Adherence to Antiretroviral Therapy among HIV Patients Visiting HIV Counselling Centres in Selected Hospitals, Benin City, Edo State (Published)
The introduction of antiretroviral drugs over the past two decades has helped greatly towards controlling HIV/AIDS infection outcome. However its effectiveness depends largely on adherence to the drug. This study was undertaken to assess adherence to antiretroviral drugs among HIV patients visiting HIV counselling centres in selected hospitals, Benin City, Edo state. The study was carried among 220 HIV patients visiting three selected counselling centre in Benin City using convenient sampling technique and a self-structured questionnaire. Data collected were analysed using descriptive statistics and inferential statistics such as Chi square, multivariate logistic regression and ANOVA were used to test hypothesis at 5% level of significance. Result shows 78(35.9%) have poor knowledge, 60(27.6%)) have moderate, while the remaining 79(36.40) have good knowledge. majority 171(77.7%) have good adherence level. factors are food (2.66±1.03), Unavailability drugs (2.76±0.98), drug toxic effect (2.61±0.88), Stigmatization (2.60±0.96) were found to affect adherence. There was no significant relationship (p>0.05) between adherence of socio-demographic characteristics. However significant difference (p<0.05) was found in the level of knowledge among HIV patient. Multivariate logistic regression showed that respondents that are 18 – 20 years are ten times (O.R = 10.39; C.I = 1.01-107.10) more likely not to adhere than those above 50years. Also respondents with tertiary education are 19% (O.R. 0.81; C.I. = 0.15 – 4.20) less likely not to adhere than those with no education and Christians are 50% (O.R. = 0.50; C.I. = 0.12-2.05) less likely not to adhere than those with traditions/other religion. Conclusion more awareness campaigns and other interventions are needed to improve and sustain the present level of adherence.
Adherence to Current Antiretroviral Therapy (Art) Among People Living With HIV/AIDS in Port-Harcourt City Local Government Area of Rivers State (Published)
Introduction: The Human Immunodeficiency Virus (HIV) pandemic continues to be one of the major public health crises in Nigeria and the world, with approximately 17 million people globally living with the virus. To achieve the desired outcome of epidemiological control of HIV/AIDS, strict adherence to antiretroviral therapy is vital. However, many factors have been identified for non-adherence. This research work was designed to determine the extent of adherence to antiretroviral therapy, factors responsible for the non-adherence and the measures used to ensure adherence among people living with HIV/AIDS. Methodology: A cross sectional design was adopted, with a sample size of 417 ARV sero-positive that access ART services at Braithwaite Memorial Specialist Hospital in Port Harcourt local government area Rivers State. Five research questions and three null hypotheses guided the study, with respondents’ medication adherence adapted from the Morrisky Medication Adherence scale, and the responses classified into good, fair, and poor medication adherence respectively. Data was collected using an interviewer-administered structured questionnaire (IAQ) and were analysed using SPSS version 21.0. Results: Results revealed that 70.7% of the study population/ respondents were female between the age ranges 20-39 years and 50.7% were married. The extent of adherence to ART amongst the study respondents were 86.0% and out of the eleven (11) variables studied nine (9) were found to be statistically significant associated with respondents’ extent of medication adherence. This includes sex (P-value 0.000;95% CI0.00,0.001), age (P-value 0.000;95% CI0.00,0.001), marital status(P-value 0.000;95% CI0.00,0.001), occupation(P-value 0.000;95% CI0.00,0.001), residential area(P-value 0.000;95% CI0.00,0.001), duration of illness(P-value 0.000;95% CI0.00,0.001), duration on ARVs(P-value 0.000;95% CI0.00,0.001), partner’s status(P-value 0.000;95% CI0.00,0.001), partner/family awareness of respondent status(P-value 0.000;95% CI0.36,0.45), and long waiting time(P-value 0.000;95% CI0.00,0.001), respectively. Also, respondent ARV regimens of respondents were found to be statistically associated with adherence respectively (p-value 0.000; 95% CI0.00, 0.001). 92.0% of the study respondent ensured adherence to ART using self-reminder, while there was high adherence rate.Summary/conclusion: There is high adherence to ART medication among PLWHIV/AIDS, especially among the married, of reproductive age group and literates. However, counsellors need to lay emphasis on the need for the disclosure of serostatus among partners and friends/family awareness about HIV status, since half of the respondents.
Factors Influencing Medication Adherence among Patients With Diabetes Mellitus And Hypertension In Nigeria (Published)
Medication non-adherence results in increased morbidity, mortality and financial loss. Reasons for medication non-adherence are multifactorial. This cross-sectional study was conducted to determine the prevalence of, and factors contributing to medication non-adherence among patients with diabetes mellitus and hypertension attending some secondary and tertiary health care facilities in Lagos, Nigeria. Of the 100 patients, 32% were compliant with their medications. Most (39%) respondents were noncompliant because of lack of funds and cost of medication, 19% due to forgetfulness, 16% because they felt well, and 15% due to non-availability of drugs at the pharmacy. Other reasons for non-compliance include illnesses (9%), side effects of medications (1%) and misinterpretation of prescription (1%). Among the socio-demographic variables studied, only male gender was positively associated with medication compliance. Adherence to anti-diabetics and anti-hypertensives was low. Both health system and patients’ related issues contributed to poor compliance and these should be addressed to improve medication adherence.
Belief in Spiritual Healing, Gender and Adherence to Medication among HIV/AIDS Patients in Benue State, Nigeria (Published)
This study examined belief about spiritual healing, gender and adherence to medication among 143 HIV/AIDS patients attending General Hospital Sankera in Benue State. The respondents were in the age range of 20-67 with a mean age of 33.4 years. Out of this number, 69 (48.3%) were males while 74 (51.7%) were females. Morisky Adherence to Medication Scale (MAMS) and Perceived Potency of Spiritual Healing Questionnaire (PPSHQ) were used for data collection. The results of the Analysis of Variance (ANOVA) indicated that perceived potency of spiritual healing and gender produced main effects on adherence to medication among HIV/AIDS patients. The implications of the study to health professionals were discussed, limitations were highlighted and suggestions for further studies were offered.
RE-EMPHASIZING ETHICS OF TEACHING PROFESSION IN NIGERIA COLLEGES OF EDUCATION (Review Completed - Accepted)
Teaching profession is a noble profession in which its mistakes can either lead to development or destruction of a nation. Teaching with its own ethical peculiarity; it is a human activity which begins from the parent’s involvement in guiding and directing the child towards attainment of some defined experiences. Teacher therefore is seen at the centre of character formation of the child; hence, the role of teacher in school is very germane. Ethics of teaching profession therefore is moral value, standard that a teacher demonstrates in his/her teaching to inculcate in a child the quality of a good citizen. In the light of this, the study therefore examined teaching professionalism, ethic of teaching profession, the need for ethics in teaching profession were also highlighted. The paper employed methods of philosophical analysis to examine certain ethical issues for codes of behaviour expected of a College of Education teacher. Finally, recommendations were made to ensure strict adherence to ethics of teaching profession in Colleges of Education