scholarly journals HIV index testing services in urban Lusaka: a retrospective review of medical records

F1000Research ◽  
2021 ◽  
Vol 9 ◽  
pp. 1184
Author(s):  
Cibangu Katamba
Keyword(s):  
Hiv Testing ◽  
Medical Records ◽  
High Volume ◽  
Hiv Positive ◽  
P Value ◽  
People Living With Hiv ◽  
Chi Square ◽  
Case Identification ◽  
Hiv Test ◽  
Chi Square Test

Background: As the proportions of people living with HIV (PLHIV) who do not know their HIV infection status decrease, reaching the remaining few who are asymptomatic and not in contact with the health care system becomes a critical challenge. Therefore, reaching the first 90 of the UNAIDS 90-90-90 targets will require effective and efficient HIV testing approaches. The number of PLHIV who know their HIV status and who receive antiretroviral therapy could increase by the expansion of index testing services. Methods: This project was a retrospective study looking at medical records of HIV positive clients who were elicited for index testing between October and December 2019. It was conducted in three high volume health facilities in Matero Urban sub-district 3 in Lusaka, Zambia. Results: The HIV test outcomes for index contacts were as follows: 452 index contacts (53.5%) tested HIV negative, 113 index contacts (13.4%) tested HIV positive, 108 index contacts (12.8%) were known HIV positive, and 172 index contacts (20.4%) were not yet tested for HIV. Of the 113 contacts who tested HIV positive, 90 index contacts started anti-retroviral therapy within 7 days (79.6%). The total number of 845 contacts were elicited from 604 index clients, giving a low elicitation ratio of 1:1.4. There was not much difference between gender for elicited contacts (423 men and 422 women). A total number of 565 index contacts were eligible for HIV test. 113 of them tested HIV positive, representing a positivity yield of 20%. Pearson Chi-Square test value was 0.498 and the p value was 0.481. This result is not significant since p value (0.481) is greater than the designated alpha level (0.05). Conclusions: HIV programs need to explore and address barriers to HIV partner testing services to avoid over-testing and maximize HIV case identification (thus, improving HIV testing positivity yield).

scholarly journals HIV index testing services in urban Lusaka: a review of medical records

F1000Research ◽  
2020 ◽  
Vol 9 ◽  
pp. 1184
Author(s):  
Cibangu Katamba
Keyword(s):  
Medical Records ◽  
High Volume ◽  
Hiv Positive ◽  
P Value ◽  
People Living With Hiv ◽  
Chi Square ◽  
Case Identification ◽  
Partner Testing ◽  
Hiv Test ◽  
Chi Square Test

Background: As the proportions of people living with HIV (PLHIV) who do not know their HIV infection status decrease, reaching the remaining few who are asymptomatic and not in contact with the health care system becomes a critical challenge. Therefore, reaching the first 90 of the UNAIDS 90-90-90 targets will require effective and efficient HIV testing approaches. The number of PLHIV who know their HIV status and who receive antiretroviral therapy could increase by the expansion of index testing services. Methods: This project was a retrospective study looking at medical records of HIV positive clients who were elicited for index testing between October and December 2019. It was conducted in three high volume health facilities in Matero Urban sub-district 3 in Lusaka, Zambia. Results: The HIV test outcomes for index contacts were as follows: 452 index contacts (53.5%) tested HIV negative, 113 index contacts (13.4%) tested HIV positive, 108 index contacts (12.8%) were known HIV positive, and 172 index contacts (20.4%) were not yet tested for HIV. Of the 113 contacts who tested HIV positive, 90 index contacts started anti-retroviral therapy within 7 days (79.6%). The total number of 845 contacts were elicited from 604 index clients, giving a low elicitation ratio of 1:1.4. There was not much difference between gender for elicited contacts (423 men and 422 women). A total number of 565 index contacts were eligible for HIV test. 113 of them tested HIV positive, representing a positivity yield of 20%. Pearson Chi-Square test value was 0.498 and the p value was 0.481. This result is not significant since p value (0.481) is greater than the designated alpha level (0.05). Conclusions: HIV programs need to explore and address barriers to HIV partner testing services to maximize HIV case identification.

scholarly journals HUBUNGAN USIA DAN PARITAS TERHADAP KEJADIAN PRE EKLAMPSIA DI RSD BALUNG JEMBER

2021 ◽  
Vol 2 (3) ◽  
pp. 85-91
Author(s):  
Yuningsih
Keyword(s):  
Medical Records ◽  
Random Sampling ◽  
P Value ◽  
Multiple Logistic Regression ◽  
Women Of Childbearing Age ◽  
Childbearing Age ◽  
Chi Square ◽  
Cross Sectional ◽  
Independent Variables ◽  
Chi Square Test

