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

Author(s):  
Ahmed, M. Hussein ◽  
Ahmed Mokhtar Osman Mohammed ◽  
Dawria, Adam

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

Author(s):  
Marimelda Ginting

Introduction: VCT counseling is a counseling activity that provides psychological support, information and knowledge of HIV/AIDS and ensures the resolution of various problems related to HIV/AIDS, including the behavior of prisoners in each prison. Methods: This study used a cross sectional design. The number of samples is 56 prisoners or inmates who suffer from HI/AIDS. The research instrument used a questionnaire measuring instrument and statistical tests using the Chi Square test. Results: Depression of HIV/AIDS sufferers in Cipinang Jati Negara Class 1 Prison experienced depression 61% more. The bivariate results showed that there was a relationship between Voluntary Counseling and Testing (VCT) and the level of depression in HIV/AIDS sufferers in Cipinang Jati Negara Jakarta Class 1 Prison with a P-value of 0.009 and an Odds Ratio of 4.63. Discussion: There is a relationship between Voluntary Counseling and Testing (VCT) and the level of depression in HIV/AIDS sufferers at the Class 1 Cipinang Jati State Prison, East Jakarta in 2020.


2009 ◽  
Vol 25 (9) ◽  
pp. 2053-2063 ◽  
Author(s):  
Alexandre Grangeiro ◽  
Maria Mercedes Escuder ◽  
Maria Amélia Veras ◽  
Draurio Barreira ◽  
Dulce Ferraz ◽  
...  

The Voluntary Counseling and Testing (VCT) Network was implemented in Brazil in the 1980s to promote anonymous and confidential access to HIV diagnosis. As a function of the population and dimensions of the local epidemic, the study assessed the network's coverage, using data from a self-applied questionnaire and data from the Information Technology Department of the Unified National Health System (SUS), UNDP, and National STD/AIDS Program. The Student t test was used for comparison of means and the chi-square test for proportions. Brazil has 383 VCT centers, covering 48.9% of the population and 69.2% of the AIDS cases. The network has been implemented predominantly in regions where the epidemic shows a relevant presence, but 85.3% of the cities with high HIV incidence lack VCT centers; absence of VCT was associated with more limited health infrastructure and worse social indicators. A slowdown in expansion of the network was observed, with VCT Centers implemented on average 16 years after the first AIDS case in the given municipality. The number of HIV tests performed under the SUS is 2.3 times higher in cities with VCT centers. The network's scope is limited, thus minimizing the contribution by these services to the supply of HIV diagnosis in Brazil.


2019 ◽  
Author(s):  
Rahayu Lubis ◽  
Jemadi Jemadi ◽  
Surya Utama ◽  
Rasmaliah Rasmaliah

Abstract Background: The incidence of tuberculosis in HIV patients (TB-HIV) w as estimated at 126 per 100,000 in the world. The number of HIV infected patients in Indonesia around 190,000 to 400,00 0 and the prevalence of TB-HIV is 5%. Data TB-HIV still increase s and they are un aware of that until a late stage. Understanding the risk factors of people with TB-HIV co-infection is important to know. This study aims to know the predictors of TB-HIV patients in the clinic voluntary counseling and testing (VCT) in Medan city. Methods: This is a case-control study. The case is TB-HIV patients (aged > 20 years) seen at clinic VCT Medan in 2016. Control is HIV patients without TB (aged > 20 years) seen in the same clinic VCT. The number of cases was 120 and the number of control 120. Data were collected from the medical record. Data were analyzed using the chi-square test in SPSS software. Results: The t otal was 240 patients. The majority were in the age group 31-40 years old (52.9%), male (75.8%), married (71.7%), had tertiary education (85.4%), had employment (89.2%) . Significant factors were CD4 < 500 cells/ml (OR 3.92; 95% CI 2.13-7.22), BMI < 18.5 kg/m2 (OR 5.79; 95% CI 3.25-10.21), had history of TB family (OR 7.9; 95% CI 3.67-18.18), adherence ARV (OR 1.35; 95% CI 1.02-1.79). Conclusions: The predictors of incidence TB-HIV co-infection was low CD4, low BMI, and had a family history of TB. Pay the attention for the nutritional status of TB-HIV patients and provide appropriate nutritional intake needs and adherence ARV.


