scholarly journals Food Insecurity among People Living with HIV/AIDS on ART Follower at Public Hospitals of Western Ethiopia

2020 ◽  
Vol 2020 ◽  
pp. 1-10
Author(s):  
Adugna Oluma ◽  
Muktar Abadiga ◽  
Getu Mosisa ◽  
Werku Etafa ◽  
Ginenus Fekadu
Keyword(s):  
Cigarette Smoking ◽  
Food Insecurity ◽  
Dietary Diversity ◽  
Public Hospitals ◽  
Sub Saharan Africa ◽  
People Living With Hiv ◽  
Living With Hiv ◽  
Western Ethiopia ◽  
Hiv Aids

Background. Food insecurity and HIV/AIDS are intertwined in a vicious cycle through nutritional, mental health, and behavioral pathways. Food insecurity is a potentially important barrier to the success of antiretroviral treatment, increased hospitalizations, and higher morbidity among HIV-infected individuals in resource-poor settings particularly in sub-Saharan Africa including Ethiopia. Therefore, the purpose of this study was to assess the prevalence of food insecurity among people living with HIV/AIDS on follow up at public hospitals of western Ethiopia. Methods. An institutional-based cross-sectional study design was conducted on a sample of 428 among people living with HIV/AIDS on follow up at public hospitals of western Ethiopia. A systematic random sampling technique was used to include all participants. Data was collected using interviewer-administered structured questionnaires. The data were entered into Epi data version 3.1 and then exported into Statistical Package for the Social Sciences window version 21 for analysis. Descriptive and inferential statistics were employed. Bivariable logistic and multivariable logistic analyses were used with AOR at CI 95% and p<0.05 were used. Result. The finding of the study revealed that the majority of the respondents 221(53.1%) were female. The mean age of the respondents was 32.92±7.304 years and 197 (47.4%) of the study participants were between 30 to 39 years’ age group. The level of food insecurity among PLWHA receiving ART therapy was 68.8% which was partitioned as mild (23.32%), moderate (29.09%), and severe (16.35%) food in secured. Being single [AOR=3.5071.377,8.934], illiterate [AOR=5.2341.747,15.686], cigarette smoking [AOR=3.5772.104,6.081], presence of anemia (AOR=2.6501.563,4.493], and inadequate dietary diversity [AOR=2.8701.088,7.569] were predictors of food insecurity. Conclusion. The prevalence of food insecurity was high. Educational status, marital status, cigarette smoking, presence of anemia, opportunistic infection, and inadequate dietary diversity were the major significant factors affecting food insecurity. We recommended a national health policy maker to integrate food and nutrition interventions as part of a package of care, treatment, and support services for people living with HIV and ART follower patients.

scholarly journals Food insecurity and associated factors among people living with HIV/AIDS on follow up receiving anti-retroviral therapy at public hospitals of Wollega zones, Oromia, Ethiopia, 2019

2019 ◽  
Author(s):  
Adugna Oluma ◽  
Muktar Abadiga ◽  
Getu Mosisa ◽  
Werku Etafa ◽  
Ginenus Fekadu
Keyword(s):  
Cigarette Smoking ◽  
Food Insecurity ◽  
Associated Factors ◽  
Dietary Diversity ◽  
Public Hospitals ◽  
Sub Saharan Africa ◽  
People Living With Hiv ◽  
Living With Hiv ◽  
Hiv Aids

Abstract Background : Food insecurity and HIV/AIDS are intertwined in a vicious cycle through nutritional, mental health, and behavioral pathways. Food insecurity is a potentially important barrier to the success of antiretroviral treatment, increased hospitalizations, and higher morbidity among HIV-infected individuals in resource-poor settings particularly in sub-Saharan Africa including Ethiopia. Therefore, the purpose of this study was to assess the prevalence of food insecurity and its associated factors among adult people living with HIV/AIDS on follow up receiving ART at public hospitals of wollega zone, west Ethiopia. Methods : An institutional-based cross-sectional study design was conducted on a sample of 428 among people living with HIV/AIDS on follow up receiving anti-retroviral therapy at public hospitals of wollega zones. Data was collected using the Household Food Insecurity Access Scale and dietary diversity scale by interviewer-administered questionnaires. The data was checked, cleaned and entered into Epi data version 3.1 and then exported into Statistical Package for the Social Sciences (SPSS) window version 21 for analysis. Descriptive statistics - cross-tabulation frequency table, mean, standard deviation, percentage, were employed. Bivariate and multiple logistic regression analyses were used with AOR at CI 95% and p<0.05 were used. Result: The overall prevalence of food insecurity among PLWHA receiving ART therapy was 68.8% which was partitioned as mild (23.32%), moderate (29.09%) and severe (16.35%) food in secured. Being single [AOR=3.507(1.377, 8.934)], illiterate [AOR=5.234(1.747, 15.686)], cigarette smoking [AOR=3.577(2.104, 6.081)], presence of anemia (AOR=2.650(1.563, 4.493)] and inadequate dietary diversity [AOR=2.870(1.088, 7.569)] were predictors of food insecurity. Conclusion : The prevalence of food insecurity was relatively high. Educational status, marital status, cigarette smoking, presence of anemia, opportunistic infection and inadequate dietary diversity were the major significant factors affecting food insecurity. We recommended Wollega Zonal Health Bureaus to effectively intervene in behavioral modification and health information dissemination (HID) which is the key strategies to improve food security.

