scholarly journals Predictors of Tuberculosis in HIV Patients in the Clinic Voluntary Counseling and Testing in Medan City

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.

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 ◽  
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


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.


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


2015 ◽  
Vol 2 (1) ◽  
pp. 481
Author(s):  
Yulia Sari ◽  
Sri Haryati ◽  
Dhani Redhono ◽  
Afiono Agung Prasetyo

<p>Background: The CCR5.32 polymorphism (a naturally occurring 32-bp deletion in CCR5) influences the ability of HIV-1 to infect the target cells. Homozygosity for CCR5.32 prevents infection of HIV-1 R5 strain, while the heterozygous is associated with lower plasma viral load and delayed progression to acquired immune deficiency syndrome (AIDS). However, there is no report about the presentation of CCR5.32 polymorphisms in Indonesian HIV patients. The aim of this study is to detect CCR5.32 polymorphisms in Indonesian HIV patients, especially in Voluntary Counseling and Testing Moewardi General Hospital Surakarta, Indonesia. In an ongoing molecular epidemiology study of blood borne virus, 154 HIV patients in Moewardi General Hospital Surakarta were used for the study. The blood samples were collected during November – December 2011. The blood samples were aliquoted and fractionated. The DNA was extracted from all blood samples, and subjected for the PCR assay to detect the presentation of CCR5.32 polymorphisms. Internal amplification control was included in all assays. PCR products were analyzed in 3% agarose. The results showed that CCR5.32 polymorphism was not detected in all blood samples. So it can be concluded that all patients in this study had the CCR5 wild type.</p><p><br /><strong>Keywords</strong>: CCR5.32, HIV, Indonesia.</p>


2018 ◽  
Vol 5 (2) ◽  
pp. 129-136
Author(s):  
Niken Ariska Prawesti ◽  
Purwaningsih Purwaningsih ◽  
Ni Ketut Alit Armini

Abtract: Voluntary Counseling and Testing (VCT) is one of the government programs to prevent trans- mission of HIV/AIDS must done by Men Sex With Men (MSM). But there are still MSM who have not utilized VCT services. This study was aimed to analyze of the factors correlating with utilization VCT in MSM based on Health Belief Model at Surabaya region. Design used analytic with cross-sectional ap- proach. The 43 samples were chosen by purposive sampling. The independent variabels were perceived susceptibility, perceived seriousness, perceived benefits, perceived barriers, and cues to action. The de- pendent variabel was utilization VCT. Data were collected by using questonnaire and alayzed by chi square test. Results showed that perceived seriousness had correlation with VCT utilization (p=0,035), perceived seriousness had correlation with VCT utilization (p=0,039), perceived benefits had correlation with VCT utilization (p=0,019), perceived barrier had correlation with VCT utilization (p=0,008) and cues to action (p=0,037) had correlation with VCT utilization. Some factors in health belief model have a correlation with VCT utilization by MSM. It is recommended to officer GAYa Nusantara Civil Society Organizations to give adequate information frequently to the high risk people of HIV/AIDS.Keyword: VCT, utilization, MSM, health belief modelAbstrak: Voluntary Counseling and Testing (VCT) adalah suatu program pemerintah untuk mencegah penularan HIV/AIDS yang perlu dilakukan olehLelaki Suka dengan Lelaki (LSL). Namun, masih terdapat LSL yang belum memanfaatkan layanan VCT. Penelitian ini bertujuan menganalisis faktor yang berhubungan dengan pemanfaatan VCT oleh LSL berdasarkan Teori Health Belief Model (HBM) di wilayah Surabaya. Desain penelitian analitik dengan pendekatan cross-sectional. 43 sampel dipilih dengan purposive sam- pling. Variabel independen adalah persepsi kerentanan, persepsi keseriusan,persepsi manfaat, persepsi hambatan, dan petunjuk bertindak. Variabel dependen adalah pemanfaatan VCT. Data dikumpulkan dengan menggunakan kuesioner dan dianalisisdengan uji chi square. Hasil menunjukkan bahwa kerentanan yang dirasakan memiliki korelasi dengan pemanfaatan VCT (p = 0,035), keseriusan yang dirasakan memiliki korelasi dengan pemanfaatan VCT (p = 0,039), manfaat yang dirasakan memiliki korelasi dengan pemanfaatan VCT (p = 0,019), hambatan yang dirasakan memiliki korelasi dengan VCT pemanfaatan (p = 0,008) dan isyarat untuk bertindak (p = 0,037) memiliki korelasi dengan pemanfaatan VCT. Persepsi kerentanan, persepsi keseriusan, persepsi manfaat, persepsi hambatan, dan petunjuk bertindak memiliki korelasi dengan pemanfaatan VCT oleh LSL.Disarankan kepada LSM GAYa Nusantara untuk sering memberikan informasi kepada orang-orang berisiko tinggi HIV / AIDS.Kata kunci: VCT, LSL, HIV, HBM


