4.324 (1.067-17.530), p=0.040] were associated with Preventive Therapy among HIV exposed children. Conclusion: Preventive Therapy in study area was found to be relatively high and long procedure, shortage of preventive drug and persistent diarrhea were found to be significant predictors of Preventive Therapy, Hence, to avert this, accessing drugs, treating persistent diarrhea and decreasing waiting time were plays unfold role to increases uptake of Preventive Therapy.\",\"PeriodicalId\":72104,\"journal\":{\"name\":\"Advances in pediatric research\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2021-01-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Advances in pediatric research\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.35248/2385-4529.21.8.36\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Advances in pediatric research","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.35248/2385-4529.21.8.36","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
摘要
尽管世界卫生组织普遍推荐预防性治疗,但只有56%的接受抗逆转录病毒治疗的儿科接受这种干预。本研究的目的是确定预防性治疗的规模及其在伊卢阿伯特地区公立医院艾滋病毒暴露儿童中有效实施的挑战。资料:采用标准的结构化问卷和对主要照顾者的访谈,对300名儿童进行回顾性队列研究。清除数据并输入Epi-info 3.1版本,导出到SPSS 24版本进行进一步分析,并使用二元逻辑回归来调查与预防性治疗摄取相关的因素。将双变量分析中p值<0.2的变量纳入多变量分析。以95%置信区间的比值比表示关联强度,以p值<0.05表示多变量分析具有统计学显著性。结果:共查阅病历300份(293份),回复率为97.6%。几乎所有的受访者都是女性,279人(93%),约一半(48%)的受访者信仰正统宗教,其中少数(3.4%)接受过小学教育。超过一半的暴露婴儿的年龄在13-18个月之间。此外,约65.5%的监护人了解预防治疗。预防治疗依从性差的最强独立预测因子是无法阅读[OR=0.153 (0.027-0.863) P< 0.330]、获得药物的程序长(OR=9.913[2.825, 34.731], P =<0.000]、药物供应短缺[OR=9.91 (2.829-34.73), P< 0.000]、错过剂量大于3剂[OR=2.69 (1.17-6.26), P =<0.022]、持续性腹泻[OR=4.324 (1.067-17.530), P =0.040]与HIV暴露儿童预防治疗相关。结论:研究区预防治疗费用较高且疗程较长,预防药物短缺和持续性腹泻是预防治疗的重要预测因素,为避免这种情况,获取药物、治疗持续性腹泻和减少等待时间对提高预防治疗的接受度起着重要作用。
Preventive treatment adherence and challenges in its effectiveimplementation among HIV exposed children in the public hospitals inIlubabor zone: Retrospective follow-up study
Introduction: Despite World health organization universal recommendation of Preventive Therapy, only 56% of pediatrics on ART receiving this intervention. The aim of this study was to determine the magnitude of Preventive Therapy and challenges in its effective implementation among HIV exposed children in Ilu Ababor zone public hospitals. Materials: A facility based retrospective cohort study was used among 300 children’s’ reviewing records by standard structured questionnaires and interviewing their primary caregivers. Data were cleared and entered into Epi-info version 3.1 and exported into SPSS version 24 for further analysis and a binary logistic regression was used to investigate factors associated with uptake of Preventive Therapy. Variables with p-value <0.2 in bivariable analysis were entered into the multivariable analysis. Odds ratio with 95% confidence interval was estimated to show the strength of association and the p-value <0.05 was used to declare as statistical significance in the multivariable analysis. Results: Out of 300 (293) records were reviewed with a response rate of 97.6%. Almost all of the respondents were female 279 (93%) also about half (48%) of the respondents were orthodox in religion and a few (3.4%) of them have had primary education. More than half the exposed infants’ age was b/n 13-18 months. Moreover, about 65.5% of guardians were well awared about preventive treatment. The strongest independent predictors of poor adherence to Preventive Therapy are not able to read [OR=0.153 (0.027-0.863) P< 0.330], long procedure in getting the drug (OR=9.913[2.825, 34.731], p=<0.000), Shortage of drug availability [OR=9.91 (2.829-34.73), P< 0.000], missed dose greater than three doses [OR=2.69 (1.17-6.26), p=<0.022], Persistent diarrhoea [OR=4.324 (1.067-17.530), p=0.040] were associated with Preventive Therapy among HIV exposed children. Conclusion: Preventive Therapy in study area was found to be relatively high and long procedure, shortage of preventive drug and persistent diarrhea were found to be significant predictors of Preventive Therapy, Hence, to avert this, accessing drugs, treating persistent diarrhea and decreasing waiting time were plays unfold role to increases uptake of Preventive Therapy.