scholarly journals The Prevalence and Determinants of Anaemia among Clients of the AIDS Support Organisation-Entebbe, Uganda

2021 ◽  
Vol 9 (4) ◽  
pp. 257-268
Author(s):  
Edward Kibikyo Mukooza
Keyword(s):  
Nutritional Status ◽  
Treatment Outcomes ◽  
Viral Suppression ◽  
Economic Status ◽  
Blood Film ◽  
Hiv And Aids ◽  
Full Blood Count ◽  
People Living With Hiv ◽  
Living With Hiv

Anaemia, a common hematological disorder in HIV infection, compromises the quality of life and treatment outcomes. At The AIDS Support Organisation (TASO), Entebbe, the records for the 2016-2018 period show a 10% prevalence of anaemia which is lower than that in literature where it is said to be up to 95%. This study determined the prevalence, type, severity, and determinants of anaemia among people living with HIV and AIDS who receive care from TASO Entebbe in Uganda. A questionnaire was used to collect data from 624 TASO clients. A checklist identified the clients’ Antiretroviral Therapy (ART) combination and viral load. The selected clients’ Body Mass Index (BMI) was calculated to assess their nutritional status. A Fully Automated Humacount 60TS Three-Part Hematology Analyzer was used to measure hemoglobin and to do a full blood count. A blood film from each sample was manually examined for the type of anaemia. Data analysis was done with Stata MP 15. The prevalence of anaemia was 44.4%, and the anaemia was mostly mild (54.15%) to moderate (40.80%). Anaemia of inflammation was the commonest type (>58%). Gender, viral suppression, nutritional status, nutritional education, marital and economic status were significantly associated with the anaemia. Duration on ART had a protective effect, but this was not statistically significant. The prevalence of anaemia (44.4%) among the TASO-Entebbe Uganda clients was high, but the anaemia was mostly mild to moderate (>94%) and of inflammation type (>58%). Management of anaemia in HIV requires intentional screening since it compromises treatment outcomes.

The Mae on Project: Using Acupuncture for Symptom Relief and Improved Quality of Life for People Living with Hiv and Aids in Rural Thailand

2010 ◽  
Vol 28 (1) ◽  
pp. 37-41 ◽  
Author(s):  
Laura Louie ◽  
Nopporn Pathanapornpandh ◽  
Unchalee Pultajuk ◽  
Robert Kaplan ◽  
Ian Hodgson ◽  
...  
Keyword(s):  
Symptom Relief ◽  
Cost Effective ◽  
Integrated Approach ◽  
Hiv And Aids ◽  
People Living With Hiv ◽  
Preliminary Evaluation ◽  
Related Symptom ◽  
History Of ◽  
Living With Hiv

Acupuncture in combination with antiretroviral therapies is a potentially useful treatment for HIV-related symptom relief in resource-poor settings. Traditional Chinese medicine has a long history of being used to enhance immune function. In the setting of HIV, Chinese traditional medicine allows for symptom treatment without adding extra medications to a complex drug regime. This paper provides details of a project at Mae On Hospital in rural northern Thailand where allopathic/conventional treatments are used in tandem with acupuncture. A preliminary evaluation of the project suggests that an integrated approach to symptom relief is viewed positively by respondents receiving acupuncture, though further studies are required to confirm the association between acupuncture and symptom relief. The project also demonstrates the feasibility of developing a cost-effective acupuncture programme using local healthcare staff.

scholarly journals Beyond viral suppression: the quality of life of people living with HIV in Sweden

AIDS Care ◽  
2018 ◽  
Vol 31 (4) ◽  
pp. 403-412 ◽  
Author(s):  
Galit Zeluf-Andersson ◽  
Lars E. Eriksson ◽  
Lena Nilsson Schönnesson ◽  
Jonas Höijer ◽  
Peter Månehall ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Viral Suppression ◽  
People Living With Hiv ◽  
Living With Hiv

scholarly journals Estimation of Health-State Utility Values and Factors Driving Health-Related Quality of Life in People Living with HIV and AIDS and Receiving cART in Germany: Baseline Analysis of a Cohort Study

