Knowledge, perception about antiretroviral therapy (ART) and prevention of mother-to-child-transmission (PMTCT) and adherence to ART among HIV positive women in the Ashanti Region, Ghana: a cross-sectional study
Identifieur interne : 000283 ( Pmc/Curation ); précédent : 000282; suivant : 000284Knowledge, perception about antiretroviral therapy (ART) and prevention of mother-to-child-transmission (PMTCT) and adherence to ART among HIV positive women in the Ashanti Region, Ghana: a cross-sectional study
Auteurs : Daniel Boateng [Ghana] ; Golda Dokuaa Kwapong [Ghana] ; Peter Agyei-Baffour [Ghana]Source :
- BMC Women's Health [ 1472-6874 ] ; 2013.
Abstract
Mother-to-Child Transmission (MTCT) has been identified as the greatest means of HIV infection among children. Adherence to antiretroviral drugs is necessary to prevent drug resistance and MTCT of HIV among HIV positive women. However, there is a gap in clients’ knowledge, attitudes and perceptions of antiretroviral therapy (ART) and Prevention of Mother-To-Child Transmission (PMTCT) which influence their decision to adhere to ART.
The study was a descriptive cross-sectional employing both qualitative and quantitative methods. The study involved 229 HIV positive women in reproductive age (18 – 49 years) and had been on ART for at least six months. Fourteen health workers were also included in the qualitative study. Respondents were selected from three ART centers in the Kumasi Metropolis through systematic random sampling from August to November 2011. HIV positive women who had consistently missed two or more ART appointments within the previous two months were classified as defaulters. Data was analyzed with SPSS 19 and STATA 11. Logistic regression was run to assess the odds ratios at 95% confidence level.
The ART defaulter rate was 27% and clients had good knowledge about ART and PMTCT. More than 90% of the HIV positive women had inadequate knowledge about ART and PMTCT and these women were more likely to default ART (OR = 3.5; 95% CI = 1.89, 6.21). The educational background of HIV positive women did not have significant influence on their knowledge of ART and PMTCT.
Mothers, knowledge and understanding of ART and PMTCT could influence their adherence to ART. Educational interventions which target the understanding of both the literate and illiterate women in society are necessary to develop positive behaviors and enhance adherence to ART.
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DOI: 10.1186/1472-6874-13-2
PubMed: 23336813
PubMed Central: 3563602
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Knowledge, perception about antiretroviral therapy (ART) and prevention of mother-to-child-transmission (PMTCT) and adherence to ART among HIV positive women in the Ashanti Region, Ghana: a cross-sectional study</title><author><name sortKey="Boateng, Daniel" sort="Boateng, Daniel" uniqKey="Boateng D" first="Daniel" last="Boateng">Daniel Boateng</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of community Health, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana</nlm:aff><country xml:lang="fr">Ghana</country><wicri:regionArea>Department of community Health, Kwame Nkrumah University of Science and Technology, Kumasi</wicri:regionArea></affiliation></author><author><name sortKey="Kwapong, Golda Dokuaa" sort="Kwapong, Golda Dokuaa" uniqKey="Kwapong G" first="Golda Dokuaa" last="Kwapong">Golda Dokuaa Kwapong</name><affiliation wicri:level="1"><nlm:aff id="I2">The United States Agency for International Development (USAID)/ Focus Region Health Projects, Accra, Ghana</nlm:aff><country xml:lang="fr">Ghana</country><wicri:regionArea>The United States Agency for International Development (USAID)/ Focus Region Health Projects, Accra</wicri:regionArea></affiliation></author><author><name sortKey="Agyei Baffour, Peter" sort="Agyei Baffour, Peter" uniqKey="Agyei Baffour P" first="Peter" last="Agyei-Baffour">Peter Agyei-Baffour</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of community Health, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana</nlm:aff><country xml:lang="fr">Ghana</country><wicri:regionArea>Department of community Health, Kwame Nkrumah University of Science and Technology, Kumasi</wicri:regionArea></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">23336813</idno><idno type="pmc">3563602</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3563602</idno><idno