Factors Affecting Adherence to Treatment of HIV in Exposed Infants in Mumias Region, Western Kenya

Sophia Musenjeri; Serah Mbatia; Joseph Nganga; Matilu Mwau

doi:doi:10.11648/j.sjph.20150303.20

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Factors Affecting Adherence to Treatment of HIV in Exposed Infants in Mumias Region, Western Kenya

Sophia Musenjeri, Serah Mbatia, Joseph Nganga, Matilu Mwau

Published in Science Journal of Public Health (Volume 3, Issue 3)

Received: 1 April 2015 Accepted: 14 April 2015 Published: 23 April 2015

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Abstract

Objective: To determine social-demographic and economic factors affecting adherence to treatment of HIV in exposed infants in Mumias region, Western Kenya. Methods: The study was a descriptive cross sectional study carried out among parents of HIV exposed infants in selected health facilities in western Kenya. Through random sampling, the study recruited three hundred and eighty four (384) parents aged between 15-66 years old. The parents who were recruited were seeking HIV testing, treatment and care for their infants. The laboratory procedure involved automated assay: Abbott Real-time HIV-1. Secondly, structured interviewer administered questionnaire was used to collect information from parentsof the affected infants. Data was analyzed using SPSS version 20. Results: 5.2% (20) of the participants tested positive while 94.8% (364) tested negative. Married participants were more likely to adhere to treatment (Odds ratio (OR) =1.062, 95%CI 0.628-1.796 P<0.05). Educated participants were more likely to attend their clinical appointments compared to the non-educated (0R=1.140, 95% C.I 0.949-1.369 P<0.05). Participants aged above 35 years old were more likely to adhere to treatment compared to those below 35 years old (OR=1.029, 95% C.I 0.985-1.074 P<0.05). Participants whose children tested negative at 6 weeks were more likely to adhere to treatment (OR=0.652, 95% C.I 0.185-2.305 P<0.05). Parentsunder the support of Community Health Workers (CHW) were more likely to adhere to treatment (OR=1.226, 95%C.I 0.419-3.581 P<0.05). Non-stigmatized mothers were more likely to adhere to treatment (OR=1.101, P<95% C.I 0.545-2.223). Conclusion: Adherence to treatment and care of HIV in exposed infants appears to be a significant challenge for HIV diagnostic and preventive services. To forestall the consequences, the stakeholders and government have to support the parents both financially and socially especially through public awareness campaigns to encourage them to adhere to treatment and care services.

Published in	Science Journal of Public Health (Volume 3, Issue 3)
DOI	10.11648/j.sjph.20150303.20
Page(s)	366-372
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2015. Published by Science Publishing Group

Keywords

Adherence HIV, Infants, Diagnosis, Stigma, CHW

References

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[5]	Khamadi S. OV, Lihana R., Nabwera J., Hungu J., and Okoth F., . Rapid identification of infants for antiretroviral therapy in a resource poor setting: the Kenya experience. Journal of Tropical Pediatrics 2008,54:370-374.
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[15]	Omondi MP. An assessment of institutional factors affecting uptake of ARV prophylaxis amongst HIV positive pregnant women in Kakamega District. In: University of Nairobi; 2010. pp. 14.
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[17]	Muchedzi A. CW KJ, Stranix-Chibanda L., Woelk G., Mbizvo E., Shetty A K. Factors associated with access to HIV care and treatment in a prevention of mother to child transmission programme in urban Zimbabwe. Journal of the International AIDS Society 2010,13.
[18]	World Health Organization JUNPoHA UNCsF. Towards Universal Access: Scaling up Priority HIV/AIDS Interventions in the Health Sector. In. http://www.unaids.org/sites/default/files/country/documents/KEN_narrative_report_2014.pdf.; 2011.
[19]	Newell ML. CH CBM, Rollins N., Gaillard P., Dabis F. Ghent International AIDS Society (IAS) Working Group on HIV Infection in Women and Children. Mortality of infected and uninfected infants born to HIV-infected mothers in Africa: a pooled analysis. lancet kenya 2004,364:1236-1243.
[20]	Programme NAaSC. Kenya AIDS Indicator Survey 2012: Preliminary Report, Nairobi, Kenya. In: Ministry of Health; 2013.

