Medicine use among HIV/Aids patients in public hospitals, Kwara State

Abstract

Background: The prognosis of HIV/AIDS and HIV-related comorbidities has been revolutionized by the use of medicines. However, World Health Organization reported that 50% of patients do not use their medicines as prescribed.

Objective: To assess HIV/AIDS patients’ knowledge of the use of medicines dispensed to them.

Method: This study was conducted in seven public hospitals in six local government areas, Kwara State. Exit interviews of 780 eligible HIV/AIDS patients were conducted through use of structured questionnaire. Additionally, there were exit observational checks of medicines dispensed to these patients. Descriptive statistics and Fisher Exact test were used for data analyses.

Results: Of the 780 study participants, 36.1% had no formal education, 99.9% knew the ‘quantity’ of medicines to be administered, while 99.2% knew the frequency of administration. All the patients knew the route of administration, 96.7% and 94.3% knew the general precautions to avoid concomitant use of dispensed medicines with alcohol or herbal products respectively, while 93.7% of those who received co-trimoxazole knew of the precaution to use “plenty of water” as the vehicle for its administration. There were no significant associations between the patients’ knowledge of these precautions and duration of antiretroviral therapy (P>0.05). However, the patients lacked knowledge of specific precautions of some dispensed medicines.

Conclusion: Most of the patients knew of the administration and the general precautions of dispensed medicines. However, lack of knowledge of specific precautions of some dispensed medicines calls for intervention.

Keywords: HIV/AIDS patients, Medicine use, Duration of antiretroviral therapy, Public hospitals, Kwara State