Time to Attrition and Factors Associated among Adults enrolled in Pre-Anti- Retroviral Therapy Care in Tepi General Hospital, Ethiopia

Pre-antiretroviral therapy (Pre-ART) patient attrition is a growing concern in Ethiopia. Nevertheless, there is little information that assesses the magnitude and its related factors. This study assessed time to attrition and factors associated among adults enrolled in pre ART care at Tepi General Hospital in South West Ethiopia. Records of adult pre-ART patients enrolled at Tepi General Hospital from October 2010 to September 2013 were reviewed to find factors linked with time to attrition. We defined time to attrition as the period a patient was enrolled in pre-ART service till attrition. We Used Kaplan Meir curve to estimate survival time, and log-rank test to compare the time to attrition among different categories of patients. We used Cox hazard model to assess factors related with time to attrition. We followed 652 pre-ART patients for 337.6 person years of follow-up from start up to pre-ART outcomes. Of these, 179 patients were lost to follow up and 37 patients died, contributing to an overall attrition of 33.13%. During the early six months the attrition rate was 89.8%. Not starting cotrimoxazole prophylaxis (AHR=1.51, 95% CI, 1.02-2.25), being co-infected with tuberculosis (TB) (AHR=2.16, 95%CI, 1.35-3.45), living further than 10 km away from the hospital (AHR=1.44, 95%CI, 1.07-2.0), and not disclosed status of HIV(AHR=3.04) were factors significantly associated with time to attrition. Pre-ART patient attrition rate was high among clients not using cotrimoxazole prophylaxis, TB/HIV co-infected, living > 10 km from a health care facility and with undisclosed HIV status. Close follow-up of clients during the early months' follow-up period is greatly recommended.

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Social factors influencing diabetes mellitus in adults attending a tertiary care hospital in Nagpur: a cross sectional study

International Journal of Research in Medical Sciences ◽

10.18203/2320-6012.ijrms20174957 ◽

2017 ◽

Vol 5 (11) ◽

pp. 4988 ◽

Cited By ~ 2

Author(s):

Sneha D. Patil ◽

Jyotsna S. Deshmukh ◽

Chaitanya R. Patil

Keyword(s):

Diabetes Mellitus ◽

Health Care ◽

Social Factors ◽

Tertiary Care ◽

Care Facility ◽

Health Care Facility ◽

Cross Sectional Study ◽

Related Factors ◽

Cross Sectional

Background: Social determinants of the health are the conditions in which individuals are born, grow, live and age. Increasingly, these are being recognized for their relationship to the soaring incidence of diabetes mellitus. So, we conducted a study to find the social factors of diabetes mellitus.Methods: A cross sectional study was conducted in adults having type 2 diabetes in outpatient department of tertiary care institute in Nagpur from July to September 2015. Socio demographic factors, health care access factors, stress related factors and self-care behavior of these patients were studied. Data was analyzed using Epi Info 7.1 software.Results: Out of 140 diabetic patients studied females were predominant (55.71%). Most of them were married (92.85%), were Muslim by religion (47.14%), were from nuclear families, (53.57%) and lower middle class (40%). 50% said that they have health care facilities nearby their house and 50.71% do not get drugs regularly in that health care facility. and only (27.14%) were insured. 64.28% of study subjects said that they were accompanied by relatives to hospital. The financial stress (73.57%) and family stress (72.85%) was more in the patients than work stress (49.28 %). 75.72% and 71.42 % checked their blood sugar levels every 6 monthly and blood pressure every monthly and very less patients kept follow up for complications.Conclusions: Our study showed that in spite of having health care facility nearby, the irregularity of drugs was a major concern. Very less study subjects were insured for their health, this implicates higher stress related factors. They had less compliance towards follow-up of complications of diabetes mellitus.

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Health Systems Factors Associated With Adverse Events Among Hospitalized Obstetric Clients in a Tertiary Health Care Facility in Ghana

Journal of Patient Safety ◽

10.1097/pts.0000000000000904 ◽

2021 ◽

Vol 17 (8) ◽

pp. e890-e897

Author(s):

Elom Hillary Otchi ◽

Reuben Kwasi Esena ◽

Emmanuel Srofenyoh ◽

Emmanuel Ogbada Ameh ◽

Kwaku Asah-Opoku ◽

...

