Undiagnosed HIV Infection among Adolescents Seeking Primary Health Care in Zimbabwe

Abstract Background: There are few shared assistance programs with Primary Health Care (PHC) in PLWH. The aim was to develop a Pilot Program of shared HIV care in PLWH ensuring proper HIV control. Methods: Design: Prospective pilot project of a shared care intervention.Setting: HIV specialized outpatient consultations for HIV infection at Son Espases University Hospital which serves 2000 patients. Subjects: Patients who attended HIV specialized consultation between January 1st and June 30th, 2017. Intervention: Basal questionnaire on health services used by patients. HIV Training Program on HIV in Primary Health Care (PHC). Pilot Program of shared assistance (PPAC) with PHC. Main Outcomes: Maintenance of undetectable HIV viral load, antiretroviral therapy (ART) adherence, AIDS and non-AIDS events, loss of follow up, and satisfaction questionnaire. Results: The basal questionnaire was filled out by 918 patients, with 108 (11.7%) patients reporting neither knowing nor having been visited by their GP. A total of 93 patients were included in the PPAC, with a mean age of 49.9 years (SD 11.7), and an average of 14.6 years since the HIV diagnosis. Eleven patients were followed up for less than six months and were excluded from the analysis. Median follow-up during the PPAC of the remaining 82 patients was 728 days (IQR 370-1070). Sixteen patients dropped out of the PPAC (19.5%), three died, three were lost to follow up, one was withdrawn due to medical criteria, and nine withdrew voluntarily.No patient presented any AIDS defining events, although eight patients presented non-AIDS events. All the patients had undetectable viral load (VL) and average ART adherence was 99.4% (SD1.4). The patient’s satisfaction score with PPAC was 8.64 (SD2.5).Conclusion: It is possible to establish shared care programs with PHC in selected patients with HIV infection, thereby reducing hospital visits while maintaining good adherence and virological control and achieving high patient satisfaction.

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High-risk alcohol use and associated socio-demographic, health and psychosocial factors in patients with HIV infection in three primary health care clinics in South Africa

International Journal of STD & AIDS ◽

10.1177/0956462416660016 ◽

2016 ◽

Vol 28 (7) ◽

pp. 651-659 ◽

Cited By ~ 6

Author(s):

Diana Huis in ‘t Veld ◽

Supa Pengpid ◽

Robert Colebunders ◽

Linda Skaal ◽

Karl Peltzer

Keyword(s):

South Africa ◽

Health Care ◽

Primary Health Care ◽

High Risk ◽

Alcohol Use ◽

Hiv Infection ◽

Psychosocial Factors ◽

Low Risk ◽

Health Care Clinics ◽

Primary Health

Alcohol use may have a negative impact on the course of HIV disease and the effectiveness of its treatment. We studied patients with HIV who use alcohol and associated socio-demographic, health and psychosocial factors. Outcomes from this study may help in selecting patients from clinical practice with high-risk alcohol use and who are likely to benefit most from alcohol reduction interventions. In a cross sectional study in three primary health care clinics in Pretoria, South Africa, from January 2012 to June 2012, patients with HIV infection were interviewed and patients’ medical files were reviewed to obtain data on levels of alcohol use (Alcohol Use Disorder Identification Test), patients’ socio-demographic characteristics, HIV-related information, health related quality of life (WHOQoL-HIVBref), internalized AIDS stigma, symptoms of depression and adherence to antiretroviral therapy. Analyses consisted of descriptive statistics, bi- and multivariate logistic regression models. A total of 2230 patients (1483 [66.5%] female) were included. The median age was 37 years (interquartile range 31–43), 99.5% were black Africans, 1975 (88.6%) had started ART and the median time on ART was 22 months (interquartile range 9–40). No alcohol was used by 64% of patients, 8.9% were low risk drinkers, 25.1% of patients were hazardous or harmful drinkers and 2.0% had possible alcohol dependence. In multivariate analysis high-risk drinking was positively associated with male gender, never being married, tobacco use, a higher score for the ‘level of independence’-domain measured with the WHOQoL-HIVBref questionnaire, and with more depressive symptoms compared to low-risk drinking. This study shows a high prevalence of hazardous or harmful drinking in patients with HIV infection (especially men) attending primary health care clinics in South Africa. Routine screening for alcohol use should be introduced in these clinics and harm reduction interventions should be evaluated, taking into account associated factors.

