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Factors Affecting Adherence to Co-Trimoxazole Preventive Therapy in HIV/AIDS Patients Attending an Antiretroviral Therapy Clinic in Ethiopia University Hospital: A Cross-Sectional Study

Authors Mekonnen GB, Addis SA

Received 6 March 2020

Accepted for publication 12 May 2020

Published 22 May 2020 Volume 2020:14 Pages 881—890

DOI https://doi.org/10.2147/PPA.S252805

Checked for plagiarism Yes

Review by Single-blind

Peer reviewer comments 2

Editor who approved publication: Dr Johnny Chen


Gashaw Binega Mekonnen,1 Surafel Ashenafi Addis2

1Department of Clinical Pharmacy, School of Pharmacy, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia; 2University of Gondar Compressive Specialized Teaching Hospital, Hospital Pharmacy, Gondar, Ethiopia

Correspondence: Gashaw Binega Mekonnen Tel +251 938735983
Email gasbinega@yahoo.com

Purpose: This study aimed to assess the factors that affect adherence to co-trimoxazole preventive therapy (CPT) among human immunodeficiency virus (HIV)-positive adults in an antiretroviral therapy (ART) clinic at the University of Gondar Compressive Specialized Teaching Hospital (UOGCSTH).
Methods: A hospital-based cross-sectional study was conducted from March 1 to April 30, 2018, at the ART clinic at UOGCSTH. Data were collected using face-to-face interviews with pretested and standard questionnaires. Binary and multivariable logistic regression analyses were used to assess the association between different variables. P< 0.05 was used to declare the association.
Results: The prevalence of adherence to CPT by self-reporting measurement was 205 (67.8%). Factors such as level of education, taking street drugs (alcohol and khat), spouse knowledge about clients on CPT, knowledge of the benefit of CPT, duration of CPT, missed dose, got proper information on how to take CPT, and counseling done on refill were found to be significantly associated with adherence to CPT.
Conclusion and Recommendations: The overall adherence to CPT was fair in our study. To improve the adherence, continuous education and counseling, giving group service support for clients and having a separate counseling room are some of the possible solutions.

Keywords: factors, adherence, co-trimoxazole preventive therapy, HIV/AIDS, Ethiopia, University of Gondar

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