type="RBID">PMC:3563602</idno><idno type="doi">10.1186/1472-6874-13-2</idno><date when="2013">2013</date><idno type="wicri:Area/Pmc/Corpus">000284</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000284</idno><idno type="wicri:Area/Pmc/Curation">000283</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">000283</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Knowledge, perception about antiretroviral therapy (ART) and prevention of mother-to-child-transmission (PMTCT) and adherence to ART among HIV positive women in the Ashanti Region, Ghana: a cross-sectional study</title><author><name sortKey="Boateng, Daniel" sort="Boateng, Daniel" uniqKey="Boateng D" first="Daniel" last="Boateng">Daniel Boateng</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of community Health, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana</nlm:aff><country xml:lang="fr">Ghana</country><wicri:regionArea>Department of community Health, Kwame Nkrumah University of Science and Technology, Kumasi</wicri:regionArea></affiliation></author><author><name sortKey="Kwapong, Golda Dokuaa" sort="Kwapong, Golda Dokuaa" uniqKey="Kwapong G" first="Golda Dokuaa" last="Kwapong">Golda Dokuaa Kwapong</name><affiliation wicri:level="1"><nlm:aff id="I2">The United States Agency for International Development (USAID)/ Focus Region Health Projects, Accra, Ghana</nlm:aff><country xml:lang="fr">Ghana</country><wicri:regionArea>The United States Agency for International Development (USAID)/ Focus Region Health Projects, Accra</wicri:regionArea></affiliation></author><author><name sortKey="Agyei Baffour, Peter" sort="Agyei Baffour, Peter" uniqKey="Agyei Baffour P" first="Peter" last="Agyei-Baffour">Peter Agyei-Baffour</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of community Health, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana</nlm:aff><country xml:lang="fr">Ghana</country><wicri:regionArea>Department of community Health, Kwame Nkrumah University of Science and Technology, Kumasi</wicri:regionArea></affiliation></author></analytic><series><title level="j">BMC Women's Health</title><idno type="eISSN">1472-6874</idno><imprint><date when="2013">2013</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>Mother-to-Child Transmission (MTCT) has been identified as the greatest means of HIV infection among children. Adherence to antiretroviral drugs is necessary to prevent drug resistance and MTCT of HIV among HIV positive women. However, there is a gap in clients’ knowledge, attitudes and perceptions of antiretroviral therapy (ART) and Prevention of Mother-To-Child Transmission (PMTCT) which influence their decision to adhere to ART.</p></sec><sec><title>Methods</title><p>The study was a descriptive cross-sectional employing both qualitative and quantitative methods. The study involved 229 HIV positive women in reproductive age (18 – 49 years) and had been on ART for at least six months. Fourteen health workers were also included in the qualitative study. Respondents were selected from three ART centers in the Kumasi Metropolis through systematic random sampling from August to November 2011. HIV positive women who had consistently missed two or more ART appointments within the previous two months were classified as defaulters. Data was analyzed with SPSS 19 and STATA 11. Logistic regression was run to assess the odds ratios at 95% confidence level.</p></sec><sec><title>Results</title><p>The ART defaulter rate was 27% and clients had good knowledge about ART and PMTCT. More than 90% of the HIV positive women had inadequate knowledge about ART and PMTCT and these women were more likely to default ART (OR = 3.5; 95% CI = 1.89, 6.21). The educational background of HIV positive women did not have significant influence on their knowledge of ART and PMTCT.</p></sec><sec><title>Conclusions</title><p>Mothers, knowledge and understanding of ART and PMTCT could influence their adherence to ART. Educational interventions which target the understanding of both the literate and illiterate women in society are necessary to develop positive behaviors and enhance adherence to ART.