scholarly journals Household food security and associated factors among Adult people living with HIV/AIDS attending ART clinic in Hospitals of Hawassa Town, Southern Ethiopia 2017

2019 ◽  
Author(s):  
REKIKU Fikre ABEBE ◽  
Tamrayhu seyoum
Keyword(s):  
Food Security ◽  
Food Insecurity ◽  
Associated Factors ◽  
Dietary Diversity ◽  
Study Participant ◽  
Household Food Security ◽  
People Living With Hiv ◽  
Hiv Status ◽  
Living With Hiv ◽  
Hiv Aids

Abstract Abstract Introduction: Globally 78 million peoples have been infected with HIV/AIDS. Ethiopia has one of the largest populations of HIV infected people in the sub-Saharan region of Africa. The relationship between HIV epidemic and food security situation in Ethiopia is complex. Hence, it is likely that the epidemic will contribute to worsening widespread food insecurity. The aim of study was to assess the level of food security and associated factors among adult people living with HIV /AIDS attending ART Clinic in Hospitals of Hawassa city Administration. Methodology: Thisinstitutional based cross-sectional study was conducted from October to December 2017. Systematic sampling technique was used to select a total of 532 study participant. Data entry was done with EPI-info version 3.5.3 and transferred into SPSS Version 20. Crude with adjusted odds ratio with 95% confidence interval at p- value < 0.05were computed to examine statistical significance. Results:Based on food security assessment core module scale 360 (67.3%) People living with HIV/AIDSwere food insecure. People living with HIV/AIDSwho disclose HIV status were 3.9 (AOR=3.902, 95% CI (1.238, 12.301) times more likely to be food secured compared with their counterparts.Similarly, those who were with high and medium dietary diversity were about 5 times more likely to be house hold food insecure compared to those with low dietary diversity AOR= 4.990(2.488,10.05), AOR= 4.696(1.54,14.36), respectively. Conclusions:Food Security status among People living with HIV/AIDSon ART in Hawassa town was low. Dietary diversity, household size, and disclosing HIV status were found to be significant predictors of food security. Key words: Food security, food insecurity ,Adult living with HIV/AIDS.

scholarly journals Prevalence of Depressive Symptoms and Its Associated Factors among People Living with HIV Attending Public Hospitals of Nekemte Town, Western Ethiopia, 2021

2021 ◽  
Vol 2021 ◽  
pp. 1-7
Author(s):  
Eba Abdisa ◽  
Tizita Tolesa ◽  
Muktar Abadiga
Keyword(s):  
Social Support ◽  
Depressive Symptoms ◽  
Public Hospitals ◽  
People Living With Hiv ◽  
Perceived Stigma ◽  
Aids Patients ◽  
Sleeping Problems ◽  
Living With Hiv ◽  
Western Ethiopia ◽  
Hiv Aids

