Socio-cultural Factors affecting People Living with HIV/AIDS Attendance at Hawassa and Yirgalem Hospital ART Clinics, South Ethiopia. Quantitative and Qualitative Mixed Approach.

Author(s):  
Alemante A Ayalew ◽  
Zeytu G Asfaw ◽  
Solomon A Lemma

Abstract Background: HIV/AIDS pandemic seriously ravaged the world for the past three decades. It left the world with full of complicated social, economic and political problems. The problem has continued as major health problems for most developing countries, including Ethiopia. Socio-cultural practices which are predominantly determining the life of most of these peoples have structured the spread of HIV/AIDS. The aim of this study was to investigate how socio-cultural factors are affecting patients' adherence at ART clinics in Hawassa and Yirgalem Referral Hospitals. Methods: Qualitative and quantitative designs were used to collect the data. Results: The findings have shown that for fear of stigma and discrimination at family and community levels forced patients' affected adherence at ART clinics. People living with HIV were forced to travel long distance to get rid of social exclusion and isolation that resulting in drug interruptions and drop outs. The findings have also shown that most of the followers of protestant religion make believe that HIV could be cured and boycotted them from taking ART drugs. Moreover, confidentiality of information about HIV positive children living with care givers and newly tested patients found to be resistant to start or continue their drugs. Sense of wellbeing elicited form long term ART drugs effects made patients to imagine complete healing thereby dropping their treatment. Conclusions: The findings made clear that multidimensional socio-cultural factors structure and restructure adherence problems at the ART clinics in the study hospitals. Interventions targeting to change socio-cultural factors play crucial roles to prevent and control new infections, occurrence of drug resistant strains, and social and economic repercussions in the society.

2019 ◽  
Vol 2019 ◽  
pp. 1-8 ◽  
Author(s):  
Ketema Bizuwork Gebremedhin ◽  
Tadesse Bedada Haye

Background. Globally, anemia, among people living with HIV/AIDS, is a major public health problem. It has a significant effect on the progression of HIV/AIDS to advanced stages and there are a number of factors that often affect anemia. However, there is little insight regarding factors affecting anemia among HIV/AIDS patients in developing countries, including Ethiopia. Objective. This study aimed at investigating factors affecting anemia among people living with HIV/AIDS taking ART drug at Tikur Anbessa Specialized Hospital, Addis Ababa, Ethiopia. Methods. A hospital based cross-sectional study design was used to assess factors affecting anemia among people living with HIV/AIDS. Structured checklist was used to gather information from charts of patients selected by simple random sampling method. We analyzed the data to identify factors associated with anemia among people with HIV/AIDS using logistic regression models. Results. A total of 301 selected charts were reviewed. The median age was 38 ± 10.38. The majority (62.5%) of the patients were taking ZDV-containing ART drug (ZDV/3TC/NVP). The overall anemia prevalence was 34.6%, while about 5%, 15.6%, and 14% of the patients had severe, moderate, and mild prevalence of anemia, respectively. Factors that were found to affect anemia among these patients include gender (OR = 2.26 [95% CI: 1.22, 4.16]), occupation (OR: 0.57 [95%CI: 0.35, 0.92]), WBC count (OR = 2.30 [95% CI: 1.29, 4.09]), platelet count (OR = 2.89 [95% CI: 0.99, 8.41]), nutritional status (OR = 2.05 [95% CI: 0.69, 6.02]), and WHO clinical stage of HIV/AIDS (OR = 3.69 [95% CI: 1.86, 7.31]). Conclusions. About one in three patients was found to be anemic. Intervention aimed at diagnosing and treating anemia among people living with HIV/AIDS should be considered.


2021 ◽  
Vol 7 (1) ◽  
pp. 21
Author(s):  
Nila Alfiani ◽  
Ahmad Rido'i Yuda Prayogi ◽  
Ayik Mirayanti Mandagi ◽  
Diansanto Prayoga

HIV/AIDS is a disease that has become a pandemic and worries people all over the world, because until now there has not been found a vaccine or drug for the prevention of HIV/AIDS. HIV positive cases in Indonesia from year to year have increased. The problems faced by people with HIV/AIDS are very complex. Every day the patient's condition will get weaker if he does not take medication regularly because the HIV virus will attack the patient's immune system. In addition, the stigma and discrimination of the surrounding community are also a burden that must be borne by people with HIV AIDS. The stigma makes HIV sufferers worse, with this stigma, HIV sufferers are ashamed to seek treatment at a health service. This writing is to determine the relationship between knowledge and stigma against people living with HIV/AIDS (PLWHA) through a review of various literature with the same theme. The method used in this paper uses rivew literature. This type of research uses systematic review. The study design used retrospective, prospective and systematic review methods. There is a relationship between knowledge and stigma against PLWHA. People with low knowledge tend to stigmatize people with HIV.


