Disease-Specific Stressors Among Youths With HIV/AIDS: Toward Tailored Health Management

2006 ◽  
Author(s):  
Lisa A. Orban ◽  
Renee Stein ◽  
Linda J. Koenig ◽  
Erika L. Rexhouse ◽  
Ricardo D. Lagrange ◽  
...  
Keyword(s):  
Health Management ◽  
Disease Specific ◽  
Hiv Aids

Epidemiology of HIV in Iran

2020 ◽  
Vol 18 (4) ◽  
pp. 228-236
Author(s):  
Zeinab Najafi ◽  
Leila Taj ◽  
Omid Dadras ◽  
Fatemeh Ghadimi ◽  
Banafsheh Moradmand ◽  
...  
Keyword(s):  
Middle East ◽  
Hiv Prevention ◽  
Prevention And Control ◽  
Hiv Transmission ◽  
Health Management ◽  
Key Populations ◽  
Mena Region ◽  
First Case ◽  
And Control ◽  
Hiv Aids

: Iran has been one of the active countries fighting against HIV/AIDS in the Middle East during the last decades. Moreover, there is a strong push to strengthen the national health management system concerning HIV prevention and control. In Iran, HIV disease has its unique features, from changes in modes of transmission to improvement in treatment and care programs, which can make it a good case for closer scrutiny. The present review describes the HIV epidemic in Iran from the first case diagnosed until prevention among different groups at risk and co-infections. Not only we addressed the key populations and community-based attempts to overcome HIV-related issues in clinics, but we also elaborated on the efforts and trends in society and the actual behaviors related to HIV/AIDS. Being located in the Middle East and North Africa (MENA) region, given the countryspecific characteristics, and despite all the national efforts along with other countries in this region, Iran still needs to take extra measures to reduce HIV transmission, especially in health education. Although Iran is one of the pioneers in implementing applicable and appropriate policies in the MENA region, including harm reduction services to reduce HIV incidence, people with substance use disorder continue to be the majority of those living with HIV in the country. Similar to other countries in this region, the HIV prevention and control programs aim at 90-90-90 targets to eliminate HIV infection and reduce the transmission, especially the mother-to-child transmission and among other key populations.

scholarly journals Meaning-making of a group of South Africans in their experience of living with HIV: a phenomenological study

2005 ◽  
Vol 10 (1) ◽  
Author(s):  
H G Pretorius ◽  
N Goldstein ◽  
A D Stuart
Keyword(s):  
Lived Experience ◽  
Full Text ◽  
Phenomenological Study ◽  
Meaning Making ◽  
South Africans ◽  
Primary Focus ◽  
Living With Hiv ◽  
Disease Specific ◽  
Hiv Aids

With the primary focus of disease specific studies on the medical and biological transmission and progression of HIV/AIDS, the lived experience and meaning-making of individuals who live with this disease, is a literary scarcity. Opsomming Met die primêre fokus van siektespesifieke studies op die mediese en ook biologiese oordrag en progressie van MIV/VIGS, is daar ‘n literêre skaarste oor die geleefde ondervinding en betekenisgewing van individue wat met hierdie siekte leef. *Please note: This is a reduced version of the abstract. Please refer to PDF for full text.

Estratificação de Indivíduos com HIV/AIDS Considerando Aspectos Demográficos e Contagem de Células Cd4/Cd8 em Hospital Provincial de Angola, África

2018 ◽  
Vol 22 (3) ◽  
pp. 179
Author(s):  
Sandra Augusta Pedro Alberto ◽  
Janete Lane Amadei
Keyword(s):  
Health Management ◽  
Test Results ◽  
Immunodeficiency Virus ◽  
Acquired Immunodeficiency ◽  
Women And Children ◽  
Terapia Antirretroviral ◽  
Immunodeficiency Syndrome ◽  
Cellular Immune ◽  
Living With Hiv ◽  
Hiv Aids

Angola, país Africano, registra perdas consideráveis relacionadas às doenças transmissíveis e às mortes prematuras e evitáveis, principalmente, de mulheres e de crianças, agravadas pela desestruturação da qual o país foi vítima ao longo do conflito armado. No diagnóstico da AIDS, os exames laboratoriais de contagem de células T CD4+, CD8+ e carga viral são usados como parâmetros para monitorar a saúde dos pacientes, que utilizam a terapia antirretroviral e avaliar o momento certo para iniciar ou modificar esta terapia. Estudo desenvolvido com objetivo de analisar exames para HIV/Aids realizados em Hospital Provincial de Lubango, Angola – África. Estudo descritivo, retrospectivo compreendendo o período de janeiro a junho de 2014. Foram analisados 981 resultados de exames com uma média de 163,5 por mês. A idade média obtida foi de 35 anos, com resultados médios de 385,1/mm3 para CD4+ e 1060,0/ mm3 para CD8+. Os itens que apresentaram significância com p<0,01 foram: procedência ambulatorial; menores valores de CD4+ para os homens, com idade de 60 anos ou mais seguido de 30 a 60 anos. O monitoramento de linfócitos T CD4+ apresentou  valores baixos na maioria da população que realizou os exames, implicando em indicação de terapia antirretroviral e progressão da patologia com comprometimento da saúde das pessoas analisadas. Palavras-chave: Síndrome da Imunodeficiência Adquirida. Gestão de Saúde. Sistema de Saúde. Atendimento Secundário AbstractAngola, an African country, has considerable losses related to communicable diseases and premature and preventable deaths mainly of women and children, aggravated by the destructuring of which the country has been victimized during the armed conflict.The progression of Human Immunodeficiency Virus (HIV) characterized by numerous pathological changes in the cellular immune system. Study designed to analyze tests for HIV / AIDS held in Hospital Provincial  laboratory Lubango, Angola - Africa. Descriptive, retrospective study conducted in Hospital Provincial covering the period from January to June 2014. 981 test results were analyzed spread between the months from January to June 2014 with an average of 163.5 per month. The average age obtained was 35 years, with average scores of 385.1 / mm3 for CD4+ and 1060.0 / mm3 for CD8+. The items which were significant highlights are lower CD4+ values for men aged 60 years or more followed 30-60 years; with outpatient origin. Monitoring of CD4+ T lymphocytes are underestimated in most of the population who performed the tests. This involves antiretroviral therapy indication of the pathology affecting the analyzed people’s health living with HIV / AIDS . Keywords: Acquired Immunodeficiency Syndrome. Health Management. Health System. Secondary Care.