2021 ◽  
Vol 2 (2) ◽  
pp. 78-84
Author(s):  
Sarah Purba

Pendahuluan ; Pemanfaatan pelayanan klinik Voluntary Counseling and Testing (VCT) sangat penting dan strategis sebagai pencegahan, perawatan, dukungan, dan pengobatan penderita HIV. Data laporan cakupan kunjungan klinik VCT Puskesmas Kabanjahe mengalami peningkatan mencapai dari 11% tahun 2015 dan meningkat menjadi 24,5%. Penderita HIV lebih banyak lelaki dalam usia produktif, tamatan SMA dan sudah menikah. Mereka tidak memanfaatkan klinik VCT diduga disebabkan kurangnya pengetahuan, rendahnya dukungan keluarga, persepsi yang keliru bahwa HIV tidak dapat diobati, kurang puas terhadap layanan petugas VCT/konselor. Tujuan; penelitian adalah menganalisis faktor predisposisi (umur, jenis kelamin, pendidikan, pekerjaan, pengetahuan, dan persepsi) dan faktor pemungkin (dukungan keluarga dan dukungan tenaga kesehatan) yang memengaruhi pemanfaatan Klinik VCT. Metode; Metode penelitian adalah survei dengan pendekatan cross sectional. Populasi adalah seluruh penderita HIV yang terdaftar di Klinik VCT Puskesmas Kabanjahe sebanyak 266 orang dan jumlah sampel sebanyak 160 orang  Data dianalisis secara univariat, bivariat menggunakan chi-square dan multivariat menggunakan analisis uji regresi logistik berganda pada taraf kemaknaan 5%. Hasil ; penelitian menunjukkan faktor predisposisi yaitu umur, jenis kelamin, pendidikan tidak berpengaruh terhadap pemanfaatan klinik VCT, tetapi pekerjaan, pengetahuan dan persepsi berpengaruh terhadap pemanfaatan klinik VCT. Faktor  pemungkin yaitu dukungan keluarga/teman berpengaruh terhadap pemanfaatan klinik VCT, tetapi dukungan tenaga kesehatan tidak berpengaruh. Keseimpulan ; pimpinan Puskesmas Kabanjahe dan tenaga kesehatan melakukan evaluasi dan monitoring dalam meningkatkan cakupan kunjungan klinik VCT dengan memberdayakan LSM dan kader dan melakukan promosi kesehatan untuk meningkatkan pengetahuan masyarakat tentang HIV/AIDS.  Penderita HIV yang aktif dan keluarga dapat dijadikan sebagai pendamping, pengawas dan pemantau dalam proses pengobatan dan perawatan.


2020 ◽  
Vol 8 (4) ◽  
Author(s):  
Rihaliza Rihaliza ◽  
Arina Widya Murni ◽  
Alfitri Alfitri

AbstrakInfeksi Human Immunodeficiency Virus (HIV)/Acquired Immune Deficiency Syndrome (AIDS) merupakan salah satu masalah kesehatan masyarakat yang serius yang dapat menimbulkan masalah yang cukup luas yakni meliputi masalah fisik, sosial dan emosional. Permasalahan yang dihadapi oleh Orang Dengan HIV/AIDS (ODHA) akan mempengaruhi fisik dan psikologis ODHA itu sendiri sehingga akan berdampak terhadap kualitas hidup. Tujuan: Menganalisis hubungan kepatuhan minum obat dan jumlah CD4 terhadap kualitas hidup (ODHA) di Poliklinik  Voluntary Counseling and Testing RSUP Dr. M. Djamil Padang. Metode: Jenis penelitian adalah analitik dengan pendekatan cross-sectional. Sampel penelitian berjumlah 100 ODHA yang melakukan kontrol di Poliklinik VCT RSUP Dr M Djamil Padang. Instrumen penelitian menggunakan 2 kuesioner, yaitu WHOQOL-HIV BREF, Simplified Self- Report Measure of Adherence dan studi dokumentasi pada rekam medis pasien. Analisis data menggunakan uji Chi square. Hasil: Analisis bivariat menunjukkan terdapat hubungan yang bermakna dengan p<0,05 antara kepatuhan minum obat dan jumlah CD4 terhadap kualitas hidup ODHA. Simpulan: Diharapkan kepada petugas kesehatan agar selalu memberikan edukasi tentang pentingnya patuh minum obat ARV secara rutin, sehingga jumlah CD4 di dalam darah berada dalam batas normal sehingga ODHA memiliki fisik sehat yang berdampak pada kualitas hidupnya. 


2020 ◽  
Vol 11 (SPL1) ◽  
pp. 591-601
Author(s):  
Akansha Kishen ◽  
Anjali A K ◽  
Brundha M P ◽  
Muralidharan N P

Covid 19 is considered to be a pandemic virus infection. SARS-Cov-2 causes it. It is a viral infection that is transmitted through aerosol and droplet contamination, cross-infection, etc. Dentists are at a higher risk due to this corona. It has affected daily routines of dentist's life as they are unavailable to run the clinic and attend to patients. Different search engines like PubMed, and Google Scholar was used. The questionnaire consisting of twenty questions was prepared by using online survey google forms and circulated among the participants. SPSS software was used to evaluate the results and data collection. Statistical analysis was done by chi-square test. Later, results were being tabulated. This survey that is taken among dental students, dentists, and random public, it is seen that the majority of them are well aware of this recent pandemic attack. (COVID-19). It is concluded that dentists are affected to a significant extent due to coronavirus as their daily routine is affected severely. This study aims to identify the effect on dentist life on a routine basis due to the pandemic COVID - 19.


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