HIV incidence, knowledge, attitude and practices of HIV/AIDS and antiretroviral therapy use in HIV-infected patients at Debre Elias district, North West Ethiopia
https://doi.org/10.4081/hls.2024.12020
Accepted: 6 April 2024
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
Due to hotspots as development schemes that attract mobile groups, HIV/AIDS infections are the biggest health issue in communities with low awareness and safe practice, especially in smaller towns. This study examined HIV/AIDS and Antiretroviral Therapy (ART) use-related knowledge, attitude, and practice in AIDS patients. Debre Elias Health Center conducted a cross-sectional study (N=384) from June 10 to January 20, 2021. Participants were selected using systematic random sampling and interviewed using a structured questionnaire. Logistic regression calculated significance and association between dependent and independent variables. 236 (384) or 61.4% of 384 HIV patients on antiretroviral therapy were female. HIV rates increased from 2014 to 2019. Age difference was associated with patient knowledge of ART use (P=0.005). Patients’ attitudes towards HIV/AIDS and ART use were significantly correlated with age, residence, marital status, and education (P<0.001). HIV patients 25-30 were 2.2 times more likely to know about ART use. HIV patients with a degree or higher were five times more likely to support ART. HIV patients aged 14-24 with a positive ART outlook were 94% protective. HIV prevalence is rising, especially among 15 to 24-year-old women. Public protection is needed to reduce HIV transmission.
World Health Organization. HIV/AIDS. 2021. Available from: https://www.who.int/news-room/fact-sheets/detail/hiv-aids
Wang H, Wolock T, Carter A, et al. Estimates of global, regional and national incidence, prevalence and mortality of HIV;1980-2015. Lancet HIV 2016;3:361-87. DOI: https://doi.org/10.1016/S2352-3018(16)30193-X
UNICEF. Children, HIV and AIDS. UNICEF. 2018.
Fishbein M. The role of theory in HIV prevention. AIDS Care 2000;12:273-8. DOI: https://doi.org/10.1080/09540120050042918
Christian H, Juergen R. HIV/AIDS. 2015/2016, Medizn Fokusverlag, Hamburg. 3rd edition, 2015/2016;276-315.
Bicego G. Estimating adult mortality rates in the context of the AIDS epidemic in sub-Saharan Africa: analysis of DHS sibling histories. Health Transit Rev 1997;7:7-22.
Campbell ID, Rader AD. HIV counselling in developing countries: the link from individual to community counselling for support and change. Br J Guid Counc 1995;23:33-43. DOI: https://doi.org/10.1080/03069889500760041
Campbell I. Human capacity development for response to HIV. Plenary presentation at the 2008 Pepfar HIV/AIDS Implementers’ Meeting, Kampala, Uganda. 2008. Available from: https://www.affirmfacilitators.org/docs/Ian_Campbell_Speaker_Notes_with_Slides_4June2008_HCD.pdf
Pérez J, Pérez D, Gonzales I, et al., Approaches to the management of HIV/AIDS in Cuba. World Health Organization, 2004.
Moreno R, Nababan HY, Ota E, et al. Structural and community-level interventions for increasing condom use to prevent the transmission of HIV and other sexually transmitted infections. Cochrane Database Syst Rev 2014;2014. DOI: https://doi.org/10.1002/14651858.CD003363.pub3
Vian T, Semrau K, Hamer DH, et al. HIV/AIDS-related knowledge and behaviors among most-at-risk populations in Vietnam. he Open AIDS J 2012;6:259-65. DOI: https://doi.org/10.2174/1874613601206010259
UNAIDS. UNAIDS Strategy. 2017. Available from: http://www.unaids.org/en/goals/unaidsstrategy
Federal HIV/AIDS Prevention and Control Office. HIV prevention in Ethiopia. National road map 2018-2020. Addis Ababa, Ethiopia; 2018;1-52. Available from: https://ethiopia.unfpa.org/sites/default/files/pub-pdf/HIV%20Prevention%20in%20Ethiopia%20National%20Road%20Map%202018%20-%202020%20FINAL_FINAL.pdf
Federal HIV/AIDS Prevention and Control Office. Guidelines for HIV counseling and testing in Ethiopia. FMOH, Addis Ababa, Ethiopia; 2007.
