Condoms offer protection against unwanted pregnancy and some sexually transmitted infections including HIV. Interventions to promote condom use are essential in efforts to slow the spread of HIV. The burden of HIV/AIDS is high in Sub-Saharan countries which constitutes two third of the globe and is worst in Ethiopia. As a strategy for prevention, condom use practice among others remains the most effective method against HIV infection. So knowing knowledge, attitude, practice and determinants of consistent condom use in HIV patients who were on ART had paramount importance in the prevention and control of the disease. The main aim of this study is to find out the level of awareness, and determinants of condom use among People Living with HIV/AIDS attending Gondar University Hospital, ART clinic. Hospital based comparative cross sectional study were conducted at Gondar university referral hospital, northwest Ethiopia. Random sampling technique was used and single population formula was applied to select 317 study participants from the ART clinic of the Hospital. A structured interview guide questionnaire first prepared in English then translated into Amharic was used to collect data. Three of the investigators were work as data collectors. A total of 317 respondents from ART experienced groups were included in the study. Female constitute 159(50.2%) and the age of the respondents ranges from 18-65 and above. About 77% of the study participants are knowledgeable and consistent condom use was reported by 78.9%. Also 35.3% of the respondents have positive attitude towards condom. This study found that PLWHA generally have a high level of condom use and knowledge on importance of condom in the prevention of unwanted pregnancies and HIV/AIDS transmission. However, more than half have negative attitude towards condom.
Background Adverse effects from antiretroviral therapy (ART) have an impact on quality of life and medication adherence. There is no clear understanding of how people manage the adverse effects of ART. The individual taking medications which cause serious adverse effects may choose to stop or reduce the medications to relieve the adverse effects. Hence, this study was aimed at assessing coping strategies for adverse effects of ART among adult human immunodeficiency virus (HIV) patients. Methods A cross-sectional study was conducted at HIV clinic of University of Gondar Referral Hospital (UoGRH). A total of 394 study participants were recruited by systematic random sampling. Data were collected through interviewing patients. Data were entered to Epi-Info 3.5.4 and analyzed using SPSS-20.0. Descriptive statistics were used to summarize patient's sociodemographic data and the adverse effects of their ART regimen. Binary and multivariate logistic regressions were used to investigate the potential predictors of nonadherence coping strategies. Results The majorities of study participants were females (66%) and aged between 35 and 44 years (38.1%). The major adverse effects reported by the participants were headache (48.2%) followed by fatigability (18%) and loss of appetite (17.5%). Coping strategies used by HIV patients for adverse effect of ART were positive emotion coping strategy (91.1%), social support seeking (76.6%), taking other medications (76.6%), information seeking (48.7%), and nonadherence (35.5%). Younger age (AOR = 29.54, 95% CI = 2.49–35.25, p = 0.007), low level of education (AOR = 5.70, 95% CI = 2.16-15.05, p < 0.001), and living far from the health institution (AOR = 2.68, 95% CI = 1.29–5.57, p = 0.008) were associated with nonadherence coping strategy to relieve the adverse effects of ART. Conclusion The present study revealed that positive emotion coping was the most commonly used strategy. Age, level of education, and distance from health institution were the predictors of nonadherence coping strategy.
Introduction: Asthma and other chronic airway diseases can be effectively treated by inhaler therapy. Inhaler therapy depends on appropriate use of the inhaler. For asthma, inhalation therapy is the foundation of treatment. Yet all too often, patients do not get the full value of their inhaled medications because they use their inhaler incorrectly. The objective of this study was to evaluate the knowledge among asthmatic children and their parents regarding asthma inhaler therapy and appropriateness of its use. Method: Cross-sectional study was conducted on assessment of adequate use of asthma inhalational medication in children. Results: Sixty one asthmatic children were involved in the study with a mean age of 4.67 + 3.69 years; 35 (57.4%) were males and 26 (42.6%) were females. Of 61 asthmatic children 44 (72.1%) were preschool children, 32 (52.5%) asthmatic children were living in a number of family 1-5, 28 (45.9%) were living in a family number of 5-10 and only 1 (1.6%) lived in a family number of >10. Nineteen (31.1%) asthmatic children had a family history of asthma.
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