scholarly journals Implementation of social protection schemes for people living with HIV in three districts of Rajasthan state, India – a mixed methods study

F1000Research ◽  
2020 ◽  
Vol 9 ◽  
pp. 248
Author(s):  
B Gowthamghosh ◽  
Rosenara Huidrom ◽  
Visvanathan Arumugam ◽  
Neeraj Pathak ◽  
Neetu Purohit ◽  
...  
Keyword(s):  
Social Protection ◽  
Secondary Data ◽  
People Living With Hiv ◽  
Implementation Barriers ◽  
Application Process ◽  
Provider Perspectives ◽  
Pension Schemes ◽  
Care And Support ◽  
Important Barrier ◽  
Living With Hiv

Background: In India, public social protection schemes for marginalized populations are extended to people living with HIV (PLHIV) and their households. Care and Support Centres (CSCs) linked to antiretroviral therapy (ART) centres play a key role in linking PLHIV to the schemes. In three districts of Rajasthan, India, we assessed the linkage of PLHIV registered at CSCs (2016–18) to social protection schemes and explored PLHIV and provider perspectives into barriers and suggested solutions for improving linkage. Methods: This was an explanatory mixed method study involving a descriptive quantitative phase using secondary data, followed by a descriptive qualitative phase involving face-to-face in-depth (five PLHIV) and key informant (three CSC staff) interviews. Results: Of 1123 registered PLHIV at CSCs, 1026 (91%) expressed willingness to avail social protection schemes. Of 1026, 94% were linked to any one scheme; 52% to Palanhar, 51% to bus fare concession and 42% to widow pension schemes. The perceived barriers were: authenticating Aadhaar number (unique identification number provided to all Indians using their registered mobile phone number), cumbersome application processes for each scheme, limited utility of travel concession, delayed and/or irregular disbursement of benefits and non-availability of comprehensive information, education and communication material with details of all schemes and their application processes. Reaching out to all PLHIV in the designated district was a huge task for outreach workers. Another important barrier was the potential disclosure of positive status to various stakeholders in order to avail the schemes. Suggested solutions were a single window default application process at ART centres with a smart card and a single pamphlet at ART centres with all the required details. Conclusions: Bus fare concession, Palanhar and widow pension schemes were the most widely accepted and linked schemes by PLHIV. Implementation barriers were identified that need to be addressed to improve the linkage.

Risk Factor Of Substitution ARV First Line People Living With HIV/AIDS In General Hospital Buleleng Bali

2020 ◽  
Vol 9 (1) ◽  
pp. 190-197
Author(s):  
Luh Putu Desy Puspaningrat ◽  
Gusti Putu Candra ◽  
Putu Dian Prima Kusuma Dewi ◽  
I Made Sundayana ◽  
Indrie Lutfiana
Keyword(s):  
Risk Factor ◽  
General Hospital ◽  
Medical Records ◽  
Secondary Data ◽  
District General Hospital ◽  
People Living With Hiv ◽  
First Line ◽  
The Past ◽  
Factor Substitution ◽  
Living With Hiv

Substitution is still a threat to the failure of ARV therapy so that no matter how small it must be noted and monitored in ARV therapy. The aims  was analysis risk factor substitution ARV first line in therapy ARV. This study was an analytic longitudinal study with retrospective secondary data analysis in a cohort of patients receiving ARV therapy at the District General Hospital of Buleleng District for the period of 2006-2015 and secondary data from medical records of PLHA patients receiving ART.  Result in this study that the percentage of first-line ARV substitution events is 9.88% (119/1204) who received ARV therapy for the past 11 years. Risk factors that increase the risk of substitution in ARV therapy patients are zidovudine (aOR 4.29 CI 1.31 -2.65 p 0.01), nevirapine (aOR1.86 CI 2.15 - 8.59 p 0.01) and functional working status (aOR 1.46 CI 1.13 - 1.98 p 0.01). 

scholarly journals Avaliação da funcionalidade familiar em pessoas idosas convivendo com HIV/AIDS

2021 ◽  
Vol 11 (33) ◽  
pp. 99-106
Author(s):  
Luciária Silva Souza ◽  
Naiane Pereira dos Santos ◽  
Pollyanna Viana Lima ◽  
Isnara Teixeira Brito Melo ◽  
Alessandra Souza de Oliveira ◽  
...  
Keyword(s):  
Elderly People ◽  
The Elderly ◽  
People Living With Hiv ◽  
Dysfunctional Family ◽  
Care And Support ◽  
Specialized Care ◽  
Stis And Hiv ◽  
Living With Hiv ◽  
Family Functionality ◽  
Hiv Aids