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A Well Woman Clinic in Bangalore: one strategy to attempt to decrease the transmission of HIV infection

International Journal of STD & AIDS ◽

10.1258/0956462981922520 ◽

1998 ◽

Vol 9 (7) ◽

pp. 418-423 ◽

Cited By ~ 3

Author(s):

C M Baksi ◽

I Harper ◽

Margaret Raj

Keyword(s):

Health Care ◽

Primary Health Care ◽

Hiv Infection ◽

Sex Workers ◽

Pilot Project ◽

Care Staff ◽

Vulnerable Groups ◽

Health Care Staff ◽

Governmental Organization ◽

Primary Health

Samraksha, a non governmental organization NGO in Bangalore, South India, was established in 1993 to take steps to control the spread of HIV infection. As a result of their interactions the Samraksha team recognized the urgent need for management of sexually transmitted diseases STDs as a crucial component of their work. Samraksha approached Action Health, a UK based charity, for assistance. This paper outlines the needs assessment and the process of setting up a Well Woman Clinic for commercial sex workers CSWs and other vulnerable groups in Bangalore. The pilot project has been running for over a year and has gained credibility both with vulnerable women and with professionals. Furthermore it has officially become a government resource centre for the training of doctors and health care staff in the management of STDs, and provides formal training sessions for the staff at each of the primary health care centres in Bangalore. Thus STD management is being integrated with the current primary health care provision for women throughout Bangalore. Factors influencing the successful development of such a service are considered.

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Chronic Cough in Primary Health Care Attendees, Harare, Zimbabwe: Diagnosis and Impact of HIV Infection

Clinical Infectious Diseases ◽

10.1086/429912 ◽

2005 ◽

Vol 40 (12) ◽

pp. 1818-1827 ◽

Cited By ~ 16

Author(s):

S. S. Munyati ◽

T. Dhoba ◽

E. D. Makanza ◽

S. Mungofa ◽

M. Wellington ◽

...

Keyword(s):

Health Care ◽

Primary Health Care ◽

Hiv Infection ◽

Chronic Cough ◽

Primary Health

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P099 Risk of acquiring HIV infection among exposed infants in selected primary health care facilities in ibadan oyo state nigeria

10.1136/sextrans-2019-sti.292 ◽

2019 ◽

Author(s):

Aishat Usman ◽

Olubunmi Ayinde ◽

Esther Asekun-Olarinmoye

Keyword(s):

Health Care ◽

Primary Health Care ◽

Hiv Infection ◽

Health Care Facilities ◽

Primary Health ◽

Care Facilities ◽

Primary Health Care Facilities

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THE ROLE AND OBJECTIVES OF PRIMARY HEALTH CARE SERVICES DUE TO GENDER- AND AGERELATED FEATURES OF HIV INFECTION IN TAJIKISTAN

Avicenna Bulletin ◽

10.25005/2074-0581-2019-21-2-258-262 ◽

2019 ◽

Vol 21 (2) ◽

pp. 258-262

Author(s):

Dilrabo Abdukayumovna Kadyrova ◽

◽

Sayfuddin Saytodzhevich Karimov ◽

Numon Abdullaevich Abdukhamedov ◽

◽

...

