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Factors Influencing Effectiveness of Peer Education Against Nonadherence to Antiretroviral Therapy Among Adult People Living with HIV/AIDS: A Pre-Post Intervention Study in Arsi Zone, Ethiopia

Authors Hussein M, Dibaba B, Wondu Y

Received 22 August 2019

Accepted for publication 20 December 2019

Published 9 January 2020 Volume 2020:12 Pages 1—7

DOI https://doi.org/10.2147/HIV.S228330

Checked for plagiarism Yes

Review by Single-blind

Peer reviewer comments 2

Editor who approved publication: Professor Bassel Sawaya


Mohammed Hussein,1 Bekele Dibaba,2 Yirga Wondu3

1Department of Pharmacy, College of Health Sciences, Arsi University, Asella, Oromia Regional State, Ethiopia; 2Department of Public Health, College of Health Sciences, Arsi University, Asella, Oromia Regional State, Ethiopia; 3Department of Midwifery, College of Health Sciences, Arsi University, Asella, Oromia Regional State, Ethiopia

Correspondence: Bekele Dibaba
Tel +2510910955032
Email fenetbekele@gmail.com

Background: Nonadherence to antiretroviral therapy (ART) among people with HIV/AIDS can lead to drug resistance and death. Different studies have defined nonadherence, and it denotes at least one missed dose of ART within 28 days. One of the strategies to prevent nonadherence to ART could be peer education. However, published studies which test out whether or not peer education is effective for prevention of nonadherence to ART among adults living with HIV were not available. Moreover, published studies on factors discussing the success of peer education against nonadherence to ART were not available, so we conducted this study.
Objectives: To determine effectiveness of peer education against nonadherence to ART and identify factors influencing the effectiveness of peer education for prevention of nonadherence to ART among people living with HIV/AIDS in Arsi zone, Ethiopia.
Methods: An institution based pre-post intervention study was conducted. The intervention was giving peer education for three months. Frequencies and percentages were used to describe the data. Binary and multivariate logistic regressions were used to assess the variables.
Results: The data was collected from 355 and 319 people with HIV/AIDS at pre- and post-intervention stages, respectively. Experiencing an ART side effect, reminder to take ART, gender, marital status and monthly income were associated with nonadherence. More study participants who had not useda reminder to take ART service missed at least one dose of ART when compared to those who used a reminder to take ART service (adjusted odds ratio (AOR) =6.21; 95% CI=2.12–18.20).
Conclusion: Experiencing a side effect of ART influenced effectiveness of peer education negatively while using reminder to take ART influenced effectiveness positively. Peer education is effective for reduction of nonadherence to ART if it is used with reminder to take ART. This study can be a base for further studies that should be conducted in various areas, since peer education can be influenced by sociodemographic and economic factors.

Keywords: success, reduction, health, Oromia Regional State


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