Usability of mobile phones for personal health care by people living with HIV/AIDS

Background: Stigmatizing attitudes expressed by health care providers prevent some members of at-risk populations from accessing human immunodeficiency virus (HIV) screening and care. This attitude contributes to the continuity of the infection dissemination within our community, which gives an impact on the healthcare service and the curtailment of the global HIV/acquired immunodeficiency syndrome (AIDS) pandemic. Objective: This study was conducted to identify stigmatizing attitudes toward people living with HIV/AIDS (PLWHA) and their determinants among primary health care providers in Kinta District, Perak. Methodology: A cross-sectional study was conducted in 36 primary care clinics in Kinta District, Perak. Using stratified random sampling, 365 primary health care providers were recruited into the study. A validated self-administered questionnaire was used to obtain sociodemographic data as well as information on the healthcare experiences of healthcare providers, their knowledge of HIV/AIDS, and attitudes toward PLWHA. Determinants were identified using multiple linear regression. Results: More than half of the respondents (54.1%) had never provided care to HIV/AIDS patients. A minority (29.9%) had received training on HIV/AIDS. This study shows that doctors (Coef.= -9.50, 95% CI: -18.93, -0.07, p= 0.048), respondents with HIV-positive relatives, (Coef.= -5.61, 95% CI: -10.57, -0.65, p= 0.027), those who had provided care to HIV/AIDS patients (Coef.= -2.38, 95% CI: -4.31, -0.45, p= 0.016), and those with a higher knowledge score on HIV/AIDS (Coef.= -0.86, 95% CI: -1.59, -0.13, p= 0.021) were less likely to show stigmatizing attitudes toward PLWHA. Conclusion: The issue of stigmatizing attitudes toward PLWHA among primary health care providers needs to be addressed. This study finds that knowledge, profession, experiences with caring for PLWHA, gender, and having HIV-positive relatives are significant predictors of stigmatizing attitudes toward PLWHA among primary health care providers in Kinta District, Perak. Interventional programs to improve knowledge and awareness, as well as decrease stigma toward PLWHA, should be implemented among all health care providers, especially those who have no opportunity to provide direct care.

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Self Picture Stigma of People with HIV AIDS in Polyclinic Cendana Ngudi Waluyo Wlingi Hospital

Jurnal Ners dan Kebidanan (Journal of Ners and Midwifery) ◽

10.26699/jnk.v3i3.art.p213-217 ◽

2016 ◽

Vol 3 (3) ◽

pp. 213-217

Author(s):

Endah Tri Suryani

Keyword(s):

Health Care ◽

Mental Illness ◽

Social Withdrawal ◽

Hiv And Aids ◽

People Living With Hiv ◽

Internalized Stigma ◽

Stigma And Discrimination ◽

Stigma Of Mental Illness ◽

Living With Hiv ◽

Hiv Aids

The spread of HIV and AIDS in Indonesia over the last five years is quite high. United NationsAIDS (UNAIDS) even dub Indonesia as an Asia’s country with most spread of HIV/AIDS. However thefear of stigma and discrimination against PLWHA (people living with HIV/AIDS) remains a majorobstacle. The purpose of this research was to describe self stigma of HIV/AIDS in poly Cendana NgudiWaluyo Hospital Wlingi based questionnaire ISMI (Internalized Stigma of Mental Illness) that includeda portrait of alienation, acceptance of stereotypes, experience of discrimination, social withdrawal,and rejection of stigma. The samples were 27 people with HIV/AIDS. The results showed that generallyself stigma of HIV/AIDS were low 44.4% (12 patients). This result, indicated that the motivation ofpeople living with HIV/AIDS as well as their moral support was instrumental in lowering self-stigma.Recommendations from this study were expected for health care to prevent and overcome self stigma ofHIV/AIDS.

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CARE FOR THE PERSON WHO LIVES WITH HIV/AIDS IN PRIMARY HEALTH CARE

Texto & Contexto - Enfermagem ◽

10.1590/1980-265x-tce-2017-0339 ◽

2019 ◽

Vol 28 ◽

Cited By ~ 2

Author(s):

Aline Daiane Colaço ◽

Betina Hörner Schlindwein Meirelles ◽

Ivonete Teresinha Schülter Buss Heidemann ◽

Mariana Vieira Villarinho

Keyword(s):