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APA Style

Sophia Musenjeri, Serah Mbatia, Joseph Nganga, Matilu Mwau. (2015). Factors Affecting Adherence to Treatment of HIV in Exposed Infants in Mumias Region, Western Kenya. Science Journal of Public Health, 3(3), 366-372. https://doi.org/10.11648/j.sjph.20150303.20

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ACS Style

Sophia Musenjeri; Serah Mbatia; Joseph Nganga; Matilu Mwau. Factors Affecting Adherence to Treatment of HIV in Exposed Infants in Mumias Region, Western Kenya. Sci. J. Public Health 2015, 3(3), 366-372. doi: 10.11648/j.sjph.20150303.20

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AMA Style

Sophia Musenjeri, Serah Mbatia, Joseph Nganga, Matilu Mwau. Factors Affecting Adherence to Treatment of HIV in Exposed Infants in Mumias Region, Western Kenya. Sci J Public Health. 2015;3(3):366-372. doi: 10.11648/j.sjph.20150303.20

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@article{10.11648/j.sjph.20150303.20,
  author = {Sophia Musenjeri and Serah Mbatia and Joseph Nganga and Matilu Mwau},
  title = {Factors Affecting Adherence to Treatment of HIV in Exposed Infants in Mumias Region, Western Kenya},
  journal = {Science Journal of Public Health},
  volume = {3},
  number = {3},
  pages = {366-372},
  doi = {10.11648/j.sjph.20150303.20},
  url = {https://doi.org/10.11648/j.sjph.20150303.20},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.sjph.20150303.20},
  abstract = {Objective: To determine social-demographic and economic factors affecting adherence to treatment of HIV in exposed infants in Mumias region, Western Kenya. Methods: The study was a descriptive cross sectional study carried out among parents of HIV exposed infants in selected health facilities in western Kenya. Through random sampling, the study recruited three hundred and eighty four (384) parents aged between 15-66 years old. The parents who were recruited were seeking HIV testing, treatment and care for their infants. The laboratory procedure involved automated assay: Abbott Real-time HIV-1. Secondly, structured interviewer administered questionnaire was used to collect information from parentsof the affected infants. Data was analyzed using SPSS version 20. Results: 5.2% (20) of the participants tested positive while 94.8% (364) tested negative. Married participants were more likely to adhere to treatment (Odds ratio (OR) =1.062, 95%CI 0.628-1.796 P<0.05). Educated participants were more likely to attend their clinical appointments compared to the non-educated (0R=1.140, 95% C.I 0.949-1.369 P<0.05). Participants aged above 35 years old were more likely to adhere to treatment compared to those below 35 years old (OR=1.029, 95% C.I 0.985-1.074 P<0.05). Participants whose children tested negative at 6 weeks were more likely to adhere to treatment (OR=0.652, 95% C.I 0.185-2.305 P<0.05). Parentsunder the support of Community Health Workers (CHW) were more likely to adhere to treatment (OR=1.226, 95%C.I 0.419-3.581 P<0.05). Non-stigmatized mothers were more likely to adhere to treatment (OR=1.101, P<95% C.I 0.545-2.223). Conclusion: Adherence to treatment and care of HIV in exposed infants appears to be a significant challenge for HIV diagnostic and preventive services. To forestall the consequences, the stakeholders and government have to support the parents both financially and socially especially through public awareness campaigns to encourage them to adhere to treatment and care services.},
 year = {2015}
}

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TY - JOUR
T1 - Factors Affecting Adherence to Treatment of HIV in Exposed Infants in Mumias Region, Western Kenya
AU - Sophia Musenjeri
AU - Serah Mbatia
AU - Joseph Nganga
AU - Matilu Mwau
Y1 - 2015/04/23
PY - 2015
N1 - https://doi.org/10.11648/j.sjph.20150303.20
DO - 10.11648/j.sjph.20150303.20
T2 - Science Journal of Public Health
JF - Science Journal of Public Health
JO - Science Journal of Public Health
SP - 366
EP - 372
PB - Science Publishing Group
SN - 2328-7950
UR - https://doi.org/10.11648/j.sjph.20150303.20
AB - Objective: To determine social-demographic and economic factors affecting adherence to treatment of HIV in exposed infants in Mumias region, Western Kenya. Methods: The study was a descriptive cross sectional study carried out among parents of HIV exposed infants in selected health facilities in western Kenya. Through random sampling, the study recruited three hundred and eighty four (384) parents aged between 15-66 years old. The parents who were recruited were seeking HIV testing, treatment and care for their infants. The laboratory procedure involved automated assay: Abbott Real-time HIV-1. Secondly, structured interviewer administered questionnaire was used to collect information from parentsof the affected infants. Data was analyzed using SPSS version 20. Results: 5.2% (20) of the participants tested positive while 94.8% (364) tested negative. Married participants were more likely to adhere to treatment (Odds ratio (OR) =1.062, 95%CI 0.628-1.796 P<0.05). Educated participants were more likely to attend their clinical appointments compared to the non-educated (0R=1.140, 95% C.I 0.949-1.369 P<0.05). Participants aged above 35 years old were more likely to adhere to treatment compared to those below 35 years old (OR=1.029, 95% C.I 0.985-1.074 P<0.05). Participants whose children tested negative at 6 weeks were more likely to adhere to treatment (OR=0.652, 95% C.I 0.185-2.305 P<0.05). Parentsunder the support of Community Health Workers (CHW) were more likely to adhere to treatment (OR=1.226, 95%C.I 0.419-3.581 P<0.05). Non-stigmatized mothers were more likely to adhere to treatment (OR=1.101, P<95% C.I 0.545-2.223). Conclusion: Adherence to treatment and care of HIV in exposed infants appears to be a significant challenge for HIV diagnostic and preventive services. To forestall the consequences, the stakeholders and government have to support the parents both financially and socially especially through public awareness campaigns to encourage them to adhere to treatment and care services.
VL - 3
IS - 3
ER -