Background. Depressive symptoms are the most common mental illness among people living with HIV/AIDS. Depressive symptoms impact negatively on the course of HIV infection and can lead to suicide and increased risk of mortality when it is a severe form. Although depressive symptoms are common among HIV/AIDS patients, only a few studies have been conducted in Ethiopia and no study, particularly at Nekemte town public hospitals. Therefore, this study was aimed at assessing the prevalence and risk factors for depressive symptoms among people living with HIV/AIDS attending Nekemte town public hospitals, Western Ethiopia. Methods. An institution-based cross-sectional study design was conducted on 425 HIV/AIDS patients at Nekemte town public hospitals, from March 30 to May 30, 2019. Data were collected through interviews and patient document reviews. The nine-item Patient Health Questionnaire (PHQ-9) was used to collect information concerning depressive symptoms and was defined by a PHQ-9 score ≥ 5 . HIV stigma and discrimination scales were used to measure stigma. Social support was described by a sum score of the Oslo3 social support scale (OSS-3). The collected data was entered into EpiData Windows version 4.1 and then exported to Statistical Package for the Social Sciences (SPSS) Windows version 24.0 for analysis. All variables found to be significant at the bivariable level ( p value < 0.25) were entered into a multivariable logistic regression model. p values of <0.05 and 95% confidence level were used to determine statistical significance. Results. Out of the total of 384 study participants who participated in the study, 165 (42.96%) had depressive symptoms. Self-reported sleeping problems ( AOR = 7.04 , 95% CI: 3.23, 15.33), CD4 level of <200 ( AOR = 5.45 , 95% CI: 2.06, 14.42), poor social support ( AOR = 2.79 , 95% CI: 1.17, 6.67), and perceived stigma ( AOR = 9.11 , 95% CI: 1.17, 17.33) were significantly associated with depressive symptoms among HIV/AIDS patients at Nekemte town public hospitals. Conclusion. The level of depressive symptoms among HIV/AIDS patients in this study was high. Self-reported sleeping problems, CD4 level, social support, and perceived stigma were found to be significantly associated with depressive symptoms among HIV patients. Health care professionals should have to strengthen the linkage of mental health with antiretroviral therapy (ART) clinic to early detect and treat depressive symptoms.

scholarly journals A Scoping Review on Nutrition Challenges Among People Living With HIV/AIDS in Sub-Saharan Africa

2019 ◽  
Vol 11 (12) ◽  
pp. 109 ◽  
Author(s):  
Tafadzwa Dzinamarira ◽  
Gashema Pierre ◽  
Itai Chitungo ◽  
Michael Habtu ◽  
Rosemary Okova
Keyword(s):  
Food Insecurity ◽  
Severe Acute Malnutrition ◽  
Sub Saharan Africa ◽  
Acute Malnutrition ◽  
Future Research ◽  
People Living With Hiv ◽  
African Countries ◽  
Sub Saharan ◽  
Living With Hiv ◽  
Hiv Aids

The connection between under-nutrition and HIV is bidirectional. It affects the quality of life, as well as the survival of affected people. While this is the case, there are various nutritional challenges, which are faced by people living with HIV/AIDS (PLWH), and which hamper the fight against the scourge. This study therefore sought to map literature on the nutritional challenges among PLWH in sub-Saharan Africa and guide future research in nutritional management to improve health outcomes for PLWH. A systematic search was done from the following sources: PubMed, the Cochrane Database of Systematic Reviews, EBSCOhost (CINAHL and Academic Search Complete), Web of Science, and Google Scholar. In addition, information was obtained both from unpublished studies, which included book chapters, reference lists, theses and conference papers. Eleven (11) studies met the inclusion criteria, and were used for data extraction. The studies were based in different countries, which form part of the Sub Saharan Africa. One of the studies was carried out in Senegal, two studies were carried out in various West African countries, one study was carried out in Burkina Faso; one study was carried out in Ethiopia and one of the studies was carried out in different countries forming part of the Sub Saharan Africa. Two of the studies were carried out in Zambia, one in Zimbabwe, one in Cameroon, and one in Ghana. Most of the studies established the main nutrition challenge facing PLWH to be food insecurity. Based on the findings of the study, it can be concluded that some of the main nutrition challenges include food insecurity, lack of nutritional support among PLWH, late detection of HIV, huge cost of treating severe acute malnutrition, and lack of feeding supplementations.

scholarly journals Cultural and linguistic adaptation of the multi-dimensional OXCAP-MH for outcome measurement of mental health among people living with HIV/AIDS in Uganda: the Luganda version

2021 ◽  
Vol 5 (1) ◽  
Author(s):  
Kenneth R. Katumba ◽  
Yoko V. Laurence ◽  
Patrick Tenywa ◽  
Joshua Ssebunnya ◽  
Agata Laszewska ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Mental Health ◽  
Sub Saharan Africa ◽  
People Living With Hiv ◽  
Care Providers ◽  
English Version ◽  
Validation Process ◽  
Living With Hiv ◽  
Hiv Aids

Abstract Background It is rare to find HIV/AIDS care providers in sub-Saharan Africa routinely providing mental health services, yet 8–30% of the people living with HIV have depression. In an ongoing trial to assess integration of collaborative care of depression into routine HIV services in Uganda, we will assess quality of life using the standard EQ-5D-5L, and the capability-based OxCAP-MH which has never been adapted nor used in a low-income setting. We present the results of the translation and validation process for cultural and linguistic appropriateness of the OxCAP-MH tool for people living with HIV/AIDS and depression in Uganda. Methods The translation process used the Concept Elaboration document, the source English version of OxCAP-MH, and the Back-Translation Review template as provided during the user registration process of the OxCAP-MH, and adhered to the Translation and Linguistic Validation process of the OxCAP-MH, which was developed following the international principles of good practice for translation as per the International Society for Pharmacoeconomics and Outcomes Research’s standards. Results The final official Luganda version of the OxCAP-MH was obtained following a systematic iterative process, and is equivalent to the English version in content, but key concepts were translated to ensure cultural acceptability, feasibility and comprehension by Luganda-speaking people. Conclusion The newly developed Luganda version of the OxCAP-MH can be used both as an alternative or as an addition to health-related quality of life patient-reported outcome measures in research about people living with HIV with comorbid depression, as well as more broadly for mental health research.