O presente artigo tem como objetivo identificar a funcionalidade familiar em pessoas idosas convivendo com HIV/AIDS. Trata-se de um estudo de caráter exploratório, descritivo com abordagem quanti-qualitativa, desenvolvida em um Centro de Atenção e Apoio especializado de referência em atendimento para pessoas convivendo com IST’s e HIV/AIDS em um município baiano com 26 pessoas idosos. Utilizou-se roteiro semi-estruturado para entrevista e questionário com dados sociodemográficos e de saúde e o Apgar da família, para avaliação da funcionalidade familiar. Verificou-se no estudo que a maior parte das pessoas idosas diagnosticadas com HIV/AIDS deste estudo convivem em uma família disfuncional grave (34,61%), o que corrobora para que a grande maioria dos idosos mantenham em sigilo o diagnóstico da doença para o seu núcleo familiar, outros convivem com a estigmatização o isolamento e o preconceito. Conclui-se que os idosos convivem em uma família disfuncional grave, com repercussões negativas para o enfretamento da doença.Descritores: Idoso, Funcionalidade Familiar, HIV, AIDS. Assessment of family functionality in elderly people living with HIV/AIDSAbstract: This article aims to identify family functionality in elderly people living with HIV/AIDS. This is an exploratory, descriptive study with a quantitative and qualitative approach, developed in a specialized Care and Support Center of reference in care for people living with STIs and HIV/AIDS in a municipality in Bahia with 26 elderly people. A semi-structured script was used for the interview and questionnaire with sociodemographic and health data and the family Apgar, to assess family functionality. It was found in the study that most elderly people diagnosed with HIV/AIDS in this study live in a severe dysfunctional family (34.61%), which corroborates that the vast majority of the elderly keep the diagnosis of the disease confidential. their family nucleus, others live with stigmatization, isolation and prejudice. It is concluded that the elderly live in a severe dysfunctional family, with negative repercussions for coping with the disease.Descriptors: Elderly, Family Functionality, HIV, AIDS. Evaluación de la funcionalidad familiar en personas mayores que viven con VIH/SIDAResumen: Este artículo tiene como objetivo identificar la funcionalidad familiar en personas mayores que viven con VIH / SIDA. Se trata de un estudio exploratorio, descriptivo con enfoque cuantitativo y cualitativo, desarrollado en un Centro de Atención y Apoyo especializado de referencia en la atención a personas viviendo con ITS y VIH / SIDA en un municipio de Bahía con 26 ancianos. Se utilizó un guión semiestructurado para la entrevista y cuestionario con datos sociodemográficos y de salud y el Apgar familiar, para evaluar la funcionalidad familiar. En el estudio se encontró que la mayoría de las personas mayores diagnosticadas con VIH / SIDA en este estudio viven en una familia disfuncional severa (34,61%), lo que corrobora que la gran mayoría de las personas mayores mantienen confidencial el diagnóstico de la enfermedad. su núcleo familiar, otros viven con estigmatización, aislamiento y prejuicio. Se concluye que los ancianos viven en una familia severamente disfuncional, con repercusiones negativas para el afrontamiento de la enfermedad.Descriptores: Anciano, Funcionalidad Familiar, VIH, SIDA.

scholarly journals Performance and Outcomes of Routine Viral Load Testing in People Living with HIV Newly Initiating ART in the Integrated HIV Care Program in Myanmar between January 2016 and December 2017

2020 ◽  
Vol 5 (3) ◽  
pp. 140
Author(s):  
Sai Soe Thu Ya ◽  
Anthony D. Harries ◽  
Khin Thet Wai ◽  
Nang Thu Thu Kyaw ◽  
Thet Ko Aung ◽  
...  
Keyword(s):  
Viral Load ◽  
Virologic Failure ◽  
Secondary Data ◽  
Care Program ◽  
Hiv Care ◽  
People Living With Hiv ◽  
Second Line ◽  
Load Testing ◽  
One Year ◽  
Living With Hiv

Myanmar has introduced routine viral load (VL) testing for people living with HIV (PLHIV) starting first-line antiretroviral therapy (ART). The first VL test was initially scheduled at 12-months and one year later this changed to 6-months. Using routinely collected secondary data, we assessed program performance of routine VL testing at 12-months and 6-months in PLHIV starting ART in the Integrated HIV-Care Program, Myanmar, from January 2016 to December 2017. There were 7153 PLHIV scheduled for VL testing at 12-months and 1976 scheduled for VL testing at 6-months. Among those eligible for testing, the first VL test was performed in 3476 (51%) of the 12-month cohort and 952 (50%) of the 6-month cohort. In the 12-month cohort, 10% had VL > 1000 copies/mL, 79% had repeat VL tests, 42% had repeat VL > 1000 copies/mL (virologic failure) and 85% were switched to second-line ART. In the 6-month cohort, 11% had VL > 1000 copies/mL, 83% had repeat VL tests, 26% had repeat VL > 1000 copies/mL (virologic failure) and 39% were switched to second-line ART. In conclusion, half of PLHIV initiated on ART had VL testing as scheduled at 12-months or 6-months, but fewer PLHIV in the 6-month cohort were diagnosed with virologic failure and switched to second-line ART. Programmatic implications are discussed.