Keyword(s):

Health Care ◽

Adverse Events ◽

Health Systems ◽

Care Facility ◽

Health Care Facility ◽

Factors Associated

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Patients’ Satisfaction with Physiotherapy Services for Musculoskeletal Disorder

Pakistan Journal of Public Health ◽

10.32413/pjph.v10i3.499 ◽

2021 ◽

Vol 10 (3) ◽

pp. 174-178

Author(s):

Keramat Ullah Keramat ◽

Abdul Haseeb Bhutta ◽

Misbah Binte Ilyas

Keyword(s):

Patient Satisfaction ◽

Care Facility ◽

Health Care Facility ◽

Simple Random Sampling ◽

P Value ◽

Patient Centered ◽

Retrospective Survey ◽

Physiotherapy Practice ◽

Rehabilitation Sciences

Background: Patient centered approach is the cornerstone in health care facility. Therefore, patient satisfaction is of utmost importance. Factors related to satisfaction of patient in connection with physiotherapy practice are not evaluated. The purpose of this retrospective survey was to evaluate satisfaction of patient receiving physiotherapy for their musculoskeletal disorders at Helping Hand institute of Rehabilitation sciences Khyber Pakhtoon Khawa Mansehra, Pakistan Methods: A retrospective survey of 200 male and female patients in the range of 18 to 80 years old was conducted in 2019 for the patient who had availed the services between 2017 and 2018. These patients were recruited through simple random sampling only to refrain from biasness. Keeping in mind the requirement of this survey the Med Risk Instrument Patient Satisfaction questionnaire was modified and was translated in Urdu. Results: The retrospective survey of 200 patients of a median age 46 with musculoskeletal conditions 46. According to the survey among the abovementioned recipients 67% were with the opinion of highly satisfied with the way they have been facilitated and 32% of recipient fall under the term moderate satisfaction. With P-value <0.001 Conclusion: Our study reveals that there is higher customer satisfaction from the skill of physiotherapist but the follow up exercise plan at home is considered worthless by the recipient. Physiotherapy provides more relish to middle aged and younger adults as compare to the older ones. Similarly, the results derived manifest female recipient satisfaction at higher level than male. The panorama of research exhibits that general contentment of patients is at higher level.

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Maternal Risk Factors Associated with Poor Postpartum Healthcare Utilization

10.21203/rs.3.rs-17144/v1 ◽

2020 ◽

Author(s):

michael e silverman ◽

Holly Loudon ◽

Laudy Burgos

Keyword(s):

Mount Sinai Hospital ◽

Population Based ◽

Postpartum Care ◽

Related Factors ◽

Maternal Risk ◽

Factors Associated ◽

Ambulatory Practice ◽

Mount Sinai ◽

Prenatal Visits

Abstract Objectives: Perceptions regarding the benefits of postpartum care among mothers and clinicians often differ. Clinicians generally perceive postpartum care as preventative, whereas pregnant and postpartum women often lack knowledge about its preventative benefits. As a result many women choose not to return for scheduled postpartum care visits. Methods: To examine if clinically relevant demographic and birth related factors are informative predictors for postpartum healthcare follow-up care, we conducted a population based cohort study of all women who delivered a child in 2012 – 2015 at the New York Mount Sinai Hospital Obstetrics and Gynecology Ambulatory Practice. Data was ascertained from electronic health records.Results: Of the 4,240 unique women who delivered between 2012-2015 at the Mount Sinai Hospital OB/GYN Ambulatory Practice, 1,685 (39.7%) did not return for their postpartum care follow-up appointment. The number of prenatal visits, maternal age, and parity were significantly associated with postpartum care follow-up. Conclusion for Practice: The purpose of this study was to determine identifiable factors associated with reduced postpartum healthcare follow-up utilization. Several clinically relevant variables were associated with the reduced likelihood for attending postpartum care visits. Because pregnant women represent a medically captured population, the results of this study point to the need to increase postpartum healthcare literacy during perinatal appointments especially among younger mothers, women who have had previous deliveries, and those with fewer prenatal visits.

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Patient-Related Factors Associated With Hospital Discharge to a Care Facility After Critical Illness

American Journal of Critical Care ◽

10.4037/ajcc2011827 ◽

2011 ◽

Vol 20 (5) ◽

pp. 378-386 ◽

Cited By ~ 11

Author(s):

B. K. Gehlbach ◽

V. R. Salamanca ◽

J. E. Levitt ◽

G. A. Sachs ◽

M. K. Sweeney ◽

...

Keyword(s):

Critical Illness ◽

Hospital Discharge ◽

Care Facility ◽

Related Factors ◽

Factors Associated

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Comparison of safety and number of post-operative visits of patients in convenient day versus conventional first day follow-up after phacoemulsification

Pakistan Journal of Medical Sciences ◽

10.12669/pjms.37.5.4121 ◽

2021 ◽

Vol 37 (5) ◽

Author(s):

Zahid Kamal ◽

Ahmad Zeeshan Jamil ◽

Hira Shuja Khokhar ◽

Farah Huma

Keyword(s):