Health Care ◽

Primary Health Care ◽

People Living With Hiv ◽

Structured Interviews ◽

Term Care ◽

Descriptive Research ◽

Primary Health ◽

Centered Care ◽

Living With Hiv ◽

Hiv Aids

ABSTRACT Objective: to understand the process of caring for the person with HIV/AIDS in the Primary Health Care of a capital in southern Brazil. Method: qualitative, exploratory and descriptive research, carried out in the Health Centers of this city, from March to August 2015. Sixteen nurses participated through semi-structured interviews, which were organized and codified with the help of the software QSR Nvivo®, version 10. Afterwards, the data were analyzed through comparative analysis. Results: results were described in two categories: “The inter-subjective encounter given the vulnerability to HIV/AIDS”, and, “Accepting needs and formulating actions given the reality”. Potentialities and weaknesses were evidenced through these categories, such as: reception, long-term care, active search, home visits, and, in return, lacking a formal flow of care for people living with HIV/ AIDS, lack of HIV/AIDS line of care and medical/centered care. Conclusion: the need to implement HIV/AIDS management in primary care was verified, as well as to overcome the fragilities in this care with the aid of implementing a formal care flow, establishing managerial processes and permanent education for the professionals. Then, expanding and qualifying care in HIV/AIDS, with important contributions of the nurse in the perspective of integral care in the process of living with HIV/AIDS.

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Harm Reduction Outreach Services and Engagement of Chemically Dependent Homeless People Living with HIV/AIDS: An Analysis of Service Utilization Data to Evaluate Program Theory

Einstein Journal of Biology and Medicine ◽

10.23861/ejbm20072366 ◽

2016 ◽

Vol 23 (1) ◽

pp. 26 ◽

Cited By ~ 1

Author(s):

Benjamin Shepard

Keyword(s):

Health Care ◽

Harm Reduction ◽

Service Utilization ◽

Access To Health Care ◽

Homeless People ◽

People Living With Hiv ◽

Outreach Services ◽

Low Threshold ◽

Living With Hiv ◽

Hiv Aids

This study examines service utilization patterns among a socially vulnerable population of homeless people living with HIV/AIDS and who have a history of chemical dependence, as they are engaged through outreach services. CitiWide Harm Reduction collaborates with Montefiore Medical Center to connect homeless people with health care through harm reduction outreach and low threshold medical services. Analysis of two cohorts – individuals engaged through harm reduction outreach and individuals who “walk-in” to engage in services at CitiWide Harm Reduction’s drop-in center – assesses the program’s theory that outreach engagement is a mediating variable increasing service utilization. These results demonstrate that low-threshold harm reduction outreach, a brand of outreach designed to reduce barriers to services, does increase access to health care and related services for a socially vulnerable, traditionally “hard-to-reach,” population. Harm reduction outreach is a valuable intervention for increasing service utilization among this highly marginalized group.

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ATENCIÓN MÉDICA, ADHERENCIA TERAPÉUTICA AL TRATAMIENTO ANTIRRETROVIRAL Y DISCRIMINACIÓN.

Revista Pueblos y fronteras digital ◽

10.22201/cimsur.18704115e.2014.17.65 ◽

2014 ◽

Vol 9 (17) ◽

pp. 95

Author(s):

Rubén Muñoz Martínez

Keyword(s):

Health Care ◽

Antiretroviral Therapy ◽

Health Department ◽

People Living With Hiv ◽

Anthropological Perspective ◽

Preventive Practices ◽

Medical Office ◽

Las Casas ◽

Living With Hiv ◽

Hiv Aids

En este texto se abordan algunas de las problemáticas en el acceso, por parte de los usuarios, a los cuidados en prevención/atención/control del VIH-sida del consultorio médico del Servicio de Atención Integral (SAI), perteneciente a una clínica de la Secretaría de Salud en San Cristóbal de Las Casas (Chiapas). En particular aquellas vinculadas con la discriminación, y concretamente la relacionada con la orientación sexual y el itinerario socio/cultural del usuario del SAI, en la relación médico-paciente-institución. Para ello analizo las representaciones sociales de los médicos del consultorio con respecto a las prácticas sexuales (y preventivas de VIH-sida) y a los modelos explicativos del trinomio salud/enfermedad/atención de los sujetos y colectivos destinatarios, y las praxis de cuidados en dicho consultorio. HEALTH CARE, ADHERENCE TO ANTIRETROVIRAL THERAPY AND DISCRIMINATION. Some issues in healh care for people living with HIV-aids, from an anthropological perspective This text addresses some problems regarding access by users to HIV-AIDS prevention/care/control services at the medical office of Servicio de Atención Integral (SAI by its acronym in Spanish), pertaining to a Mexican Health Department clinic in San Cristóbal de Las Casas, Chiapas. It specifically focuses on discrimination-related issues, concretely regarding the user’s sexual orientation and socio-cultural trajectory through SAI, as well as the doctor-patient-institution relationship. The representations of the clinic’s doctors regarding sexual and HIV-AIDS preventive practices as well as the explicatory models of the health/disease/care triad of the subjects and collective recipients, and the clinic’s health care praxis are analyzed

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