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Impact of Water, Hygiene and Sanitation on Medication Adherence Intention among HIV Positive Women Enrolled in Option B+ Treatment Regimen in Zambia
Başlık:
Impact of Water, Hygiene and Sanitation on Medication Adherence Intention among HIV Positive Women Enrolled in Option B+ Treatment Regimen in Zambia
Yazar:
Nutor, Jerry John Yao, author.
ISBN:
9780438058491
Yazar Ek Girişi:
Fiziksel Tanımlama:
1 electronic resource (233 pages)
Genel Not:
Source: Dissertation Abstracts International, Volume: 79-10(E), Section: B.
Advisors: Jaime C. Slaughter-Acey Committee members: Rose A. DiMaria-Ghalili; Loretta S. Jemmott; Shannon P. Marquez; Florence Momplaisir.
Özet:
Background: Mother-to-child transmission (MTCT) of HIV is a major problem in sub-Saharan Africa despite increasing availability of free and subsidized antiretroviral treatment (ART); MTCT can be significantly reduced provided pregnant and breastfeeding mothers adhere to prescribed regimens. Access to potable water and adequate sanitation is a major problem in low-resource countries including Zambia, located in sub-Saharan Africa. This study investigated the influence of water hygiene and sanitation (WASH) on ART adherence intention among HIV positive women enrolled in Option B+ regimen, the current World Health Organization recommendation for low resource countries.
Method: Using a cross-sectional descriptive study design, this study recruited pregnant and breastfeeding HIV positive women who were enrolled on Option B+ treatment regimen who resided in Lusaka (urban) or Sinazongwe (rural) Districts of Zambia. Descriptive statistics were used to characterize access to water and toilet in relation to ARV adherence intention in the entire sample and by Zambian District. Four generalized log-gamma regression models were built using a step-wise approach to assess association between access to water and toilet and ART adherence intention. Effect modification by residence in an urban or rural area was examined by stratifying regression models by District of residence.
Result: In all, 150 participants were included in the study. Higher proportion (61.6%) of women in Sinazongwe reported adherence intention to the ARV as compared to the women in Lusaka (38.4%). There was a statistical significant association between adherence intention and district of residence (p<0.001). Multivariate analyses showed significant association between adherence intention and access to water after adjusting for socioeconomic variables age and, HIV-EMTCT knowledge. Women who have access to flush toilet are more likely to report adherence intention compared to those who have pit latrine and no toilet facility. Multivariate analysis of toilet access showed significant relationship with adherence intention (PR 1.14, 95%CI, 1.00 - 1.30).
Implication: Provision of potable water and toilet facilities could help women living with HIV adhere to ART medication. Community led total sanitation should be introduced in both urban and rural communities. Nurses should conduct WASH assessment and educate women prior to ART initiation. Governments and other stakeholders should get involved in providing clean water to communities especially in rural area.
Notlar:
School code: 0065
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Yer Numarası | Demirbaş Numarası | Shelf Location | Lokasyon / Statüsü / İade Tarihi |
---|---|---|---|
XX(682117.1) | 682117-1001 | Proquest E-Tez Koleksiyonu | Arıyor... |
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