Visual Acuity ◽

Intraocular Lens ◽

Anterior Segment ◽

Care Facility ◽

Health Care Facility ◽

Creative Commons ◽

Group I ◽

Department Of Ophthalmology ◽

Group Ii

Objectives: To compare safety and number of post-operative visits of patients in convenient day versus conventional first day follow-up after phacoemulsification Methods: This observational cohort study was conducted in Department of ophthalmology, Sahiwal Medical College, Sahiwal from November 2019 to August 2020. There were 600 patients who underwent uncomplicated phacoemulsification with intraocular lens implantation. Patients were allocated into two groups. Group-I comprised of patients with convenient day follow-up during the first post-operative week. Group-II comprised of the patients with conventional first day follow-up. Rate of complications, number of visits during the first month and final visual acuity were recorded. Results: In Group-I post-operative complications were noted in 12.67% cases on first follow up visit and in 2.67% cases on first month follow up visit. In Group-II post-operative complication were noted in 22 % cases on first follow up visit and in 4% cases on first month follow up visit. Common postoperative complications were corneal oedema, anterior segment intraocular inflammation, residual lens matter in anterior chamber and intraocular lens subluxation. There was no difference in presenting and postoperative visual acuity between the two groups. Mean follow-up visits were 2.23 ± 0.42 in Group-I and 3.55 ± 0.50 in Group-II. Conclusion: Convenient day follow-up is as safe as conventional first day follow-up. Convenient day follow-up significantly reduces the number of post-operative visits. This would translate into cost reduction both for the patients and the health care facility. doi: https://doi.org/10.12669/pjms.37.5.4121 How to cite this:Kamal Z, Jamil AZ, Khokhar HS, Huma F. Comparison of safety and number of post-operative visits of patients in convenient day versus conventional first day follow-up after phacoemulsification. Pak J Med Sci. 2021;37(5):---------. doi: https://doi.org/10.12669/pjms.37.5.4121 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Retraction Notice: Non-Adherence Related Factors to Antihypertensive Medications Among Hypertensive Patients on Follow up at Nedjo General Hospital in West Ethiopia

The Open Public Health Journal ◽

10.2174/1874944501811010134 ◽

2018 ◽

Vol 11 (1) ◽

pp. 134-134

Author(s):

Habtamu Dame Berisa ◽

Mohammed Gebre Dedefo

Keyword(s):

General Hospital ◽

Antihypertensive Medications ◽

Related Factors ◽

Hypertensive Patients ◽

Retraction Notice

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Retention and predictors of attrition among patients who started antiretroviral therapy in Zimbabwe’s National Antiretroviral Therapy Programme between 2012 and 2015

10.1101/750232 ◽

2019 ◽

Author(s):

Richard Makurumidze ◽

Tsitsi Mutasa-Apollo ◽

Tom Decroo ◽

Regis C. Choto ◽

Kudakwashe C. Takarinda ◽

...

Keyword(s):

Health Care ◽

Primary Health Care ◽

Antiretroviral Therapy ◽

Cox Regression ◽

Care Facility ◽

Health Care Facility ◽

Health Care Facilities ◽

Primary Health Care Facility ◽

Primary Health

AbstractBackgroundThe last evaluation to assess outcomes for patients receiving antiretroviral therapy (ART) through the Zimbabwe public sector was conducted in 2011, covering the 2007-2010 cohorts. The reported retention at 6, 12, 24 and 36 months were 90.7%, 78.1%, 68.8% and 64.4%, respectively. We report findings of a follow up evaluation for the 2012-2015 cohorts to assess the implementation & impact of recommendations from this prior evaluation.MethodsA nationwide retrospective study was conducted in 2016. Multi-stage proportional sampling was used to select health facilities and study participants records. The data extracted from patient manual records included demographic, baseline clinical characteristics and patient outcomes (active on treatment, died, transferred out, stopped ART and lost to follow-up (LFTU)) at 6, 12, 24 and 36 months. The data were analysed using Stata/IC 14.2. Retention was estimated using survival analysis. The predictors associated with attrition were determined using a multivariate Cox regression model.ResultsA total of 3,810 participants were recruited in the study. The median age in years was 35 (IQR: 28-42). Overall, retention increased to 92.4%, 86.5%, 79.2% and 74.4% at 6, 12, 24 and 36 months respectively. LFTU accounted for 98% of attrition. Being an adolescent or a young adult (aHR 1.41; 95%CI:1.14-1.74), receiving care at primary health care facility (aHR 1.23; 95%CI:1.01-1.49), having initiated ART between 2014-2015 (aHR 1.45; 95%CI:1.24-1.69), having WHO Stage 4 (aHR 2.06; 95%CI:1.51-2.81) and impaired functional status (aHR 1.24; 95%CI:1.04-1.49) predicted attrition.ConclusionThe overall retention was higher in comparison to the previous 2007–-2010 evaluation. Further studies to understand why attrition was found to be higher at primary health care facilities are warranted. Implementation of strategies for managing patients with advanced HIV disease, differentiated care for adolescents and young adults and tracking of LFTU should be prioritised to further improve retention.

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