scholarly journals Quitline Treatment Enrollment and Cessation Outcomes Among Smokers Linked With Treatment via Ask-Advise-Connect: Comparisons Among Smokers With and Without HIV

2019 ◽  
Vol 22 (9) ◽  
pp. 1640-1643 ◽  
Author(s):  
Thanh C Bui ◽  
Bárbara Piñeiro ◽  
Damon J Vidrine ◽  
David W Wetter ◽  
Summer G Frank-Pearce ◽  
...  
Keyword(s):  
Smoking Prevalence ◽  
Smoking Status ◽  
Secondary Data ◽  
People Living With Hiv ◽  
Evidence Based ◽  
Primary Care Visit ◽  
Care Visit ◽  
Cessation Treatment ◽  
Living With Hiv ◽  
Implementation Trial

Abstract Introduction Given that people living with HIV (PLWH) are disproportionately burdened by tobacco-related morbidity and mortality, it is critically important to understand the degree to which evidence-based cessation interventions are utilized by and are effective among PLWH. Aims and Methods This secondary data analysis aimed to examine differences in Quitline treatment enrollment and 6-month cessation outcomes among smokers seeking care at 1 HIV clinic and 12 non-HIV clinics that were part of a large healthcare system in the greater Houston, Texas metropolitan area, United States. Data were from a 34-month (April 2013–February 2016) one-group implementation trial that evaluated the Ask-Advise-Connect (AAC) approach to linking smokers with Quitline treatment. Primary outcomes included (1) treatment enrollment and (2) 6-month self-reported and biochemically confirmed abstinence. Results The smoking status of 218 915 unique patients was recorded in the electronic health record; 5285 (2.7%) of these patients were seen at the HIV clinic where the smoking prevalence was 45.9%; smoking prevalence at the non-HIV clinics was 17.9%. The proportion of identified smokers who enrolled in treatment was 10.8% at the HIV clinic and 11.8% at the non-HIV clinics. The self-reported abstinence rate was 18.7% among HIV clinic patients and 16.5% among non-HIV clinic patients. Biochemically confirmed abstinence was lower at 4.2% and 4.5%, respectively (all ps > .05). Conclusions AAC resulted in rates of Quitline treatment enrollment and abstinence rates that were comparable among patients seen at an HIV clinic and non-HIV clinics. Findings suggest that AAC should be considered for widespread implementation in HIV clinics. Implications PLWH were as likely as other patients to enroll in evidence-based tobacco cessation treatment when it was offered in the context of a primary care visit. Cessation outcomes were also comparable. Therefore, standard care for PLWH should include routine screening for smoking status and referrals to cessation treatment.

scholarly journals Patient-Provider Text Messaging and Video Calling Among Case-Managed Patients Living With HIV: Formative Acceptability and Feasibility Study (Preprint)

2020 ◽  
Author(s):  
Virginia A Fonner ◽  
Samuel Kennedy ◽  
Rohan Desai ◽  
Christie Eichberg ◽  
Lisa Martin ◽  
...  
Keyword(s):  
Mobile Health ◽  
Text Messaging ◽  
People Living With Hiv ◽  
Provider Communication ◽  
Provider Perspectives ◽  
Adherence Support ◽  
Patient Provider Communication ◽  
Communication Modalities ◽  
Video Calling ◽  
Living With Hiv

BACKGROUND Patient-provider communication is critical for engaging and retaining people living with HIV in care, especially among medically case-managed patients in need of service coordination and adherence support. Expanding patient-provider communication channels to include mobile health modalities, such as text messaging and video calling, has the potential to facilitate communication and ultimately improve clinical outcomes. However, the implementation of these communication modalities in clinical settings has not been well characterized. OBJECTIVE The purpose of this study is to understand patient and provider perspectives on the acceptability of and preferences for using text messaging and video calling as a means of communication; perceived factors relevant to adoption, appropriateness, and feasibility; and organizational perspectives on implementation within an HIV clinic in South Carolina. METHODS We conducted 26 semistructured in-depth interviews among patients receiving case management services (n=12) and clinic providers (n=14) using interview guides and content analysis informed by the Proctor taxonomy of implementation outcomes and the Consolidated Framework for Implementation Research. Participants were purposefully sampled to obtain maximum variation in terms of age and gender for patients and clinic roles for providers. The data were analyzed using quantitative and qualitative content analyses. RESULTS Most patients (11/12, 92%) and providers (12/14, 86%) agreed that they should have the capacity to text message and/or video call each other. Although consensus was not reached, most preferred using a secure messaging app rather than standard text messaging because of the enhanced security features. Perceived benefits to adoption included the added convenience of text messaging, and potential barriers included the cost and access of smartphone-based technology for patients. From an organizational perspective, some providers were concerned that offering text messaging could lead to unreasonable expectations of instant access and increased workload. CONCLUSIONS Patients and providers perceived text messaging and video calling as acceptable, appropriate, and feasible and felt that these expanded modes of communication could help meet patients’ needs while being safe and not excessively burdensome. Although patients and providers mostly agreed on implementation barriers and facilitators, several differences emerged. Taking both perspectives into account when using implementation frameworks is critical for expanding mobile health–based communication, especially as implementation requires active participation from providers and patients. CLINICALTRIAL

