scholarly journals Trends of HIV/AIDS Infection in Arsi Zone from 2002-2008 E.C (2010 to 2016 G.C), Oromia Region Ethiopia: Evidence from VCT Registry

2020 ◽  
Author(s):  
Mesfin Segni Tafa ◽  
Hailu Fekadu ◽  
Martha Aseffa ◽  
Hirpo Teno
Keyword(s):  
Logistic Regression ◽  
Hiv Prevalence ◽  
Health Facilities ◽  
Sub Saharan Africa ◽  
Public Health Issue ◽  
P Value ◽  
People Living With Hiv ◽  
Global Public Health ◽  
Arsi Zone ◽  
Hiv Aids

Abstract Introduction: HIV continues to be a major global public health issue, having claimed more than 35 million lives so far. Globally, about 36.7 million people living with HIV currently, more than two third of the infection is the burden of Sub-Saharan Africa. Knowing the status of HIV/AIDS has the great value to individual health of treatment with ART and in terms of reductions in individual morbidity and mortality, and is equally cost-effective. Therefore, the aim of this study was to assess trends and associated factor of HIV infection in Arsi zone from 2010 to 2016.Methodology: A retrospective study was conducted in Arsi zone. Thirty health facilities (27 health centers and 3 Hospitals) were selected for the study from all woreda in the Zone. A total of 205,691 data was collected from VCT registration book. Data were entered into computer using Epi info 3.5.4 and exported for analysis to SPSS 21. Data were presented using tables and figures using line graphs. Logistic regression was used to see the association and significance was declared at P-value<0.05 Result: The study showed a total of 4300 HIV positive cases were reported between 2002(2009 G.C) to 2008(2016 G.C) according to available VCT registration book during survey at 30 health facilities. The trends of HIV of infection were not properly defined, it was 3.4% in 2002(2010 G.C ) and mean while a gradual drop has been observed in the next five consecutive years, almost which was less than 2% prevalence and in 2008 the prevalence was raised to 2.4% compared to 2007 and before. The changes in HIV prevalence were uneven among districts. Findings from logistic regression analysis indicated that the fitted demographic characteristics like, marital status, age and occupation were significantly associated with HIV positivity in both bivariate and multivariate analysis.Conclusion: There are no encouraging indications that the HIV prevalence has decreasing since there were variation among districts. Therefore there is a need of designing comprehensive strategy to combat the spread of HIV infections among all individuals. It is also important to strengthening VCT services at all level with strict follow up.

scholarly journals The relationship between self-efficacy and spirituality in condom use behaviour among MSM-PLWHA in Bandung, indonesia

2021 ◽  
Vol 10 (s1) ◽  
Author(s):  
Nirwanto K. Rahim ◽  
Agung Waluyo ◽  
Sri Yona
Keyword(s):  
Logistic Regression ◽  
Condom Use ◽  
Disease Transmission ◽  
Self Efficacy ◽  
Bivariate Analysis ◽  
P Value ◽  
People Living With Hiv ◽  
Use Behavior ◽  
The Relationship ◽  
Hiv Aids

Background: The prevalence of HIV/AIDS, especially among men who have sex with men (MSM), is increasing. Disease transmission occurs because of the low use of condoms. This study aimed to identify the relationship between condom self-efficacy and spirituality in condom use behavior.Design and Methods: This study used a cross-sectional design with consecutive sampling techniques. It involved 251 people living with HIV/AIDS (PLWH) MSM. Chi-square test was used in bivariate analysis and then continued with the logistic regression analysis for multivariate analysis.Results: The results show that there was a significant relationship between condom self-efficacy and condom use behavior with p-value <0.05 (OR=11.298; 95% CI: 4.35-20.1, p=0.000) and spirituality towards condom use behavior p-value <0.05 (OR=3.405; 95% CI: 0.85-3.21, p=0.00). In multivariate analysis of multiple logistic regression, condom self-efficacy is the factor that predominantly influences condom use behaviour.Conclusions: To improve the consistency of condom use, nurses need to prioritize interventions such as counselling activities that focus on increasing self-confidence (self-efficacy).

scholarly journals Changing Scenario of Health Problems due to HIV Infection

2017 ◽  
pp. 32-38
Author(s):  
Laveena D’Mello ◽  
Govindaraju B. M.
Keyword(s):  
Public Health ◽  
Hiv Infection ◽  
Household Survey ◽  
Health Problems ◽  
Hiv Prevalence ◽  
Public Health Issue ◽  
People Living With Hiv ◽  
Cultural Economic ◽  
Living With Hiv ◽  
Hiv Aids

