Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2023 Nov 30:2023:1416187.
doi: 10.1155/2023/1416187. eCollection 2023.

On-Time Appointment Keeping and Associated Factors among Human Immunodeficiency Virus-Positive Adult Patients Accessing Antiretroviral Therapy at Health Centers in East Gojjam Zone, Northwest Ethiopia, 2019

Mengistie Kassahun Tariku  1 , Abebe Habtamu Belete  1 , Daniel Tarekegn Worede  1 , Sewnet Wongiel Misikir  2
Affiliations

On-Time Appointment Keeping and Associated Factors among Human Immunodeficiency Virus-Positive Adult Patients Accessing Antiretroviral Therapy at Health Centers in East Gojjam Zone, Northwest Ethiopia, 2019

Mengistie Kassahun Tariku et al. AIDS Res Treat. .

Abstract

Background: The magnitude of on-time appointment keeping among HIV-positive adult patients was not identified in Ethiopia. Hence, this study aimed to assess on-time appointment keeping and associated factors among human immunodeficiency virus-positive patients accessing antiretroviral therapy in the East Gojjam Zone, Northwest Ethiopia.

Methods: A community-based cross-sectional study was performed on 830 HIV-positive patients from April 1 to May 10, 2019, in East Gojjam Zone. A systematic random sampling technique was used to include study subjects, and data were collected through face-to-face interviews. Bivariable and multivariable binary logistic regression analyses were performed. Independent variables with a P value of <0.05 were considered statistically significant cut points.

Results: The prevalence of on-time appointment keeping was 62.1%. Being >24 years old (adjusted odds ratio (AOR) = 2.13; 95% confidence interval (CI) = 1.54-4.25), being unmarried (AOR = 0.59; 95% CI = 0.45-0.82), taking a drug regimen of tenofovir + lamivudine (3TC) + efavirenz (EFV) (AOR = 2.11; 95% CI = 1.84-3.62), taking ART ≥12 months (AOR = 4.32; 95% CI = 2.22-8.40), having a mobile (AOR = 2.22; 95% CI = 1.44-3.64), and getting adherence support (AOR = 1.83; 95% CI = 1.16; 95% 1.16-3.50) were significant factors.

Conclusion: On-time appointment keeping was low. Adherence support and appointment reminders should be strengthened.

PubMed Disclaimer

Conflict of interest statement

The authors declare that they have no conflicts of interest.

Figures

Figure 1
Figure 1
Reasons for missing appointments from ART clinic in East Gojjam Zone Northwest Ethiopia, 2019.
See this image and copyright information in PMC

References

    1. World Health Organization. Adherence to long term therapies–evidence for action. 2004. http://www.who.int/chp/knowledge/publications/adherence_full_report.pdf .
    1. World Health Organization. Report on Early Warning Indicators of HIV Drug Resistance . Geneva, Switzerland: World Health Organization; 2016.
    1. Christian Obirikorang P. K. S., Abledu J. K., Opoku Fofie C. Predictors of adherence to antiretroviral therapy among hiv/aids patients in the upper west region of ghana. ISRN AIDS . 2013;2013:7. doi: 10.1155/2013/873939.873939 - DOI - PMC - PubMed
    1. Anoje C., Agu K. A., Oladele E. A., et al. Adherence to on-time ART drug pick-up and its association with CD4 changes and clinical outcomes amongst HIV infected adults on first-line antiretroviral therapy in Nigerian hospitals. AIDS and Behavior . 2017;21(2):386–392. doi: 10.1007/s10461-016-1473-z. - DOI - PubMed
    1. Bennett D. E., Jordan M. R., Bertagnolio S., et al. HIV drug resistance early warning indicators in cohorts of individuals starting antiretroviral therapy between 2004 and 2009: world Health Organization global report from 50 countries. Clinical Infectious Diseases . 2012;54(4):S280–S289. doi: 10.1093/cid/cis207. - DOI - PMC - PubMed

LinkOut - more resources