2021 ◽  
Author(s):  
Martina Treskova ◽  
Stefan Scholz ◽  
Alexander Kuhlmann ◽  
Jörg Mahlich ◽  
Matthias Stoll
Keyword(s):  
Quality Of Life ◽  
Patient Characteristics ◽  
Hiv And Aids ◽  
People Living With Hiv ◽  
Health State ◽  
Utility Values ◽  
Health State Utilities ◽  
Living With Hiv ◽  
Eq Vas

AbstractHIV has become a chronic disease since widespread of combined antiretroviral therapy (cART). Understanding the influence of therapeutic and preventive interventions on health-related quality of life (HRQoL) of people living with HIV and AIDS (PLWHA) is important. Information about health state utilities and HRQoL in PLWHA after the introduction of cART is limited, especially in Germany. The study aims to estimate and describe health state utilities and HRQoL in PLWHA in Germany and explore the effects of patient characteristics, clinical and treatment factors. Utilities and HRQoL in PLWHA in Germany were measured with the generic EQ-5D-3L questionnaire. Health state utilities were calculated based on the EQ-5D descriptive system using the German EQ-5D-3L time trade-off (TTO) value set. HRQoL was calculated based on the EQ visual analogue scale (EQ-VAS). Extensive descriptive analyses were performed to represent utility values for different groups of the patients. Generalized linear models (GLMs) with beta-inflated distributions were used to determine patient characteristics and clinical factors that influence TTO utilities and VAS scores. 1056 PLWHA completed the EQ-5D-3L questionnaires at the beginning of the study. The mean TTO utility value is 0.912 (SD ± 0.154), and the mean VAS HRQoL is 84.32 (SD ± 18.55). “Anxiety/depression” and “pain/physical discomfort” are the most affected dimensions. A longer period of living with HIV, a lower CD4-cell count, having symptomatic HIV or AIDS and an increased number of changes in therapy are associated with decreased utilities and a lower probability of having HRQoL of perfect health. No significant effect of duration of regimen was found. Depression significantly decreases TTO utility values. Higher education, full-time employment and female gender are associated with higher utilities. The resulted EQ-VAS values for PLWHA in Germany are comparable with EQ-VAS estimates for the general population. The obtained estimates can be used as inputs for health economic evaluations of HIV-interventions. Addressing anxiety and depression may reduce the quality of life impairment in PLWHA. Impact of comorbidities needs further investigation.

scholarly journals Quality of Life of People Living with HIV and AIDS in Estonia

2008 ◽  
Vol 16 (3) ◽  
pp. 111-115 ◽  
Author(s):  
Kristi Rüütel ◽  
Anneli Uusküla ◽  
Anastassia Minossenko ◽  
Helle-Mai Loit
Keyword(s):  
Quality Of Life ◽  
Hiv And Aids ◽  
People Living With Hiv ◽  
Living With Hiv

scholarly journals PARTNERS IN CRIME: PENTECOSTALISM AND BOTSWANA HIV/AIDS POLICY ON CROSS-BORDER MIGRANTS

2015 ◽  
Vol 41 (1) ◽  
pp. 20-39 ◽  
Author(s):  
Rosinah Gabaitse
Keyword(s):  
Quality Of Life ◽  
Hiv And Aids ◽  
Hiv Positive ◽  
People Living With Hiv ◽  
Strict Adherence ◽  
Cross Border ◽  
Pentecostal Theology ◽  
Pentecostal Churches ◽  
Living With Hiv

In this paper I seek to interrogate how the theology of some Pentecostal churches, especially the theology that God heals HIV and AIDS, interacts with the situation of cross-border migrants in Botswana. I also seek to discuss the Botswana HIV policy which denies HIV-positive cross-border migrants access to Anti-Retroviral treatment (henceforth ARVs) which has proven to prolong and improve the quality of life of people living with HIV. Conflict exists between Botswana HIV policy on strict adherence to ARVs and some Pentecostal churches’ insistence that members of their churches living with HIV are healed by God, and therefore they should not take ARVs. While the Pentecostal Church is a ‘home away from home’ for migrants, their theology is in constant conflict and clashes with Botswana HIV health policy, even if the reality is that the same policy denies migrants access to HIV services. It is ironic that both the HIV policy and the Pentecostal theology are in pursuit of preserving life; yet, they both deny cross-border migrants that very life.

