Faculty of Nursing and Health Sciences [FNHS]

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Browsing Faculty of Nursing and Health Sciences [FNHS] by Subject "Adherence"

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    Factors Influencing Adherence to Iron and Folic Acid Supplementation among Pregnant Women attending Antenatal Care in Rubanda District, South Western-Uganda
    (American Journal of Health, Medicine and Nursing Practice, 2022) Amanyire, Jordan; Tumwebaze, Mathias; Turanzomwe, Stuart
    Purpose: Globally, about 40% of pregnant women have anemia. Pregnant women are at high risk of iron and folic acid deficiency anemia due to increased nutrient requirement during pregnancy. Iron/folic acid supplementation with optimal adherence is the main cost-effective strategy for prevention of iron deficiency anemia in pregnant women. However, there remains poor adherence to iron and folic acid supplementation in pregnancy in many countries especially low-income countries. The aim of this study was to evaluate the level of adherence and the factors influencing adherence to iron and folic acid supplementation among pregnant women attending antenatal care in Rubanda District, south Western-Uganda. Methodology: A multi-Health facility based observational and descriptive cross-sectional study was done. One hundred seventy two (172) pregnant mothers attending antenatal clinic in six selected health facilities in Rubanda District were enrolled in this study from December 2021 to March 2022. The interviewer administered questionnaire was used to study the participant characteristics and logistic regression was used to identify the factors influencing adherence to iron and folic acid supplements. Findings: Majority of women were aged between 20-29 years (57.56%), married (94.77%) and unemployed (80.23%). More than half of the respondents (62.21%, 95% CI 54.89%- 69.53%) had taken at least 80% of the prescribed iron and folic acid tablets. This reflected good adherence level. Factors independently influencing adherence included maternal age below 20 years (aOR 3.83, 95% CI 1.12-13.08, p-value 0.032), age between 20-29 years (aOR=4.86, 95%CI: 2.03-11.63, p value <0.001), adherence partner (aOR=2.82, 95%CI: 1.34-5.91, pvalue <0.001) and being counselled on importance of iron and folic acid tablets (aOR=4.42, 95%CI: 2.08-9.42, p-value <0.001). Recommendations: Intensive counselling during antenatal care about the importance of iron and folic acid supplements should be done on a daily basis with particular attention to women aged 30 years and above
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    Socio-Economic Factors that Influence Adherence to ARVS Among HIV Infected Pregnant Mothers in Health Facilities in Mbarara City, Western Uganda
    (International Journal of Scientific Research and Engineering Development, 2023-09) Beatrice, Keshara; Tumwebaze, Mathias; Bright Laban, Waswa
    Globally, poor adherence to ART is a challenge among pregnant women living with HIV/AIDS. This study assessed the factors affecting adherence to ARVs among HIV pregnant mothers in health facilities in Mbarara City. This study was a cross-sectional study design. The study population included HIV-positive pregnant mothers on ART attending the HIV clinics in public health facilities in Mbarara City. Quantitative data were coded, entered, and cleaned. They were then exported to STATA Version 13 for analysis. The study findings found participants who received financial support were 1.8 times more likely to adhere to antiretrovirals than those who never received any support. Participants who noted farming as source of income for the family were 1.5 times more likely to adhere to ART than those who had businesses as source of income for the family; participants who had household income of 100,000-300,000 per month were 1.65 times more likely to adhere to ART than those who had above 800,000/= household income. It was concluded the significance of disclosure, social support, financial assistance, knowledge, income source, treatment duration, and personal willingness in promoting adherence to ART among individuals living with HIV. Implementing strategies that address these factors could help improve treatment adherence and ultimately enhance the health outcomes of people living with HIV. It was concluded that, the ministry of health should promote and facilitate initiatives that encourage disclosure of HIV status, as it plays a significant role in adherence to ART. The government should implement educational campaigns to improve knowledge about HIV, ART, and its benefits to enhance treatment adherence.