scholarly journals Oral health management of 97 patients living with HIV/AIDS in Ribeirão Preto, São Paulo, Brazil

2015 ◽  
Vol 29 (1) ◽  
Author(s):  
Danieli Cristina da SILVA ◽  
Alan Grupioni LOURENÇO ◽  
Ana Elisa Rodrigues Alves RIBEIRO ◽  
Alcyone Artioli MACHADO ◽  
Marilena Chinali KOMESU ◽  
...  
Keyword(s):  
Oral Health ◽  
Health Management ◽  
Sao Paulo ◽  
São Paulo ◽  
Living With Hiv ◽  
Hiv Aids

scholarly journals Leveraging existing program data for routine efficiency measurement in Zambia

2018 ◽  
Vol 2 ◽  
pp. 40
Author(s):  
Rick Homan ◽  
John Bratt ◽  
Gregory Marchand ◽  
Henry Kansembe
Keyword(s):  
Technical Efficiency ◽  
Test Performance ◽  
Time Series Data ◽  
Health Management ◽  
Series Data ◽  
District Health ◽  
Output Data ◽  
The Government ◽  
Facility Level ◽  
Hiv Aids

Background: As donor contributions for HIV/AIDS stagnate globally, national governments must seek ways to improve use of existing resources through interventions to drive efficiency at the facility level.  But program managers lack routinely available information on unit expenditures at points of care, and higher-level planners are unable to assess how resources are used throughout the health system.  Thus, managers cannot measure current levels of technical efficiency, and are unable to evaluate effectiveness of interventions to increase technical efficiency. Methods: FHI 360 developed the Routine Efficiency Monitoring System (REMS), a relational database that leverages existing budget, expenditure and output data to produce quarterly site-level estimates of unit expenditure per service.  Along with the Government of the Republic of Zambia (GRZ) and implementation partner Avencion, we configured REMS to measure technical efficiency of Ministry of Health resources used to deliver HIV/AIDS services in 326 facilities in 17 high-priority districts in Copperbelt and Central Provinces.  REMS allocation algorithms were developed through facility assessments and key informant interviews with MoH staff.  Existing IFMIS and DHIS-2 data streams provide recurring flows of expenditure and output data needed to estimate service-specific unit expenditures.  Trained users access REMS output through user-friendly dashboards delivered through a web-based application.  Results: District health management teams are using REMS to identify “outlier” facilities to test performance improvement interventions.  Provincial and national planners are using REMS to seek savings and ensure that resources are directed to geographic and programmatic areas with highest need.  REMS can support reimbursement for social health insurance and provide time-series data on facility-level costs for modeling purposes. Conclusions:  REMS gives managers and planners substantially-improved data on how programs transform resources into services.  The GRZ is seeking funding to expand REMS nationally, covering all major disease areas.  Improved technical efficiency supports the goal of a sustainable HIV/AIDS response.

scholarly journals Children affected with HIV/AIDS: Information of HIV/AIDS in five Colombian cities*

2011 ◽  
pp. 39-47
Author(s):  
Ana María Trejos ◽  
Rafael de Jesús Tuesca ◽  
Mario Mosquera
Keyword(s):  
Health Management ◽  
Descriptive Analysis ◽  
Education Of Patients ◽  
Hiv Virus ◽  
Management Processes ◽  
Comprehensive Health ◽  
Psychological Harm ◽  
Youth Population ◽  
Aids Information ◽  
Hiv Aids

Objectives: To describe information about HIV/AIDS in a youth population under 18 years of age affected with HIV/AIDS and caregivers in five Colombian cities: Cali, Buenaventura, Barranquilla, Santa Marta, and Cartagena. Methods: 286 personal surveys were conducted: 11 of children who were aware of their status of involvement with HIV/AIDS and 275 of caregivers of children who did not know their status of involvement with HIV/AIDS. The surveys were conducted in health institutions in the State and private sectors and private, using instruments in line with training programs from participating institutions to inquire about HIV/AIDS. Descriptive analysis was performed of the data and tabulation was done with the SPSS program. Results: Most children who knew their status of involvement with HIV/AIDS report that by acquiring the HIV virus, they may develop other diseases; however, half of these fail to recognize that AIDS weakens the body’s ability to fight infection. The children surveyed partly recognized the HIV/AIDS transmission and treatment mechanisms, while caregivers possess adequate information on the disease. We found reasons to delay the delivery of diagnosis by caregivers 96.2% (N=275) related to avoiding psychological harm to the children, and that if they were to know said status, they might inadvertently disclose this to others, probably exposing them to stigma and/or discrimination. Likewise, professionals providing health services to HIV seropositive children express lack of training regarding the proper procedure and age to reveal such information. Conclusions: It is a priority to enhance the capacity, information, and education of patients about effects, characteristics, manifestations, and treatment of the disease within the comprehensive health management processes conducive to supporting affected families.

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