How does the covid-19 pandemic affect the target 90-90-90?

2020 ◽  
Vol 18 ◽  
Author(s):  
Hayat Kumbasar Karaosmanoglu
Keyword(s):  
Viral Suppression ◽  
Developed Countries ◽  
Hiv And Aids ◽  
Treatment Programs ◽  
People Living With Hiv ◽  
Geographical Regions ◽  
The Right ◽  
Living With Hiv ◽  
Joint United Nations Program ◽  
New Strategies

Abstract:: In 2014, The Joint United Nations Program on HIV and AIDS (UNAIDS) has set an ambitious target code-named 90-90-90, which aims to ensure that 90% of all people living with HIV will know their state, 90% of all people diagnosed will receive sustained antiretroviral therapy, and 90% of all people receiving ART will have viral suppression by 2020. Since 2014, many tests and treatment programs have been developed to achieve the above goals worldwide. In 2019, it was reported that many developed countries can reach the target with the right strategies, as well as regions that are still far from the targets. It has been reported that the fourth 90 should be one of the targets related to HIV infection in recent years. This view, beyond virological suppression, was towards developing programs that would enable people living with HIV to live not only longer but also healthy. The socio-cultural and economic obstacles to reach the targets may vary according to geographical regions, but it is clear that COVID-19 disease, which has taken the whole world under influence since 2019, is a major obstacle to the 90-90-90 targets worldwide. Difficulties in the diagnosis and access to ART and treatment nonadherence which may be encountered more frequently due to many factors may threaten both the health of people living with HIV and public health. The COVID-19 pandemic has disrupted many programs developed in the fight against the HIV epidemic. Considering COVID-19 disease and future epidemics that may create a chaotic environment, analyzing the difficulties experienced in the pandemic retrospectively, and determining new strategies that will bring appropriate solutions to the problems will play an important role in the proper management of future issues.

scholarly journals Quality of life domains relevant to people living with HIV and AIDS who are on antiretroviral therapy in Swaziland

Curationis ◽  
2012 ◽  
Vol 35 (1) ◽  
Author(s):  
Theresa T. Ntshakala ◽  
Thandisizwe R. Mavundla ◽  
Bethabile L. Dolamo
Keyword(s):  
Quality Of Life ◽  
Antiretroviral Therapy ◽  
Hiv And Aids ◽  
Cognitive Domain ◽  
Second Phase ◽  
People Living With Hiv ◽  
Contextual Design ◽  
Context Specific ◽  
Living With Hiv

Quality of life (QOL) domains that are context specific to people living with HIV and AIDS (PLWHA) who are on antiretroviral therapy (ART) in Swaziland are unknown. This presents a problem when research has to be conducted on QOL of PLWHA who are on ART. As a result, this study was conducted to identify, validate and describe domains necessary to assess QOL of PLWHA, who are on ART in Swaziland. A qualitative, explorative, descriptive, and contextual design was used for this study. The first phase dealt with a review of fifty existing QOL definitions and the identification of the common domains amongst them. Findings from this review revealed that the most common domains of QOL are the physiological, psychological, spiritual and socio-economic domains. The second phase was the validation of the above common domains identified from the examined QOL definitions to make them context specific to PLWHA who are on ART in Swaziland. A workshop was used to validate the domains with expert nurses involved in the care of PLWHA in Swaziland. The experts in ART care were trained on ART and had more than a year’s experience of working with PLWHA who are on ART. The validation process revealed that the essential context specific domains to consider when assessing QOL of PLWHA who are on ART are, (1) physiological domain, (2) psychological domain, (3) spiritual domain, (4) socio-economic domain, (5) cognitive domain, and (6) environmental domain. The process of validation of the domains was important as two extra domains were revealed, which were not initially recognised by the researcher during literature review.

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