Factors associated with viral load suppression among HIV patients in Rutsiro District, Rwanda
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Introduction: HIV/AIDS constitutes a global public health problem since the early 1980s. Globally, there was 37.9 million PLHIV with 79% informed of their status, of the 78% accessing ART and their 86% had viral load suppression in 2018 against 90.1% in Rwanda in 2019 after 3 years of treat all policy implementation but few studies have been done on factors associated viral load suppression in Rwanda and none in Rutsiro. The objective of this study was to assess the factors associated with viral load suppression among PLHIV in Rutsiro District, Rwanda. Methods: A retrospective study randomly recorded information from 295 files among 1121PLHIV enrolled in ART from July 2016 to December 2019 in Rutsiro District. Using IBM SPSS Statistics 27 software, descriptive frequencies and % were calculated and using the confidence interval of 95%, the margin error being at 5%, we used cross-tabulation to test the Chi-square and for confounder adjustment, the binary logistic regression was performed to assess associated factors. Results: Of participants, 64.4% were in between 24-49 years old, females being 62%, while 50% were married. The viral load suppression rate was 84.7%. After adjustment, the very good adherence and good adherence had a 99.5 and 92.4 chances of reduction in the odds of having unsuppressed viral load with OR: .005 (CI: .001-.041, P-value <.001) and .074 (CI: .008-.657, P-value: .019) compared to those with poor adherence respectively; and alcohol consumers had a triple odds of having unsuppressed viral load compared to non-alcohol consumers (OR: 3.254, CI: 1.310-8.084, P-value: .011). Conclusion: Based on findings, for PLHIV to achieve viral load suppression, they have to be encouraged to quitting alcohol consumption, and health care providers should encourage, guide, and monitor them to make sure they address any concern that can interfere with adherence on time.
- Public Health