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Dzokoto, A" uniqKey="Dzokoto A">A Dzokoto</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Duff, P" uniqKey="Duff P">P Duff</name></author><author><name sortKey="Kipp, W" uniqKey="Kipp W">W Kipp</name></author><author><name sortKey="Wild, Tc" uniqKey="Wild T">TC Wild</name></author><author><name sortKey="Rubaale, T" uniqKey="Rubaale T">T Rubaale</name></author><author><name sortKey="Okech Ojony, J" uniqKey="Okech Ojony J">J Okech-Ojony</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Catz, S" uniqKey="Catz S">S Catz</name></author><author><name sortKey="Heckman, T" uniqKey="Heckman T">T Heckman</name></author><author><name sortKey="Kochman, A" uniqKey="Kochman A">A Kochman</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Wenger, N" uniqKey="Wenger N">N Wenger</name></author><author><name sortKey="Gifford, A" uniqKey="Gifford A">A Gifford</name></author><author><name sortKey="Liu, H" uniqKey="Liu H">H Liu</name></author><author><name sortKey="Chesney, M" uniqKey="Chesney M">M Chesney</name></author><author><name sortKey="Golin, C" uniqKey="Golin C">C Golin</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Addo, V" uniqKey="Addo V">V Addo</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Falnes, Ef" uniqKey="Falnes E">EF Falnes</name></author><author><name sortKey="Tyllesk R, T" uniqKey="Tyllesk R T">T Tylleskär</name></author><author><name sortKey="Paoli, Mm" uniqKey="Paoli M">MM Paoli</name></author><author><name sortKey="Manongi, R" uniqKey="Manongi R">R Manongi</name></author><author><name sortKey="Engebretsen, Im" uniqKey="Engebretsen I">IM Engebretsen</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Weiser, S" uniqKey="Weiser S">S Weiser</name></author><author><name sortKey="Wolfe, W" uniqKey="Wolfe W">W Wolfe</name></author><author><name sortKey="Bangsberg, D" uniqKey="Bangsberg D">D Bangsberg</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Munyao, P" uniqKey="Munyao P">P Munyao</name></author><author><name sortKey="Sarna, A" uniqKey="Sarna A">A Sarna</name></author><author><name sortKey="Luchters, S" uniqKey="Luchters S">S Luchters</name></author><author><name sortKey="Geibel, S" uniqKey="Geibel S">S Geibel</name></author><author><name sortKey="Shikely, K" uniqKey="Shikely K">K Shikely</name></author><author><name sortKey="Mandaliya, K" uniqKey="Mandaliya K">K Mandaliya</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Liu, H" uniqKey="Liu H">H Liu</name></author><author><name sortKey="Golin, Ce" uniqKey="Golin C">CE Golin</name></author><author><name sortKey="Miller, Lg" uniqKey="Miller L">LG Miller</name></author><author><name sortKey="Hays, Rd" uniqKey="Hays R">RD Hays</name></author><author><name sortKey="Beck, Ck" uniqKey="Beck C">CK Beck</name></author><author><name sortKey="Sanandaji, S" uniqKey="Sanandaji S">S Sanandaji</name></author><author><name sortKey="Christian, J" uniqKey="Christian J">J Christian</name></author><author><name sortKey="Maldonado, T" uniqKey="Maldonado T">T Maldonado</name></author><author><name sortKey="Duran, D" uniqKey="Duran D">D Duran</name></author><author><name sortKey="Kaplan, Ah" uniqKey="Kaplan A">AH Kaplan</name></author><author><name sortKey="Wenger, Ns" uniqKey="Wenger N">NS Wenger</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Nemes, Mib" uniqKey="Nemes M">MIB Nemes</name></author><author><name sortKey="Carvalho, Hb" uniqKey="Carvalho H">HB Carvalho</name></author><author><name sortKey="Souza, Mfm" uniqKey="Souza M">MFM Souza</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Safren, Sa" uniqKey="Safren S">SA Safren</name></author><author><name sortKey="Kumarasamy, N" uniqKey="Kumarasamy N">N Kumarasamy</name></author><author><name sortKey="James, R" uniqKey="James R">R James</name></author><author><name sortKey="Raminani, S" uniqKey="Raminani S">S Raminani</name></author><author><name sortKey="Solomon, S" uniqKey="Solomon S">S Solomon</name></author><author><name sortKey="Mayer, Kh" uniqKey="Mayer K">KH Mayer</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name 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<front><journal-meta><journal-id journal-id-type="nlm-ta">BMC Womens Health</journal-id><journal-id journal-id-type="iso-abbrev">BMC Womens Health</journal-id><journal-title-group><journal-title>BMC Women's Health</journal-title></journal-title-group><issn pub-type="epub">1472-6874</issn><publisher><publisher-name>BioMed Central</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">23336813</article-id><article-id pub-id-type="pmc">3563602</article-id><article-id pub-id-type="publisher-id">1472-6874-13-2</article-id><article-id