In Human Immunodeficiency Virus and Acquired Immuno-Deficiency Syndrome (HIV/AIDS) epidemic, today has become not only a public health issue but also one that is seriously affecting the dynamics of the social, cultural, economic and developmental pace of the society. India has a population of 1.2 billion people, around half of whom are adults in the sexually active age group. The first AIDS case in India was detected in 1986 and since then HIV infection has been reported in all states and union territories. Estimated number of people living with HIV/AIDS, 2009 People living with HIV/AIDS is 2.39 million. Adult (15 years or above) HIV prevalence is 0.31%. Previously it was thought that around 5 million people were living with HIV in India - more than in any other country. Better data, including the results of a national household survey conducted in 2005-2006, led to a major revision of the prevalence estimate in July 2007. It is now thought that around 2.39 million people in India are living with HIV. Of these, an estimated 39% are female and 4 % are children. HIV prevalence in India may have declined slightly in recent years, though the epidemic is still growing in some regions and population groups. AIDS the killer diseases of the century is spreading with enormous rapidly and has now emerged as serious socio-economic and public health problems. The aim of the study is to find out changing scenario of Health Problems due to HIV infection. The objectives are to find out the socio-economic background of the respondents and to know the health issues of the positive people. The fifty samples 25 male and 25 female were selected from ART centre of Dakshina Kannada Districts at Karnataka State, India for this study

scholarly journals Integrated Model of a Family Approach and Local Support in Tuberculosis Case Finding Efforts in People with HIV/AIDS

2021 ◽  
Vol 16 (4) ◽  
Author(s):  
Erni Astutik ◽  
Chatarina Umbul Wahyuni ◽  
Imelda F.E. Manurung ◽  
Geofrey Ssekalembe
Keyword(s):  
Opportunistic Infections ◽  
Public Health Problem ◽  
Case Finding ◽  
P Value ◽  
People Living With Hiv ◽  
Global Public Health ◽  
Tuberculosis Case ◽  
Family Approach ◽  
Local Support ◽  
Hiv Aids

The human immunodeficiency virus (HIV) remains a major global public health problem. People with HIV/acquired immune deficiency syndrome (AIDS) aremore susceptible to opportunistic infections such as tuberculosis (TB). Therefore, families and community leaders need to help monitor people living with HIV/AIDS (PLWHA). This study aimed to analyze an integrated family approach and local support model to detect TB cases in PLWHA. This study used acase-control study in Kupang City, East Nusa Tenggara Province, in July 2020. The sample comprised 100 people (50 PLWHA with TB case and 50 controls) using total sampling and random sampling, respectively. The variables related to TB case finding in PLWHA were family employment status, duration of HIV/AIDS, family knowledge of TB, and family support. The data were analyzed using multiple logistic regression. The families with PLWHA with an extendedillness duration (OR = 0.81, 95% CI = 0.69–0.95, p-value = 0.01), families who did not work (OR = 3.31, 95% CI = 1.16 9.41, p-value = 0.025), families who had good knowledge (OR = 4.79, 95% CI = 1.70–13.51, p-value = 0.003), and families who provided good support (OR = 3.03, 95% CI = 1.05–8.76, p-value= 0.04) were better able to detect TB in PLWHA.

PERAN WARGA PEDULI AIDS CAHAYA CARE TUREN DALAM MENINGKATKAN KUALITAS HIDUP ODHA

2017 ◽  
Vol 3 (1) ◽  
Author(s):  
Tri Nurhudi Sasono
Keyword(s):  
Quality Of Life ◽  
Antiretroviral Drugs ◽  
P Value ◽  
People Living With Hiv ◽  
Purposive Sampling ◽  
Significant Difference ◽  
Development Goals ◽  
Living With Hiv ◽  
Hiv Aids