One of the contributors to maternal and infant mortality is the incidence of preeclampsia that occurs during pregnancy. The cause of preeclampsia is still unknown, but it is suspected that age and parity are one of the triggers for this occurrence. Women of childbearing age who are nulliparous with extreme age under the age of less than 20 years and women with the age of more than 35 years are most commonly found to have preeclampsia. The design in this study is analytic with a cross sectional approach. The population of all mothers giving birth in the delivery room of RSD Balung Jember was 3594 in 2019. The number of samples taken using non-random sampling by purposive sampling was finally obtained by 97 respondents. In this study, the independent variables were maternal age and parity, while the dependent variable was the incidence of preeclampsia. The instrument used is medical records. The data is processed by editing, coding, processing and cleaning processes. Data were analyzed using multiple logistic regression. The results of the chi-square test for the age variable obtained that the Pearson chi-square value was 0.019 and the p value = 0.000 <0.05 from these results Ho was rejected, and the parity variable the Pearson chi- square value was 0.019 and the p value = 0.000 <0.05 from these results Ho is rejected. In conclusion, there is a relationship between age and preeclampsia, and there is a relationship between parity and preeclampsia.

scholarly journals What is the level of uptake of Partner Notification Services in HIV testing  in Selected Health Facilities in Muranga County – Kenya; a retrospective Study

2020 ◽  
Author(s):  
Rewel Kariuki ◽  
Gilbert Koome Rithaa ◽  
Oyugi Elvis ◽  
Daniel Gachathi
Keyword(s):  
Hiv Testing ◽  
Partner Notification ◽  
Sexual Partners ◽  
Health Facilities ◽  
World Health ◽  
Hiv Positive ◽  
People Living With Hiv ◽  
Cross Sectional ◽  
Case Identification ◽  
Health Organization

Abstract Background: Identification of people living with HIV is key in HIV prevention and control. Partner Notification service is a World Health Organization backed strategy of reaching out to sexual partners of people diagnosed with HIV for HIV testing. However, its adoption and success rate in Kenya remains unknown.Methods: A cross sectional facility based study was undertaken in five purposively selected health facilities in Muranga County, Kenya. A retrospective review of patient medical records data for HIV positive index clients and their Sexual Partners conducted. Census approach applied to extract data for study subjects from Partner Notification Service registers for the period covering January 2017 to August 2018. Epi Info software was used for data analysis.Results: A total of 183 index clients offered Partner notification services. The mean age of the indexed clients studied was 39(SD ±13.1). Females comprised 64 % of clients studied. Of the 183 indexed clients, 89% accepted the services and elicited 216 sexual partners for tracing. The ratio of elicited sexual partners to index client was 1.3:1. Out of the 216 sexual partners, 77% were reached and tested. A total of 46 [32%] of the sexual partners elicited and traced, tested HIV positive. The most preferred approaches were provider referral (51%) and contract referral (45%). Dual referral (4%) was the least preferred approach. Conclusions: Partner notification services is acceptable and an effective strategy of increasing HIV case identification and raising awareness to exposed sexual partners in low resource countries.

scholarly journals Risk Factors of HIV among Voluntary Counseling and Testing Centers Clients, Elgenina Town, West Darfur, Sudan.

2019 ◽  
Vol 3 (3) ◽  
pp. 60-70
Author(s):  
Ahmed, M. Hussein ◽  
Ahmed Mokhtar Osman Mohammed ◽  
Dawria, Adam
Keyword(s):  
Drug Users ◽  
Hiv Positive ◽  
P Value ◽  
Unsafe Sex ◽  
Chi Square ◽  
Voluntary Counseling And Testing ◽  
Counseling And Testing ◽  
Chi Square Test ◽  
Nonprobability Sample ◽  
Structured Questionnaire