pub-id-type="doi">10.1186/1472-6874-13-2</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group></article-categories><title-group><article-title>Knowledge, perception about antiretroviral therapy (ART) and prevention of mother-to-child-transmission (PMTCT) and adherence to ART among HIV positive women in the Ashanti Region, Ghana: a cross-sectional study</article-title></title-group><contrib-group><contrib contrib-type="author" corresp="yes" id="A1"><name><surname>Boateng</surname><given-names>Daniel</given-names></name><xref ref-type="aff" rid="I1">1</xref><email>kingdannie@gmail.com</email></contrib><contrib contrib-type="author" id="A2"><name><surname>Kwapong</surname><given-names>Golda Dokuaa</given-names></name><xref ref-type="aff" rid="I2">2</xref><email>dokuaa80@yahoo.com</email></contrib><contrib contrib-type="author" id="A3"><name><surname>Agyei-Baffour</surname><given-names>Peter</given-names></name><xref ref-type="aff" rid="I1">1</xref><email>agyeibaffour@yahoo.co.uk</email></contrib></contrib-group><aff id="I1"><label>1</label>Department of community Health, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana</aff><aff id="I2"><label>2</label>The United States Agency for International Development (USAID)/ Focus Region Health Projects, Accra, Ghana</aff><pub-date pub-type="collection"><year>2013</year></pub-date><pub-date pub-type="epub"><day>22</day><month>1</month><year>2013</year></pub-date><volume>13</volume><fpage>2</fpage><lpage>2</lpage><history><date date-type="received"><day>31</day><month>8</month><year>2012</year></date><date date-type="accepted"><day>18</day><month>1</month><year>2013</year></date></history><permissions><copyright-statement>Copyright ©2013 Boateng et al.; licensee BioMed Central Ltd.</copyright-statement><copyright-year>2013</copyright-year><copyright-holder>Boateng et al.; licensee BioMed Central Ltd.</copyright-holder><license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by/2.0"><license-p>This is an Open Access article distributed under the terms of the Creative Commons Attribution License (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by/2.0">http://creativecommons.org/licenses/by/2.0</ext-link>), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p></license></permissions><self-uri xlink:href="http://www.biomedcentral.com/1472-6874/13/2"></self-uri><abstract><sec><title>Background</title><p>Mother-to-Child Transmission (MTCT) has been identified as the greatest means of HIV infection among children. Adherence to antiretroviral drugs is necessary to prevent drug resistance and MTCT of HIV among HIV positive women. However, there is a gap in clients’ knowledge, attitudes and perceptions of antiretroviral therapy (ART) and Prevention of Mother-To-Child Transmission (PMTCT) which influence their decision to adhere to ART.</p></sec><sec><title>Methods</title><p>The study was a descriptive cross-sectional employing both qualitative and quantitative methods. The study involved 229 HIV positive women in reproductive age (18 – 49 years) and had been on ART for at least six months. Fourteen health workers were also included in the qualitative study. Respondents were selected from three ART centers in the Kumasi Metropolis through systematic random sampling from August to November 2011. HIV positive women who had consistently missed two or more ART appointments within the previous two months were classified as defaulters. Data was analyzed with SPSS 19 and STATA 11. Logistic regression was run to assess the odds ratios at 95% confidence level.</p></sec><sec><title>Results</title><p>The ART defaulter rate was 27% and clients had good knowledge about ART and PMTCT. More than 90% of the HIV positive women had inadequate knowledge about ART and PMTCT and these women were more likely to default ART (OR = 3.5; 95% CI = 1.89, 6.21). The educational background of HIV positive women did not have significant influence on their knowledge of ART and PMTCT.</p></sec><sec><title>Conclusions</title><p>Mothers, knowledge and understanding of ART and PMTCT could influence their adherence to ART. Educational interventions which target the understanding of both the literate and illiterate women in society are necessary to develop positive behaviors and enhance adherence to ART.</p></sec></abstract><kwd-group><kwd>ART</kwd><kwd>PMTCT</kwd><kwd>HIV</kwd><kwd>Women</kwd><kwd>Ghana</kwd></kwd-group></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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