Abstract : Indicator of the health welfare through Sustanable Development Goals (SDGs) is to reduce the incidence of HIV-AIDS, decrease the rate of the epidemic and maintain the quality of life of people living with HIV-AIDS (PLWHA). Trend cases of HIV-AIDS is the most recent spread among people, especially housewives. In Malang until 2015 found 278 Housewife of 409 cases of AIDS. The prevalence of HIV-AIDS in Malang Regency is ranked second after Surabaya city in East Java. For the importance of public participation and citizen care AIDS Cahaya Care Turen take responsibility for the condition. Determination Rule Goverment number 2 2015 year on the Participation of the community response to HIV-AIDS in Malang as a legal rule. Concerned Citizens activities AIDS (WPA). WPA Cahaya Care Turen is increases HIV risk and quality of life PLWHA. The purpose of this study was to determine the role of Citizens AIDS Cahaya Care Quality of Care Turen against people living with HIV in Puskesmas Turen Malang. The study design using a quasi-experimental, with purposive sampling using a sampling technique. Total number of research subjects 23. Based on test results obtained with the Wilcoxon p value <0.005, which means that there is a significant difference before and after PLWHA joining participated in the WPA Cahaya Care Turen. The conclusion of this study is WPA activities involving people living with HIV and at risk groups can optimize compliance with antiretroviral drugs that have an impact on improving the quality of life of PLHIV. Suggestions in this research is done WPA Program activities are structured and ongoing cross-sector in order to improve the quality of life and empower PLWHA.Keywords : WPA Cahaya Care Turen, Quality of life, PLWHA Abstrak : Salah satu indikator kesejahteraan kesehatan melalui Sustanable Development Goals (SDGs) adalah menekan angka kejadian HIV-AIDS, menurunkan laju epidemik dan mempertahankan kualitas hidup Orang dengan HIV-AIDS (ODHA). Trend kasus HIV-AIDS terkini terbanyak adalah menjangkit dikalangan masyarakat khususnya pada ibu rumah tangga. Kabupaten Malang sampai dengan tahun 2015 ditemukan 278 Ibu Rumah Tangga dari 409 kasus AIDS. Prevalensi HIV-AIDS di Kabupaten Malang ini merupakan peringkat kedua di Jawa Timur setelah Kota Surabaya. Untuk itu pentingnya peran serta masyarakat dan warga peduli AIDS Cahaya Care Turen ikut bertanggung jawab terhadap kondisi tersebut. Penetapan Peraturan Bupati Malang no.2 th.2015 tentang Peran serta masyarakat penanggulangan HIV-AIDS di Kabupaten Malang diharapkan dapat mengurangi risiko penularan HIV dan meningkatkan kualitas hidup ODHA. Tujuan dari penelitian ini adalah untuk mengetahui Peran Warga Peduli AIDS Cahaya Care Turen terhadap Kualitas ODHA Di Wilayah Kerja Puskesmas Turen Kabupaten Malang. Desain penelitian menggunakan quasi eksperimen, dengan teknik sampling menggunakan purposive sampling. Jumlah subyek penelitian sejumlah 23. Berdasarkan hasil uji dengan Wilcoxon didapatkan nilai p value < 0.005 yang berarti bahwa terdapat perbedaan bermakna sebelum dan sesudah ODHA bergabung mengikuti kegiatan WPA Cahaya Care Turen. Kesimpulan dalam penelitian ini adalah kegiatan WPA dengan melibatkan ODHA dan kelompok beresiko dapat mengoptimalkan kepatuhan obat ART sehingga berdampak terhadap peningkatan kualitas hidup ODHA. Saran dalam penelitian ini adalah dilakukannya Program kegiatan WPA yang terstruktur dan berkesinambungan lintas sektor guna meningkatkan kualitas hidup dan memberdayakan ODHA.     Kata kunci : WPA Cahaya Care Turen, kualitas hidup, ODHA

scholarly journals Pandemics and Burden of Stroke and Epilepsy in Sub-Saharan Africa: Experience from a Longstanding Health Programme

2021 ◽  
Vol 18 (5) ◽  
pp. 2766
Author(s):  
Massimo Leone ◽  
Fausto Ciccacci ◽  
Stefano Orlando ◽  
Sandro Petrolati ◽  
Giovanni Guidotti ◽  
...  
Keyword(s):  
Neurological Disorders ◽  
Combined Treatment ◽  
Cerebrovascular Disorders ◽  
Sub Saharan Africa ◽  
Noncommunicable Diseases ◽  
People Living With Hiv ◽  
Sub Saharan ◽  
Health Programme ◽  
Excess Deaths ◽  
Hiv Aids

Eighty percent of people with stroke live in low- to middle-income nations, particularly in sub-Saharan Africa (SSA) where stroke has increased by more than 100% in the last decades. More than one-third of all epilepsy−related deaths occur in SSA. HIV infection is a risk factor for neurological disorders, including stroke and epilepsy. The vast majority of the 38 million people living with HIV/AIDS are in SSA, and the burden of neurological disorders in SSA parallels that of HIV/AIDS. Local healthcare systems are weak. Many standalone HIV health centres have become a platform with combined treatment for both HIV and noncommunicable diseases (NCDs), as advised by the United Nations. The COVID-19 pandemic is overwhelming the fragile health systems in SSA, and it is feared it will provoke an upsurge of excess deaths due to the disruption of care for chronic diseases such as HIV, TB, hypertension, diabetes, and cerebrovascular disorders. Disease Relief through Excellent and Advanced Means (DREAM) is a health programme active since 2002 to prevent and treat HIV/AIDS and related disorders in 10 SSA countries. DREAM is scaling up management of NCDs, including neurologic disorders such as stroke and epilepsy. We described challenges and solutions to address disruption and excess deaths from these diseases during the ongoing COVID-19 pandemic.