This study was conducted in two (VCTs) at Elgenina town, the capital of West Darfur State in Sudan in period from November 2010 to February 2011, the study included all people attending VCTs in Elgeniena town for voluntary checking one hundred and fifty clients who visited the (VCT) centers and volunteered were included in this study, nonprobability sample, 150 volunteers was taken and covered all ages, One ml of blood was taken from each of the study sample and tested by rapid Immune Chromatographic (ICT) for HIV, a structured questionnaire was designed and the interviewed after a written consent to participate in the study was signed, data was analyzed using the SPSS statistical programmer and for possible association between study variables, the Chi square test was used, the study showed that 35 volunteers (23.33%) were positives, of whom 54.3% 19 were males. People having more than one sex partner were high 63.6% with statistically significant factor of getting infection (P.value = 0.00). Also, practicing unsafe sex were 5.2% another major risky (P.value = 0.00). Among the HIV positive cases 34.3% were drug users, compared to 20.9% from the HIV negatives (p. value = 0.10). There is no relation between education level and infection with HIV (p .value = 0.154). Forty two percent of the participants were single, 30% married, 10% divorced, 7.3% widows and 10.7% were separate

scholarly journals The Correlation Between Parity and Premature Rupture of Membrane (PROM) Incidence

2021 ◽  
Vol 15 (6) ◽  
pp. 1511-1515
Author(s):  
Estiyani Wulandari ◽  
Lenna Maydianasari ◽  
Eva Yusnidhar
Keyword(s):  
Medical Records ◽  
Secondary Data ◽  
Bivariate Analysis ◽  
P Value ◽  
Premature Rupture ◽  
Chi Square ◽  
Cross Sectional ◽  
Research Population ◽  
Chi Square Test ◽  
Cross Sectional Design

Aim: This research aims to identify the correlation between parity and premature rupture of membrane (PROM) incidence at KIA Sadewa Hospital in 2013. Methods: The research was observational analytic research with a cross-sectional design. The sampling employed total sampling. This research population was all women giving birth at KIA Sadewa Hospital from January to December 2013 who had complete data as many as 2,645 women. The samples used in this study were 2388 women with expected delivery and 257 women who experienced the PROM. The data were secondary data obtained from medical records and then analyzed in univariate and bivariate analysis using a chi-square test with p-value = 0.005. Results: Women giving birth at KIA Sadewa Hospital in 2013 were mostly multipara. The incidence of premature rupture of membrane at KIA Sadewa Hospital in 2013 indicated 9.7% of them experiencing the PROM and 90.3% not experiencing the PROM. Conclusion. There was a correlation between parity and the incidence of premature rupture of membrane at KIA Sadewa Hospital in 2013. There is a correlation between parity with the incidence of premature rupture of membrane at KIA Sadewa Hospital in 2013. Keywords: Parity, Premature Rupture of Membrane

scholarly journals Perilaku Tes HIV pada Laki-Laki yang Berhubungan Seks dengan Laki-Laki (LSL) di Provinsi Bali

2016 ◽  
Vol 11 (2) ◽  
pp. 47 ◽  
Author(s):  
Putu Krisna Saputra ◽  
Bagoes Widjanarko
Keyword(s):  
Hiv Testing ◽  
Univariate Analysis ◽  
Hiv And Aids ◽  
P Value ◽  
High Risk Population ◽  
Chi Square ◽  
Cross Sectional ◽  
Voluntary Counseling And Testing ◽  
Hiv Test ◽  
History Of

ABSTRACTMen who have sex with men (MSM) is a high risk population in infected with HIV and AIDS and Sexually Transmitted Infections (STIs) . Based on data from the Integrated Biological and Behavioral Surveillance (IBBS) in 2011 found that HIV prevalence among MSM is between 2.4 % to 17 % . Based on data from the Gaya Dewata Foundation , the number of new MSM reached in 2013 amounted to 1,322 people . However , the number of HIV tests among MSM in 2013 only amounted to 874. While the number of new HIV cases among MSM in 2013 amounted to 118 cases , this number increased by two times in 2011, which is amounted to 50 cases. This research is a quantitative study with cross sectional approach. The number of respondents 110 people choosen by purposive sampling technique.Quantitative data collection techniques through interviews with the questionnaire. Data were analyzed using univariate analysis with frequency distribution, using the chi-square bivariate, and multivariate logistic regression. The results showed that the variables associated with HIV testing behavior among MSM in Bali Province is the type of place to stay and history of STIs . Multivariate analysis showed that a history of STIs ( p value = 0.005 ) is the variable that has the most significant effect on the behavior of HIV testing in MSM in Bali Province with OR of 3.400. HIV testing in MSM behavior quite well. The majority of respondents had an HIV test within 0-6 months ago. Most respondents did last HIV test in Denpasar. Forms of HIV tests performed by the respondent is entirely voluntary counseling and testing ( VCT ) as well as all respondents knew of his HIV test results.Keywords: MSM, HIV Testing, Bali

scholarly journals Hubungan obesitas pada kehamilan dengan preeklampsia

e-CliniC ◽  
2016 ◽  
Vol 4 (1) ◽  
Author(s):  
Caroline . Dumais ◽  
Rudy A Lengkong ◽  
Maya E Mewengkang
Keyword(s):  
Pregnant Women ◽  
Medical Records ◽  
Analytical Study ◽  
Case Control ◽  
P Value ◽  
Chi Square ◽  
Chi Square Test ◽  
Obesity In Pregnancy ◽  
Using Data ◽  
The Relationship

