Prevention of Mother-to-Child Transmission (PMTCT) of HIV in Iran: Situation Analysis of the Pilot Phase

Kazeroni, Parvin Afsar; Gouya, Mohammad Mehdí; Tira, Mandana; Sargolzaiie, Maryam; Eybpoosh, Sana; Majdfar, Zahra; Zareie, Bushra; Ghaderi, Ebrahim

doi:10.21203/rs.3.rs-15973/v1

Cited by 3 publications

(3 citation statements)

References 11 publications

(23 reference statements)

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“…These gender diffe rences are largely explained by social and behavioral factors. In addition to the regularity and high commitment of wom en versus men in adherence to treatment, antiretroviral treatment can be provided to prevent mothertochild trans mission, which has been included in the national guidelines for care and treatment since 2016 [20].…”

Section: Discussionmentioning

confidence: 99%

Prevalence of behavioral risk factors in people with HIV/AIDS and its’ effect on adherence to treatment

Soofi¹,

Moradi²,

Shakiba³

et al. 2022

HIV & AIDS Review

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Introduction: Behavioral risk factors, in addition to increasing the risk of human immunodeficiency virus (HIV)/acquired immunodeficiency syndrome (AIDS) transmission, can affect antiretroviral the rapy (ART) compliance of people with the condition. The aim of this study was to determine the pre valence of behavioral risk factors and its' effect on adherence to antiretroviral drugs (ARV) treatment in patients with HIV/AIDS in Western Iran. Material and methods:This study was performed among all patients diagnosed with HIV/AIDS in Ker manshah Province for 25 years, from 1995 till 2019. Adherence to treatment in these patients was divided into three categories according to the World Health Organization definition, i.e., nonadherence, cessation, and adherence to treatment. Using singlevariable and multivariable logistic regression, the effect of im portant variables in four models was modified, and the effect of each of behavioral risk factors was analyzed in patients with nonadherence or experienced cessation compared to those who adhered to ARV.Results: Of the 2,867 patients with HIV/AIDS, 2,449 (85.42%) were males. The mean age of HIV infec tion was 33.36 ± 11.8 years. In 1995, less than 10 percent of people received treatment, and in 2019, it was more than 67 percent. All behavioral risk factors increased nonadherence to medication and cessation of ARV. In general, after controlling confounding variables, except for needle sharing, all behavioral vari ables affected ARV treatment. The greatest impact on nonadherence to medication was history of drug abuse, history of imprisonment, history of injection drug use, and sex with nonspouse, with a chance of 10.87 (range, 7.2116.39), 3.94 (range, 2.845.46), 3.86 (range, 2.476.03), and 3.38 (range, 2.195.23) times more than patients without these risk factors, respectively. Conclusions:Although the process of receiving treatment has been increasing since 2005, the non adherence to medication is still high in highrisk groups; therefore it is important to focus more on reducing nonadherence and eventual cessation of treatment. In particular, more attention is necessary for health education and raising the level of awareness of these groups.

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Section: Discussionmentioning

confidence: 99%

Prevalence of behavioral risk factors in people with HIV/AIDS and its’ effect on adherence to treatment

Soofi¹,

Moradi²,

Shakiba³

et al. 2022

HIV & AIDS Review

View full text Add to dashboard Cite

show abstract

“…These gender differences are largely explained by social and behavioral factors. In addition to the regularity and high commitment of women versus men in adherence to treatment, antiretroviral treatment can be provided to prevent the transmission of HIV from mother to infant, which has been included in the national guidelines for care and treatment since 2016 (21).…”

Section: Discussionmentioning

confidence: 99%

The Prevalence of Behavioral Risk Factors in People with HIV/AIDS and Its Effect on Adherence to Treatment

