The relationship between counseling and adherence to antiretroviral therapy among pregnant and breastfeeding women enrolled in option b+

Jerry John Nutor, Jaime C. Slaughter-Acey, Patience A. Afulani, Moses M. Obimbo, Sanyu A. Mojola

Research output: Contribution to journalArticlepeer-review

Abstract

The aim of the study was to investigate the relationship between counseling prior to starting antiretroviral treatment (ART) and adherence to treatment among women enrolled in Option B+ in Zambia. Using convenience sampling, 150 HIV+ women enrolled in an Option B+ treatment regimen in rural and urban districts were recruited. Four generalized Poisson regression models were built to assess the association between counseling and adherence to ART. In all, 75% of the participants reported adherence in the past 7 days. In adjusted analyses, there was a significant positive relationship between counseling and adherence in the rural district (prevalence ratio [PR] 2.52, 95% CI [1.19, 5.35], n = 81) but not in the urban district (PR = 0.77, 95% CI [0.15, 3.91], n = 69). Offering counseling prior to initiating antiret-roviral treatment to HIV+ women is particularly important for promoting medication adherence in rural settings of low resourced countries.

Original languageEnglish (US)
Pages (from-to)378-391
Number of pages14
JournalAIDS Education and Prevention
Volume32
Issue number5
DOIs
StatePublished - 2020

All Science Journal Classification (ASJC) codes

  • Health(social science)
  • Public Health, Environmental and Occupational Health
  • Infectious Diseases

Keywords

  • Adherence
  • Antiretrovirals
  • Counseling
  • HIV
  • Option B+
  • Zambia

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