Annals of Medicine and Surgery · 4 authors, 3 centres
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A hospital-based cross-sectional study in Mogadishu, Somalia found that 37.1% of adults living with HIV on ART had opportunistic infections, with poor ART adherence, drinking non-sterilized water, living with domestic animals, and chronic co-morbidity identified as associated factors.
A hospital-based cross-sectional study was conducted between June and August 2022 among HIV patients on ART at selected public hospitals in Mogadishu, Somalia, using interviews and medical record reviews with a validated questionnaire. The overall magnitude of opportunistic infections was 37.1%, with pulmonary tuberculosis (8.2%), diarrhoea (7.9%), and pneumonia (4.3%) being the most common. Multivariable logistic regression identified four factors associated with OIs: poor ART adherence (AOR=3.121), living with domestic animals (AOR=4.012), co-morbidity of chronic disease (AOR=2.910), and drinking non-sterilized water (AOR=2.395). The study is limited by its cross-sectional design, which precludes establishing causal relationships, and by its hospital-based sampling, which may not be generalisable to the broader population.