Abstract: This study aimed to obtain the relationship between obesity in pregnancy and preeclampsia. This was a retrospective analytical study with a case-control design by using data of patients’ medical records. Samples were pregnant women with obesity (IMT ≥30 kg/m2) at the last pregnancy that suffered from preeclampsia and obese pregnant women without preeclampsia at RSUP Prof. Dr. R. D. Kandou Manado from January, 2013 until December 2014. Data were processed by using SPSS 2.0. The results showed that the number of obese pregnant women that suffered from preeclampsia and obese pregnant women without preeclampsia was 60 people. Most of them suffered from preeclampsia were categorized as obesity I. The chi-square test showed a p value = 0.013 (<α = 0.05). Conclusion: There was a relationship between obesity at pregnancy with preeclampsia at pregnant women at RSUP Prof. Dr. R. D. Kandou Manado. Keywords: BMI, obesity, preeclampsia Abstrak: Penelitian ini bertujuan untuk mengetahui hubungan obesitas pada kehamilan dengan pre-eklampsia. Jenis pnelitian ini analitik retrospektif dengan desain case-control. Data penelitian diperoleh dari catatan rekam medis pasien. Sampel penelitian ini ialah wanita hamil dengan obesitas (IMT ≥ 30 kg/m2) pada akhir kehamilan yang menderita pre-eklampsia dan wanita hamil obes tanpa pre-eklampsia di RSUP Prof. Dr. R.D. Kandou Manado dari bulan Januari 2013 sampai Desember 2014. Data yang diperoleh diolah dengan menggunakan SPSS 2.0. Hasil penelitian memperlihatkan bahwa jumlah wanita hamil dengan obesitas yang menderita pre-eklampsia dan wanita obes tanpa pre-eklampsia sebanyak 60 orang. Sebagian besar responden dengan pre-eklampsia termasuk obesitas I. Hasil uji chi square dengan tingkat signifikan α = 0,05 mendapatkan nilai p = 0,013 (<α = 0,05). Simpulan: Terdapat hubungan antara obesitas pada kehamilan dengan pre-eklampsi pada wanita hamil di RSUP Prof. Dr. R. D. Kandou ManadoKata kunci: IMT, obesitas, pre-eklampsia

scholarly journals What is the level of uptake of Partner Notification Services in HIV testing in Selected Health Facilities in Gatanga Sub County, Muranga County – Kenya; a retrospective Study

2020 ◽  
Author(s):  
Rewel Kariuki ◽  
Gilbert Koome Rithaa ◽  
Oyugi Elvis ◽  
Daniel Gachathi
Keyword(s):  
Hiv Testing ◽  
Partner Notification ◽  
Sexual Partners ◽  
Health Facilities ◽  
World Health ◽  
Hiv Positive ◽  
People Living With Hiv ◽  
Cross Sectional ◽  
Case Identification ◽  
Health Organization

Abstract Background: Identification of people living with HIV is key in HIV prevention and control. Partner Notification service is a World Health Organization backed strategy of reaching out to sexual partners of people diagnosed with HIV for HIV testing. However, its adoption and success rate in Kenya remains unknown.Methods: A cross sectional facility based study was undertaken in five purposely selected health facilities in Gatanga Sub county, Muranga County, Kenya. A retrospective review of patient medical records data for HIV positive index clients and their Sexual Partners conducted. Census approach was applied to extract data for study subjects from Partner Notification Services registers for the period covering January 2017 to August 2018. Epi Info software was used for data analysis.Results: A total of 183 index clients were offered Partner notification services. The mean age of the indexed clients studied was 39(SD ±13.1). Females comprised 64 % of clients studied. Of the 183 indexed clients, 89% accepted the services and elicited 216 sexual partners for tracing. The ratio of elicited sexual partners to index client was 1.3:1. Out of the 216 sexual partners, 77% were reached and tested. A total of 46 [32%] of the sexual partners elicited and traced, tested HIV positive. The most preferred approaches were provider referral (51%) and contract referral (45%). Dual referral (4%) was the least preferred approach. Conclusions: Assisted Partner notification services is acceptable and an effective strategy of increasing HIV case identification and raising awareness to exposed sexual partners in low resource countries.