2004 ◽  
Vol 37 (5) ◽  
pp. 641-655 ◽  
Author(s):  
saseendran pallikadavath ◽  
laila garda ◽  
hemant apte ◽  
jane freedman ◽  
r. william stones

primary research on hiv/aids in india has predominantly focused on known risk groups such as sex workers, sti clinic attendees and long-distance truck drivers, and has largely been undertaken in urban areas. there is evidence of hiv spreading to rural areas but very little is known about the context of the infection or about issues relating to health and social impact on people living with hiv/aids. in-depth interviews with nineteen men and women infected with hiv who live in rural areas were used to collect experiences of testing and treatment, the social impacts of living with hiv and differential impacts on women and men. eight focus group discussions with groups drawn from the general population in the four villages were used to provide an analysis of community level views about hiv/aids. while men reported contracting hiv from sex workers in the cities, women considered their husbands to be the source of their infection. correct knowledge about hiv transmission co-existed with misconceptions. men and women tested for hiv reported inadequate counselling and sought treatment from traditional healers as well as professionals. owing to the general pattern of husbands being the first to contract hiv women faced a substantial burden, with few resources remaining for their own or their children’s care after meeting the needs of sick husbands. stigma and social isolation following widowhood were common, with an enforced return to the natal home. implications for potential educational and service interventions are discussed within the context of gender and social relations.


2014 ◽  
Vol 27 (2_suppl) ◽  
pp. 86S-92S ◽  
Author(s):  
Guoli L. Yang ◽  
Jin Yan ◽  
Yan Liu ◽  
Zhulin L. Huang ◽  
Shuo Long

Author(s):  
Pradnya S. Jadhav ◽  
Payal S. Laad ◽  
R. M. Chaturvedi

Background: The aims and objectives were to study socio-demographic profile of people living with HIV/ AIDS; to assess quality of life of people living with HIV/AIDS (PLHA); to study factors affecting Quality of life (QOL) in people living with HIV/AIDS. Methods: A cross-sectional study was conducted which included 319 study subjects. Data on socio-demographic profile was collected using questionnaire and quality of life was assessed using WHO - brief questionnaire. Data was analysed using SPSS software and MS–Excel. Results: Majority of study population 52% were female & 40.8%belonged to 35-45 yrs age group. Out of 319 study subjects, 80.88% were literate and 19.1% were illiterates, 75.9% were married. 65.83% of the study subjects belonged to socio-economic class- II, 27.9% of the study subjects belong to class–I. Majority 52.98% study population had CD4 less than 300 and 47.02% had CD4 count more than 300 cells/mm3. Female have better QOl in comparison to male. Subjects >55 age group, illiterate, unemployed and CD4 count <300cells/mm3 have lower QOL (p<0.05) in comparison to their respective group. Conclusions: The most factors significantly associated with decreased quality of life of people living with HIV/AIDS in the present study include gender, literacy status, age group, employment status and CD4 count (p<0.05).


2021 ◽  
pp. 007-011
Author(s):  
Peters Grace Etete ◽  
Oko Nnabuike Inya

Background: The sudden increase in demand for blood transfusion globally without the corresponding increase in voluntary blood supply (donation) has become a serious health problem. Countries across the world are facing serious problem of blood scarcity. Therefore this study was carried out to evaluate the socio- cultural factors affecting voluntary blood donation in Akwa Ibom State. Methods: A survey research design was adopted for the study and was carried out from January to May 2017. Three hundred respondents were purposely selected for the study from the three Senatorial districts using simple random techniques. Data were collected, collated and analyzed into frequencies and percentages and were also presented in tables. Results: The findings of the study revealed that majority (91.5%) people have good knowledge of voluntary blood donation due to the level of awareness and also view the exercise as important even without reward (remuneration) from recipients despite the influence of some socio-cultural factors such as culture, religion among others. Conclusion: It was therefore concluded that socio-cultural barriers to voluntary blood donation still exist, thereby giving room for misconception. Therefore, there should be intensified health education using various methods including health workers, print media and community leaders on the benefit of voluntary blood donation. This will help to correct some misconceptions on blood donation as there are people who still believe in the dictates of their religious and cultural practices as it relates to blood donation and its attendant health implication.


Author(s):  
Kayo Elmano Costa da Ponte Galvão ◽  
Luciano da Silva Façanha ◽  
Roseane Lustosa de Santana Lira ◽  
Rivaldo Lira Filho ◽  
Raylene Frazão Lindoso Lindoso ◽  
...  

HIV is considered a public health problem in the world, especially in Brazil, where about 194,000 people have been infected with the virus in the last 10 years in the country. In addition to the physical problems that HIV infection imposes on HIV-positive individuals, social and institutional problems end up being a major barrier in the lives of these individuals, such as stigma and prejudice, which segregate and exclude them from social life. Objective: to make a critical analysis of the stigma and prejudice seen by people living with HIV in recent decades. Methodology: integrative literature review, with searches in lilacs, Bdenf and Scielo databases, based on the question "how prejudice interferes in the routine of people living with HIV/AIDS, and the stigmas that are carried by them". Eighteen (18) articles were selected in the respective databases, which followed the theme "HIV and prejudice". Results: Soon after the analysis of the articles, 03 thematic axes were constructed that helped to understand the data. Conclusion: It was noticed that prejudice and stigma are factors that transform, in a negative way, the life of those who have HIV/AIDS infection.


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