Impact of Integrated Home-Based Care Programme on Antiretroviral Medication Adherence among Plwha: A Quasi-Experimental Study.

Authors

  • Solomon Joseph Chiegil Global Healthplus Public Initiative, Nigeria.
  • Nnodimele Onuigbo Atulomah Babcock University, Ilisan-Remo, Ogun State.
  •  Umeh, Mercy Orji Global Healthplus Public Initiative, Nigeria.
  • Ogechukwu, Emmanuel, OKONDU Faculty of Education, Department of Human Kinetics and Health Education, Nnamdi Azikiwe University, Awka, Anambra State.
  • Joseph Emmanuel Chiegil Jhpiego-Johns Hopkins Affiliate; Ministry of Health, Jalingo, Taraba State.

DOI:

https://doi.org/10.51168/sjhrafrica.v2i6.113

Keywords:

Demography, Adherence, Predisposing, Reinforcing

Abstract

Background:

Suboptimal Anti-Retroviral adherence is an advancing global issue. 

Methodology:

One-Group Pre- and Post-Test Integrated Home-Based Care intervention program with control was adopted. The validated questionnaire was used to gather information from 60 PLWHA following ethical approval and informed consent. Descriptive statistics and frequency distributions are employed in data analysis. One-tailed independent sample T-test was used to determine the impact of the intervention using percentage-change and Cohen’s Effect Size with a 5% level of significance. Validity and reliability of Instrument tested with Cronbach Alpha, 0.795.

Results: 

Respondents mean age was 35.38 ± 9.061, married (37.61%), females (66%) and self –employed (41.1%). Mumuye ethnic group (28.3%), Christians, 71.7% with lower educational attainments (56.6%). Control group reported predisposing factors in HIV treatment (137-point scale),  = 82.17(2.18) ±11.92 and  = 86.50(1.69) ±9.23; Reinforcing factors on 15-points scale, scored  = 9.00(0.65) ±3.65 and  = 8.87(0.69) ±3.78; Enabling factors on 15-points scale,  = 8.23(0.46) ±2.50 and  = 8.00 (0.51) ±2.77 and Self-Reported Adherence on 24-points scale,  = 16.23(0.82) ±4.49 and  = 17.87(0.91) ±4.99 at baseline and post intervention respectively for each group and adherence prevalence rate of 60. 

Experimental group at baseline reported predisposing factors on 137-points scale,  = 80.90(2.77) ±15.15 and  = 97.13(8.12) ±1.48; Reinforcing factors on 15-points scale,  = 8.87(0.47) ±2.50 and  = 9.33(0.48) ±2.60; Enabling factors on 15-points scale,  = 7.23(0.41) ±2.24and  = 7.40(0.41) ±2.25 and Self-reported Adherence on 24-points scale,  = 15.98(0.57) ±4.39 and  = 23.13(0.43) ±2.37 at baseline and post intervention respectively for each group and adherence prevalence rate of 96%. 

Conclusion:

An integrated Home-Based Care intervention program will be more effective than the usual clinic-based program for HIV/ AIDS management.

Recommendation:

 An integrated Home-Based Care intervention program should be adopted for all HIV interventions.

Author Biographies

Solomon Joseph Chiegil, Global Healthplus Public Initiative, Nigeria.

Doctor of Public Health, Global Healthplus Public Initiative, Nigeria.

Nnodimele Onuigbo Atulomah, Babcock University, Ilisan-Remo, Ogun State.

Professor of Public Health, Babcock University, Ilisan-Remo, Ogun State.

Ogechukwu, Emmanuel, OKONDU, Faculty of Education, Department of Human Kinetics and Health Education, Nnamdi Azikiwe University, Awka, Anambra State.

A commonwealth scholar/public health specialist, and a Lecturer at Nnamdi Azikiwe University, Awka, Anambra State.

Joseph Emmanuel Chiegil, Jhpiego-Johns Hopkins Affiliate; Ministry of Health, Jalingo, Taraba State.

Doctor of Public Health, Jhpiego-Johns Hopkins Affiliate; Ministry of Health, Jalingo, Taraba State.

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Published

2022-06-30

How to Cite

Chiegil, S. J., Atulomah, N. O. ., Orji, Umeh,M., OKONDU, O. E. ., & Chiegil, J. E. . (2022). Impact of Integrated Home-Based Care Programme on Antiretroviral Medication Adherence among Plwha: A Quasi-Experimental Study. Student’s Journal of Health Research Africa, 3(6), 23. https://doi.org/10.51168/sjhrafrica.v2i6.113

Issue

Section

Section of HIV/AIDS Research