scholarly journals HUBUNGAN UMUR DAN JENIS KELAMIN TERHADAP KEBERHASILAN PITC (PROVIDER INITIATED TESTING AND COUNSELLING) PADA PASIEN TB DI KOTA MEDAN TAHUN 2017

2019 ◽  
Vol 13 (2) ◽  
Author(s):  
Sity Kunarisasi ◽  
Imran Pambudi ◽  
Asri Mutiara Putri ◽  
Nurhanifah Hamdah
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Public Health Issue ◽  
P Value ◽  
Chi Square ◽  
Cross Sectional ◽  
Primary Health ◽  
Hiv Test ◽  
Chi Square Test ◽  
And Gender

Tuberculosis is a public health issue. Prevalence of tuberculosis in 2017 is estimated 824.000 cases in which making Indonesia the third country in the world with biggest burden TB and the seventh country with biggest burden in HIV-TB. PITC in primary health care is a Health Ministry program. PITC is the only test and counseling to motivated TB patient to get HIV test. The aim of this study is to analyze relationship between age and gender with the success of PITC in TB patients to know the HIV status at Medan in 2017. Method This research is a descriptive-analytic study with cross-sectional approach. the population in this study is TB patients with age 15-49 years old wo had TB diagnosed either with bacteriologic or clinical in primary health care at Medan in 2017. Medan is chosen because Medan is one of eight cities with the highest burden of TB and HIV in Indonesia, also it has complete recording of TB patients. The sample of this study is all TB patients in primary health care at Medan in 2017 who had PITC in total 2.228 from all TB patients in total 5.039 patients. Data analysis using SPSS to search for p value and Odds Ratio (OR). Result 250 of 2.228 (11,22%) patients is positive in HIV test. Statistics analysis using chi-square test shows p value 0.000 (p<0.05) and OR = 1.905 for relationship between gender and HIV test positive. Also, p value of 0,006 (p<0,05) and OR = 1.459 for relationship between age and HIV test positive. In this study with the implementation of PITC in TB patients in primary health care at Medan there is a relationship between sex and age with HIV infection.

scholarly journals A pharmacovigilance study of antiretroviral therapy in HIV positive out patients at a tertiary care teaching hospital

2018 ◽  
Vol 7 (12) ◽  
pp. 2419
Author(s):  
Muneeshwar Reddy T. ◽  
Durga Prasad T. S. ◽  
Sravani Gundramy Reddy ◽  
Sravani Dudu ◽  
Rameela Mohan ◽  
...  
Keyword(s):  
Prospective Observational Study ◽  
Tertiary Care ◽  
Hiv Positive ◽  
P Value ◽  
Age Group ◽  
Cd4 Cells ◽  
Chi Square ◽  
Therapy Regimen ◽  
Chi Square Test ◽  
Early Detection And Prevention

Background: Anti-Retroviral Therapy regimen (ART) is the only treatment option for treating the HIV positive patients for improving the immune system by increasing the CD4 cells. But eventually these medications lead to development of some Adverse Drug Reactions (ADRs) in seropositive patients under treatment.Methods: A prospective observational study was conducted for 6 months from March to August 2018 at ART Centre, Sri Venkateswara Ramnarayan Ruya Government General Hospital (SVRRGGH), Tirupati.Results: Out of 216 ADRs identified, majority where identified in females (54.35%). Most common regimen caused ADR was tenofovir+ lamivudine+ efavirenz (TLE) (55.55%). Data were analysed using the chi-square test were P-value was found to be 0.0024. Majority of ADRs were found in patients of age group between 31-35years was found to be 45 (20.83%) followed by age group between 41-45years was found to be 40 (18.51%). Most of the ADRs were related to central nervous system (27.31%) followed by metabolic disorders (26.38%), hematologic system (23.14%), gastrointestinal system (12.96%), dermatologic system (9.25%), renal system (0.46%) and musculoskeletal system (0.46%). On evaluation of WHO-UMC causality of ADRs, majority were found to be possible (78.7%). The Hartwig and Siegel’s severity assessment scale showed that most of the ADRs were mild (64.42%). The Schumock and Thornton preventability scale showed that 50.92% patients ADRs were probably preventable.Conclusions: As most of the ADRs were observed in patients receiving TLE regimen. So, patients receiving TLE regimen need intensive monitoring. Doctors, nurses, pharmacist must focus on early detection and prevention of ADRs, based on their severity.

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