Sida-Amhara Rural Development Programme. Building Ethiopia’s future: the Sida-Amhara rural development programme. Bahir Dar, Ethiopia; 2010.
Daniel WW. Biostatics: A foundation for analysis in the health science. 7th ed. New York, USA, John Wiley and Sons; 1999:155.
Central Statistical Agency (CSA) [Ethiopia] and ICF. Ethiopia Demographic and Health Survey 2016. Addis Ababa, Ethiopia, and Rockville, Maryland, USA; 2016.
Assefa Y, Jerene D, Lulseged S, et al. Rapid scale-up of antiretroviral treatment in Ethiopia: Successes and system-wide effects. PLoS Med 2009;6: e1000056. DOI: https://doi.org/10.1371/journal.pmed.1000056
Marston C, King E. Factors that shape young people’s sexual behaviour; a systematic review. Lancet 2006; 368:1581-6. DOI: https://doi.org/10.1016/S0140-6736(06)69662-1
Olaniran O, Hassan-Olajokun M, Oyovwevotu R, Agunlejika M. Prevalence of tuberclosis among HIV/AIDS patients Obafemi Awolowo University Teaching Hospital. Int J Bio Med Res 2011; 2:874-77.
Kenya National Bureau of Statistics. Kenya demographic and health survey, 2008-2009. KNBS 2010.
Sintayehu F, Wondu T, Getnet A. Prevalence and determinants of TB and HIV co-infected patients in South Ethiopia. JIDC 2015;9:898-904. DOI: https://doi.org/10.3855/jidc.5667
Ethiopia Demographic and Health Survey. HIV/AIDS in Ethiopia. CSA, Addis Ababa, Ethiopia; 2011.
Amare D. Tuberclosis and HIV Coinfection among patients on tuberclosis treatment at Fenote Selam Hospital, North west Ethiopia. Global J Med Res 2015;15:1.
Abruquah HH, Bio FY. HIV/AIDS: knowledge, attitude and practice of school adolescents in the Kwaebibirem district of Ghana. J Sci Technol 2008;28:10-8. DOI: https://doi.org/10.4314/just.v28i2.33118
Andargie G, Kassu A, Moges F, et al. Low prevalence of HIV infection, and knowledge, attitude and practice on HIV/AIDS among high school students in Gondar, Northwest Ethiopia. Ethiop J Health Dev 2007;21:179-82. DOI: https://doi.org/10.4314/ejhd.v21i2.10047
Cohen PT, Sande MA, Volberding PA (eds). The AIDS knowledge base. Waltham, Mass.: Medical Publishing Group; 1990.
Ajayi B, Moses A, Gashau W, Omotara B. Assessment of knowledge, perception and attitude of PLWHA towards HIV/AIDS in Maiduguri, North east Nigeria. Int J Infect Dis 2013;12:1382-90.
Olowookere S, Fatiregun A, Adewole L. Knowledge and attitudes to HIV/AIDS and Antiretroviral Therapy among patients at Nigerian treatment clinic. JIDC 2012;6:809-16. DOI: https://doi.org/10.3855/jidc.2086
Olutayo F, Martins L, Lekhraj R, et al. Knowledge and attitudes of adult HIV positive patients to HIV/AIDS in Yola, Nigeria. J Pub Health Epi 2015;7:241-8. DOI: https://doi.org/10.5897/JPHE2015.0742
Cleland J, Ali MM. Sexual abstinence, contraception, and condom use by young African women: a secondary analysis of survey data. Lancet 2006;368:1788-93. DOI: https://doi.org/10.1016/S0140-6736(06)69738-9
Lo N, Lowe A, Bendavid E. Abstinence funding was not associated with reductions in HIV risk behavior in sub-Saharan Africa. Health Affairs 2016;35. DOI: https://doi.org/10.1377/hlthaff.2015.0828
Copyright (c) 2024 the Author(s)
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Downloads
Citations