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Author Information

Sophia Musenjeri

Institute of Tropical Medicine and Infectious Diseases (ITROMID) Nairobi, Kenya, Jomo Kenyatta University of Agriculture and Technology, Kenya Medical Research Institute, Nairobi, Kenya
Serah Mbatia

Institute of Tropical Medicine and Infectious Diseases (ITROMID) Nairobi, Kenya, Jomo Kenyatta University of Agriculture and Technology, Kenya Medical Research Institute, Nairobi, Kenya
Joseph Nganga

Jomo Kenyatta university of Agriculture and Technology, Nairobi, Kenya
Matilu Mwau

Consortium for National health research, Nairobi, Kenya

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APA Style

Sophia Musenjeri, Serah Mbatia, Joseph Nganga, Matilu Mwau. (2015). Factors Affecting Adherence to Treatment of HIV in Exposed Infants in Mumias Region, Western Kenya. Science Journal of Public Health, 3(3), 366-372. https://doi.org/10.11648/j.sjph.20150303.20

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ACS Style

Sophia Musenjeri; Serah Mbatia; Joseph Nganga; Matilu Mwau. Factors Affecting Adherence to Treatment of HIV in Exposed Infants in Mumias Region, Western Kenya. Sci. J. Public Health 2015, 3(3), 366-372. doi: 10.11648/j.sjph.20150303.20

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AMA Style

Sophia Musenjeri, Serah Mbatia, Joseph Nganga, Matilu Mwau. Factors Affecting Adherence to Treatment of HIV in Exposed Infants in Mumias Region, Western Kenya. Sci J Public Health. 2015;3(3):366-372. doi: 10.11648/j.sjph.20150303.20

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@article{10.11648/j.sjph.20150303.20,
  author = {Sophia Musenjeri and Serah Mbatia and Joseph Nganga and Matilu Mwau},
  title = {Factors Affecting Adherence to Treatment of HIV in Exposed Infants in Mumias Region, Western Kenya},
  journal = {Science Journal of Public Health},
  volume = {3},
  number = {3},
  pages = {366-372},
  doi = {10.11648/j.sjph.20150303.20},
  url = {https://doi.org/10.11648/j.sjph.20150303.20},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.sjph.20150303.20},
  abstract = {Objective: To determine social-demographic and economic factors affecting adherence to treatment of HIV in exposed infants in Mumias region, Western Kenya. Methods: The study was a descriptive cross sectional study carried out among parents of HIV exposed infants in selected health facilities in western Kenya. Through random sampling, the study recruited three hundred and eighty four (384) parents aged between 15-66 years old. The parents who were recruited were seeking HIV testing, treatment and care for their infants. The laboratory procedure involved automated assay: Abbott Real-time HIV-1. Secondly, structured interviewer administered questionnaire was used to collect information from parentsof the affected infants. Data was analyzed using SPSS version 20. Results: 5.2% (20) of the participants tested positive while 94.8% (364) tested negative. Married participants were more likely to adhere to treatment (Odds ratio (OR) =1.062, 95%CI 0.628-1.796 P<0.05). Educated participants were more likely to attend their clinical appointments compared to the non-educated (0R=1.140, 95% C.I 0.949-1.369 P<0.05). Participants aged above 35 years old were more likely to adhere to treatment compared to those below 35 years old (OR=1.029, 95% C.I 0.985-1.074 P<0.05). Participants whose children tested negative at 6 weeks were more likely to adhere to treatment (OR=0.652, 95% C.I 0.185-2.305 P<0.05). Parentsunder the support of Community Health Workers (CHW) were more likely to adhere to treatment (OR=1.226, 95%C.I 0.419-3.581 P<0.05). Non-stigmatized mothers were more likely to adhere to treatment (OR=1.101, P<95% C.I 0.545-2.223). Conclusion: Adherence to treatment and care of HIV in exposed infants appears to be a significant challenge for HIV diagnostic and preventive services. To forestall the consequences, the stakeholders and government have to support the parents both financially and socially especially through public awareness campaigns to encourage them to adhere to treatment and care services.},
 year = {2015}
}

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