ADHERENCE TO SECONDARY PROPHYLAXIS IN RHEUMATIC HEART DISEASE PATIENTS AND ASSOCIATED FACTORS AMONG CHILDREN AND YOUNG ADULTS WHO ARE ON FOLLOW UP IN HIWOT FANA SPECIALIZED COMPREHENSIVE UNIVERSITY HOSPITAL

Abstract

Cross-sectional study was conducted among rheumatic heart disease patients at Hiwot Fana Specialized Comprehensive University Hospital at cardiac clinic. The research was conducted among 240 rheumatic heart disease patients, who are on follow-up for at least 1 year at pediatric and medical cardiac clinic as well as those who were admitted to pediatric ward and medical ward, and study participants were sellected by purposive sampling technique. Data were entered to EPI data version 4.6 and analyzed using SPSS version 26 software. Descriptive statistics were done and the results were presented using texts, frequency tables and graphs. Bivariate and multivariate logistic regression with 95% CI were used to identify factors associated with level of adherence. Finally, statistical significance will be declared with a P value of less than 0.05. Results: A total of 240 rheumatic heart disease patients taking secondary prophylaxis were included in the analysis, and of those, 123 (51.8%) were male, and a male to female ratio of 1.05:1. The mean age of participants was 13.59 years. The adherence rate of patients with rheumatic heart disease to secondary prophylaxis was 72.9%(95% CI 66.8-77.9%). Being a rural residence(AOR 2.813(95% CI 1.396-9.065),p=0.035), distance more than 20Km from hospital(AOR 4.493(95% CI 1.672-12.070), p=0.003), and lack of awareness of disease(AOR 2.465(95% CI 1.103-5.507) p=0.028) were significantly associated with non adherence to secondary prophylaxis. Conclusion: A high magnitude of non-adharence to secondary prophylaxis was observed in patients with RHD at Hiwot Fana Sepecialized Comprehesive University Hospital. Patients with vii RHD who live in rural area, came from distance of > 20Km, and lack of awareness of the disease were identified to be non-adherent to secondary prophylaxis.