scholarly journals Predictors of HIV/AIDS comprehensive knowledge and acceptance attitude towards people living with HIV/AIDS among unmarried young females in Uganda: a cross-sectional study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Tesfaldet Mekonnen Estifanos ◽  
Chen Hui ◽  
Afewerki Weldezgi Tesfai ◽  
Mekonnen Estifanos Teklu ◽  
Matiwos Araya Ghebrehiwet ◽  
...  
Keyword(s):  
Logistic Regression ◽  
Regression Analysis ◽  
Logistic Regression Analysis ◽  
Cross Sectional Study ◽  
People Living With Hiv ◽  
Sectional Study ◽  
Cross Sectional ◽  
Young Females ◽  
Comprehensive Knowledge ◽  
Hiv Aids

Abstract Background Youth in general and young females, in particular, remain at the center of HIV/AIDS epidemic. To avoid and prevent HIV infection, comprehensive knowledge as well as correct understanding of transmission and prevention strategies are crucial. Thus, the aim of this study is to explore the predictors of comprehensive knowledge on HIV/AIDS and accepting attitude towards PLWHIV. Methods A cross-sectional study was conducted using data from the 2016 Uganda Demographic Health Survey. A two-stage probability sampling method was applied and data were collected using a standard questionnaire. Of the total 8674 women aged 15–49 years, 1971 eligible women aged 15–24 years were included in this analysis. Data analysis was done using SPSS version 23. A Chi-square test followed by logistic regression analysis was used to explore the relationship between specific explanatory variables and outcome variables. The results were reported using odds ratios with 95% confidence interval. P value less than 0.05 was considered as statistically significant. Results Overall, 99.3% of the unmarried women aged 15–24 years were aware of HIV/AIDS, but only 51.9% had comprehensive knowledge on HIV/AIDS. Around 70% of the respondents were aware that "using condoms every time when having sex" and "having only one faithful uninfected partner" can prevent HIV transmission. About 68% of the unmarried women rejected at least two common local misconceptions about HIV/AIDS. An alarmingly small (20.6%) proportion of the respondents had a positive acceptance attitude towards PLWHIV. All variables were significantly associated with having comprehensive knowledge on HIV/AIDS in the unadjusted logistic regression analysis. After adjustment, older age (20–24 years), being educated, wealthier, and ever been tested for HIV/AIDS became predictors of adequate comprehensive HIV/AIDS knowledge. Moreover, respondents with adequate comprehensive knowledge of HIV/AIDS were more likely (OR 1.64, 95% CI 1.30–2.08) to have a positive acceptance attitude towards PLWHIV than their counterparts. Conclusion Our study demonstrated a remarkably high level of awareness about HIV/AIDS among study participants, but the knowledge and positive acceptance attitude towards PLWHIV were not encouraging. Thus, endeavors to expand and strengthen educational campaigns on HIV/AIDS in communities, health facilities, and schools are highly recommended. Attention should particularly focus on young-aged and disadvantaged women with low educational level, poor socioeconomic status and those who have never been tested for HIV/AIDS.

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 A comparative study to assess the knowledge and beliefs regarding AIDS among higher secondary students in rural schools of South Kerala and South Tamil Nadu

2021 ◽  
Author(s):  
Jose P. Cyril ◽  
Baburaj Stephenson ◽  
Joy John ◽  
Anju Mirin Alex ◽  
Sony S. Paul ◽  
...  
Keyword(s):  
Secondary Students ◽  
Rural Schools ◽  
Tamil Nadu ◽  
Epidemiological Data ◽  
Public Health Issue ◽  
People Living With Hiv ◽  
Global Public Health ◽  
Knowledge And Beliefs ◽  
Living With Hiv ◽  
Self Administered Questionnaire

Background: HIV continues to be a major global public health issue, having claimed 36.3 million lives so far.  India has the third largest HIV epidemic in the world, with 2.1 million people living with HIV. Epidemiological data on AIDS suggests that in many cases, HIV infection was acquired during adolescence and lack of knowledge is one of the most important reasons.  Hence, an ardent need was felt to assess the knowledge and beliefs of adolescents regarding AIDS. The main objective of this study was to assess the knowledge and beliefs regarding AIDS among higher secondary students of rural schools in South Kerala and in South Tamil Nadu.   Methods: After getting ethical committee clearance, the study was conducted among higher secondary students of twelfth standard using a predesigned and validated self-administered questionnaire. An educational intervention regarding AIDS lasting for 30 min was given after the test. Data analysis was done using appropriate software.Results: The mean knowledge scores of students from Kerala (11.57) and Tamil Nadu (11.51) were almost same. Television, newspaper and teachers were the main source of information about AIDS. Beliefs like Whiteman’s disease can spread through mosquito bite, sharing vessels and giving shake hands/touching were highly prevalent in the study subjects.Conclusions: Proper emphasis should be given to teachers on mentoring adolescents and imparting them with the needed knowledge on HIV/AIDS to enable them to overcome this period of stress and storm.

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