scholarly journals Predictors of Mortality among Patients Lost to Follow up Antiretroviral Therapy

Jurnal NERS ◽  
2018 ◽  
Vol 13 (1) ◽  
pp. 114 ◽  
Author(s):  
Putu Dian Prima Kusuma Dewi ◽  
Gede Budi Widiarta
Keyword(s):  
Incidence Rate ◽  
Median Time ◽  
Secondary Data ◽  
Primary Data ◽  
People Living With Hiv ◽  
Risk Of Death ◽  
Living With Hiv ◽  
Lost To Follow Up

Introduction: The death of HIV/AIDS patients after receiving therapy in Bali is the seventh highest percentage of deaths in Indonesia. LTFU increases the risk of death in PLHA, given the saturation of people with HIV taking medication. The level of consistency in the treatment is very important to maintain the resilience and quality of life of people living with HIV. This study aims to determine the incidence rate, median time and predictors of death occurring in LTFU patients as seen from their sociodemographic and clinical characteristics.Methods: This study used an analytical longitudinal approach with retrospective secondary data analysis in a cohort of HIV-positive patients receiving ARV therapy at the Buleleng District Hospital in the period 2006-2015. The study used the survival analysis available within the STATA SE 12 softwareResults: The result showed that the incidence rate of death in LTFU patients was 65.9 per 100 persons, with the median time occurrence of 0.2 years (2.53 months). The NNRTI-class antiretroviral evapirens agents were shown to increase the risk of incidence of death in LTFU patients 3.92 times greater than the nevirapine group (HR 3.92; p = 0.007 (CI 1.46-10.51). Each 1 kg increase in body weight decreased the risk of death in LTFU patients by 6% (HR 0.94; p = 0.035 (CI 0.89-0.99).Conclusion: An evaluation and the monitoring of patient tracking with LTFU should be undertaken to improve sustainability. Furthermore, an observation of the LTFU patient's final condition with primary data and qualitative research needs to be done so then it can explore more deeply the reasons behind LTFU.

scholarly journals Involving young people in the care and support of people living with HIV/AIDS in Zambia

2004 ◽  
Author(s):  
Eka Esu-Williams ◽  
Katie Schenk ◽  
Joseph Motsepe ◽  
Scott Geibel ◽  
Anderson Zulu
Keyword(s):  
Young People ◽  
People Living With Hiv ◽  
Care And Support ◽  
Living With Hiv ◽  
Hiv Aids

Tuberculosis treatment outcome in a rural area of Senegal: a decade of experience from 2010 to 2019 by StopTB Italia

2021 ◽  
Author(s):  
Niccolò Riccardi ◽  
Simone Villa ◽  
Andrea Giacomelli ◽  
Mama M Diaw ◽  
Mamoud Ndiaye ◽  
...  
Keyword(s):  
Rural Area ◽  
Low Income ◽  
Rural Areas ◽  
Social Protection ◽  
Treatment Success ◽  
Pulmonary Involvement ◽  
Low Income Countries ◽  
People Living With Hiv ◽  
Living With Hiv ◽  
The Impact

Background: Tuberculosis (TB) unevenly affects individuals across the globe, especially in rural areas of low-income countries. Aim of the study was to assess the impact of social protection to increase TB awareness on treatment outcomes among TB patients in a rural area of Senegal. Materials & methods: The study, conducted in Fimela district (Senegal) from 1 January 2010 to 31 December 2019 and the intervention started from 31 January 2013, includes activities to increase awareness, active case finding, active follow-up and social protection. Results: Overall, 435 subjects – mainly male and young – were included in the analysis. Among TB cases, 94% had pulmonary involvement, 87% had no previous TB history, and 6% resulted positive HIV. Improved outcome was observed once intervention began (from 71 to 91%, p < 0.001); whereas mortality decreased (from 15 to 5%; p < 0.001), especially for those HIV co-infected for whom TB mortality rate dropped from 70 to 29%. Conclusion: After beginning the cooperation program, TB treatment success increased as a result of the decline of mortality, especially in people living with HIV.

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