Soofi¹,

Shakiba²,

Moradinazar³

et al. 2020

Preprint

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Background: Behavioral risk factors, in addition to increasing the risk of HIV/AIDS transmission, can affect the antiretroviral therapy (ART) pattern of people with the condition. The aim of this study was to determine the prevalence of behavioral risk factors and its effect on adherence to antiretroviral drugs (ARV) treatment in patients with HIV/AIDS in western Iran.Methods: This study was performed on all patients who were diagnosed with HIV/AIDS in Kermanshah province during the years 1995-2019 (25 years). Adherence to treatment in these patients was divided into three categories according to the WHO definition: Non-adherence, cessation and adherence to treatment. Using single-variable and multi-variable logistic regression, the effect of important variables in four models was modified and the effect of each of the behavioral risk factors was studied in patients who had non-adherence or experienced cessation compared to those who adhered to ARV.Results: Of the 2,867 patients with HIV/AIDS, 2,449 (85.42%) were men. The mean age of HIV infection was 33.36 ± 11.8 years. In 1995, less than 10 percent of people received treatment, which is 2019 it reached to more than 67 percent. All behavioral risk factors increased the non-adherence to medication and cessation of ARV. In general, after controlling confounding variables except needle sharing, all behavioral variables affected ARV treatment; The greatest impact on non-adherence to medication was History of drug abuse, History of the prison, History of injection drug use and Sex with non-spouse with a chance of 10.87 (7.21-16.39), 3.94 (2.84-5.46), 3.86 (2.47-6.03) and 3.38(2.19-5.23) times more than patients without these risk factors, respectively.Conclusion: Although the process of receiving treatment has been increasing since 2005, the non-adherence to medication is still high in high-risk groups, so it is important to focus more on reducing non-adherence and eventually cessation of treatment. In particular, more focus is necessary for health education and raising the level of awareness of these groups.

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“…[11][12] Besides, numerous institutions, such as the World Health Organization, National Academies Practice, and the American Public Health Association, have indicated their support for IPE. 4,9,13 The previous literature reports how IPE, reviews of conferences, and regional IPE networks are becoming more common in many countries. A systematic review and meta-analysis of interprofessional education in healthcare revealed a statistically significant outcome of intervention by the IPE program in healthcare (the effect summary value of 1.37 with a confidence interval of 0.92 -1.82).…”

Section: Introductionmentioning

confidence: 99%

The Preparation for Interprofessional Practice (IPP) in Nursing Students at Mahidol University, Thailand: The Situation Analysis

Puwarawuttipanit

2021

Smj

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Objective: This study involved a situation analysis of nursing students’ preparation and demand for interprofessional practice (IPP) with an aim to make improvements to the interprofessional education (IPE) curriculum. Methods: This was a situation analysis involving 58 responses (75.32%) from the Faculty of Nursing, Mahidol University, Thailand, performed between August and December 2019. Personal information, closed-ended questionnaires, and descriptive questionnaires were utilized to assess the participants’ perspectives regarding their approach to their preparation and demand for IPP. Reflection and interpretation methods were used to categorize the participants’ descriptive answers. Additionally, data are reported as the mean, frequency, percentage, and p-value as appropriate. Results: Overall, 45 (77.6%) participants had never taken the IPE course before. Of those who had taken the IPE course, 22.4% stated that having good communication skills was the main ability needed for multidisciplinary nursing practice in an open-ended question, participants indicated that their self-identity had the key effect on their confidence in multidisciplinary nursing practice (Non-IPE attendants, n = 19 (32.76%), IPE attendants, n = 6 (10.34%)). Furthermore, 77.78% of respondents said they prefer to perform nursing practice to prepare themselves to work with other healthcare professionals collaboratively. Conclusion: IPE not only benefits healthcare students by preparing them to be able to work in their field but also prepares them to be able to collaboratively operate with different healthcare personnel. In particular, communication skills, self-confidence, and nursing practice skills are important attributes that need to be prepared.

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Prevention of Mother-to-Child Transmission (PMTCT) of HIV in Iran: Situation Analysis of the Pilot Phase

Cited by 3 publications

References 11 publications

Prevalence of behavioral risk factors in people with HIV/AIDS and its’ effect on adherence to treatment

Prevalence of behavioral risk factors in people with HIV/AIDS and its’ effect on adherence to treatment

The Prevalence of Behavioral Risk Factors in People with HIV/AIDS and Its Effect on Adherence to Treatment

The Preparation for Interprofessional Practice (IPP) in Nursing Students at Mahidol University, Thailand: The Situation Analysis

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