Keyword(s):

Health Care ◽

Primary Health Care ◽

Hiv Infection ◽

Health Care Services ◽

Care Services ◽

Primary Health ◽

Primary Health Care Services

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SCIENTIFIC JUSTIFICATION FOR THE IMPLEMENTATION OF THE INTEGRATED MODEL OF RAPID TESTING FOR HIV-INFECTION AMONG KEY POPULATIONS OF KAZAKHSTAN

REPORTS ◽

10.32014/2020.2518-1483.126 ◽

2020 ◽

Vol 5 (333) ◽

pp. 109-117

Author(s):

K. O. Alibayeva ◽

◽

B. S. Baiserkin ◽

M. K. Saparbekov ◽

◽

...

Keyword(s):

Health Care ◽

Primary Health Care ◽

Hiv Infection ◽

Psychosocial Support ◽

Key Populations ◽

Rapid Testing ◽

Primary Health ◽

Outreach Workers ◽

Post Test ◽

And Control

In the pipeline justify scientifically the approached on the integration of the primary health care and the Service for AIDS prevention and control when rendering services on rapid testing among key populations. It is noted that methodological basis for integration of the measures in case of HIV-infection with PHC was WHO / UNAIDS strategy "90-90-90", in which it is stated that for effective reaction to and prevention of the spread of HIV infection among key populations, it is recommended to implement an integrated set of measures including diagnosis, treatment and care connected with HIV-infection. It is noted that the integration of primary health care among key populations is carried out within the scope of the statutory free medical assistance (SFMA) and the compulsory health insurance system (CHIS). Rapid testing, pre-and post-test consulting for HIV infection, hepatitis, and STD of key populations when integrating with PHC is carried out in medical organizations, clinics, drop-in centres (DS), people-friendly offices (PFO), NGOs with the involvement of social workers and outreach workers. The integrated activities foresee social support that shall provide access both to medical and psychosocial support services for the key populations.

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Skin diseases in children in rural Kenya: long-term results of a dermatology project within the primary health care system

British Journal of Dermatology ◽

10.1046/j.1365-2133.2001.03962.x ◽

2001 ◽

Vol 144 (1) ◽

pp. 118 ◽

Cited By ~ 6

Author(s):

W. Schmeller

Keyword(s):

Health Care ◽

Primary Health Care ◽

Health Care System ◽

Skin Diseases ◽

Long Term Results ◽

Primary Health Care System ◽

Primary Health ◽

Rural Kenya ◽

Care System

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Non-Fatal Deliberate Self-Harm in Three Remote Indigenous Communities in Far North Queensland, Australia

Crisis ◽

10.1027/0227-5910/a000589 ◽

2019 ◽

Vol 40 (6) ◽

pp. 422-428 ◽

Cited By ~ 1

Author(s):

Chris Rouen ◽

Alan R. Clough ◽

Caryn West

Keyword(s):

Health Care ◽

Primary Health Care ◽

Care Center ◽

Indigenous Communities ◽

Indigenous Australians ◽

Deliberate Self Harm ◽

Health Care Center ◽

Far North ◽

Primary Health ◽

Self Harm

Abstract. Background: Indigenous Australians experience a suicide rate over twice that of the general population. With nonfatal deliberate self-harm (DSH) being the single most important risk factor for suicide, characterizing the incidence and repetition of DSH in this population is essential. Aims: To investigate the incidence and repetition of DSH in three remote Indigenous communities in Far North Queensland, Australia. Method: DSH presentation data at a primary health-care center in each community were analyzed over a 6-year period from January 1, 2006 to December 31, 2011. Results: A DSH presentation rate of 1,638 per 100,000 population was found within the communities. Rates were higher in age groups 15–24 and 25–34, varied between communities, and were not significantly different between genders; 60% of DSH repetitions occurred within 6 months of an earlier episode. Of the 227 DSH presentations, 32% involved hanging. Limitations: This study was based on a subset of a larger dataset not specifically designed for DSH data collection and assesses the subset of the communities that presented to the primary health-care centers. Conclusion: A dedicated DSH monitoring study is required to provide a better understanding of DSH in these communities and to inform early intervention strategies.

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