Author(s):  
Vinoth Gnana Chellaiyan ◽  
Deepak K. Raut ◽  
Anita Khokhar

Background: Counselling services play a crucial role in catering clients of integrated counseling and testing centers (ICTCs). The counsellors provide information, education regarding HIV testing and treatment, guidance and support to the clients in taking informed decisions. The counsellors pose challenges due to the burden of client’s number and decreased self-satisfaction in the job. The objective was to assess the job satisfaction of counsellors providing HIV counseling services at ICTCs of Delhi.Methods: The study was cross sectional, conducted in Integrated Counseling and Testing Centers. The study was conducted in 20 selected ICTCs of Delhi. Selection of ICTCs was on the basis of population proportion to size of clients catered. All the counsellors in the selected ICTCs were invited to take part in the study. The interview of the counsellors was completed by maximum of 3 visits. A pretested, structured questionnaire with five point likert scale for satisfaction was used. Chi square test was applied. P value of<0.05 was significant.Results: In 20 ICTCs, a total of 32 counsellors participated in the study. Among 32 counsellors, 14 (43.8%) were males and 18 (56.2%) were females. Majority (93.7%) of counsellors said that refresher counselling training was very useful. Most of the counsellors, 22 (68.7%) suggested that strengthening the collaboration with non-government organizations would increase the number of direct walk-in clients. Majority of the counsellors, 26 (81.2%) said that they were satisfied with the job. However, 19 (59.3) counsellors said that they would change the profession if given a choice.Conclusions: Periodical salary revisions and further career growth in counselling domain, could improve the job satisfaction and would help the counsellors retain the job. This would cut down the additional expenses of the programme for imparting induction training often-times.


Author(s):  
Muneeshwar Reddy T. ◽  
Durga Prasad T. S. ◽  
Sravani Gundramy Reddy ◽  
Sravani Dudu ◽  
Rameela Mohan ◽  
...  

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.


2019 ◽  
Vol 2 (1) ◽  
pp. 74-79
Author(s):  
Sri Melda Br Bangun ◽  
BASYARIAH LUBIS ◽  
Raisha Octavariny ◽  
Surio Retno

Currently in Indonesia there is an increase in the prevalence of HIV / AIDS in housewives, followed by a high prevalence of HIV in children. This study used a cross sectional study design with a sample of 50 pregnant women using the stratified random sampling method with the chi-square test. The results showed that there was a relationship between age, work status, knowledge, attitude, and distance of pregnant women in utilizing voluntary counseling and test services


F1000Research ◽  
2021 ◽  
Vol 9 ◽  
pp. 1184
Author(s):  
Cibangu Katamba

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).


F1000Research ◽  
2020 ◽  
Vol 9 ◽  
pp. 1184
Author(s):  
Cibangu Katamba

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.


Author(s):  
S. B. Shamaki ◽  
L. N. Bucham

The study was designed to assess different sources of energy and to establish relationship between socio-economic factors that influence the choice of energy types within Sokoto metropolis. The study area was divided into three locations based on the income level as low, medium and high income classes. Forty respondents were randomly selected from each location thereby having a total of 120 respondents for the study. Variables of interest included choice of energy, types of energy sources, factors that influence such use and preferences for the different types of energy. Semi structured questionnaire was used for data collection. Descriptive statistics (frequencies and percentages) and chi square test of association were used for data analysis. The findings showed that households use different energy sources daily and some factors were found to influence the choice of energy used in homes (electricity 0.5%, cooking gas 42.5%, fuelwood/charcoal 33.5%, and kerosene 19.2%). Such factors include area of residence (chi-square value 14.53 and p- value 0.024), educational level (chi-square value 49.246 and p-value 0.000) and income (chi-square value 14.950 and p-value 0.021). Based on the findings of this study, it was concluded that households in Sokoto state metropolis tend to climb the energy ladder from low energy types to modern energy types and it was recommended that households be sensitized on the negative effects of the traditional energy sources on the environment.


2018 ◽  
Vol 1 (1) ◽  
pp. 34
Author(s):  
Ni Nyoman Novita ◽  
Gusman Arsyad

Implementation of IMD in hospitals has decreased from the previous year and has not reached the target set by the government. Some IMD implementation processes have not been carried out according to applicable standards. So that babies do not get an IMD in accordance with existing SOPs. The purpose of this study was to determine the determinant factors associated with the implementation of the IMD by midwives in the Midwifery and Maternity Room Emergency Room (IGD) at the Anutapura General Hospital in Palu. This research method is analytical with cross sectional approach. The population of this study was that all midwives in the obstetrics emergency room and maternity room at Anutapura Palu Hospital were 37 respondents. The sample in this study is total sampling. The analysis used was univariate, and bivariate analysis using the chi square test with a confidence level of 95% (α = 0.05). The results of statistical tests on variable knowledge of midwives with the implementation of IMD p value: 0.018 (p value <0.05). APN training with the implementation of IMD p value: 0.697 (p value> 0.05). length of work with the implementation of IMD p value: 0.029 (p value <0.05). and peer support with the implementation of IMD p value: 0.007 (p value <0.05). Conclusions there is a relationship between knowledge, length of work, peer support with the implementation of the IMD, and training factors that have nothing to do with IMD implementation. The strongest factor in the relationship is peer support. It is recommended that the Anutarapura Palu Hospital be able to motivate midwives so that they can further enhance their role in the implementation and provide support to their colleagues so that the implementation of the IMD can be carried out in accordance with applicable standards.Keywords: Knowledge, APN Training, Duration of work, Implementation of IMD


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