scholarly journals Stigmatising Attitudes Towards Co-workers with HIV in the Workplace of a Metropolitan State, Southwestern Nigeria

2017 ◽  
Vol 11 (1) ◽  
pp. 67-75 ◽  
Author(s):  
Idongesit Godwin Utuk ◽  
Kayode Omoniyi Osungbade ◽  
Taiwo Akinyode Obembe ◽  
David Ayobami Adewole ◽  
Victoria Oluwabunmi Oladoyin
Keyword(s):  
Sampling Technique ◽  
Sub Saharan Africa ◽  
Good Knowledge ◽  
People Living With Hiv ◽  
Cross Sectional Survey ◽  
Southwestern Nigeria ◽  
Cross Sectional ◽  
Sub Saharan ◽  
Living With Hiv ◽  
Hiv Aids

Background:Despite demonstrating global concerns about infection in the workplace, very little research has explored how co-workers react to those living with HIV in the workplace in sub-Saharan Africa. This study aimed to assess the level of stigmatising attitude towards co-workers living with HIV in the workplace.Methods:The study was a descriptive cross-sectional survey involving 403 respondents. They were recruited from selected companies through a multistage sampling technique. Survey was carried out using pre-tested semi-structured questionnaires. Data were analyzed using the Statistical Package for the Social Sciences to generate frequencies, cross tabulations of variables at 5% level of significance. Logistic regression model was used to determine the predictors at 95% confidence intervals.Results:Mean age of respondents was 32.9 ± 9.4 years with 86.1% being females. Overall, slightly below two-third (63.0%) had good knowledge on transmission of HIV/AIDS while 218 (54.1%) respondents had a high stigmatising attitude towards co-workers with HIV in the workplace. More female respondents (69.6%) demonstrated high stigmatising attitudes towards co-workers with HIV in the workplace (p = 0.012). Female workers were twice more likely to have high stigmatising attitudes towards co-worker with HIV [OR 2.1 (95% CI: 1.13 – 3.83)].Conclusion:Stigma towards people living with HIV/AIDs is still very persistent in different settings. Good knowledge amongst our participants about HIV/AIDs did not translate to low stigmatising attitudes among workers. Concerted efforts and trainings on the transmission of HIV/AIDs are essential to reduce stigma that is still very prevalent in workplace settings.

scholarly journals Synthesizing evidence on nutrition challenges among people living with HIV/AIDS in sub- Saharan Africa: a protocol for a scoping review

2019 ◽  
Vol 6 (7) ◽  
pp. 3173 ◽  
Author(s):  
Tafadzwa Dzinamarira ◽  
Moreblessing Chipo Mashora
Keyword(s):  
Health Outcomes ◽  
Scoping Review ◽  
Sub Saharan Africa ◽  
Future Research ◽  
People Living With Hiv ◽  
Nutritional Management ◽  
Sub Saharan ◽  
Living With Hiv ◽  
Improve Health ◽  
Hiv Aids

Background: Good nutritional status is highly significant for individuals who are infected with HIV. However, they still face a number of nutritional challenges. The proposed scoping review will map literature on the nutritional challenges facing people living with HIV/AIDS (PLWH) and guide future research in nutritional management to improve health outcomes for PLWH. Here we outline a scoping review protocol designed according to the Preferred Reporting Items for Systematic Reviews and Meta-Analysis Protocols (PRISMA-P 2015 Guidelines).Methods: The Arksey and O’Malley’s 2005 scoping methodological framework further improved by Levac et al. 2010 will guide the search and reporting. Searches will be conducted for eligible articles from MEDLINE (PubMed), MEDLINE, CINAHL, Academic Search Complete and ISI Web of Science (Science Citation Index) electronic databases. Two independent reviewers will conduct the search guided by an inclusion and exclusion criteria. Quality appraisal of the included articles will be conducted guided by the mixed methods appraisal tool 2018 version. We will employ NVivo version 12 for thematic content analysis.Conclusions: The findings of this review will guide future research in nutritional management to improve health outcomes for PLWH in sub-Saharan African. This review will be disseminated electronically in a published peer reviewed article and in print.

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