scholarly journals Instrumental Support for Professional Nurses Caring for Patients Living with HIV/AIDS in the Tshwane District of Gauteng, South Africa

Author(s):  
Nthomeni Dorah Ndou

Public hospitals across South Africa are flooded by patients diagnosed with the human immunodeficiency virus (HIV) and acquired immune deficiency syndrome (AIDS) related illnesses. The AIDS situation has completely changed the medical landscape and placed a great burden on the shoulders of professional nurses. The purpose of this study was to explore and describe instrumental support for the professional nurses. Challenges faced by the professional nurses were fatigue, ill health, resignation and poor HIV/AIDS care to patients admitted with opportunistic infections. The study was conducted at one of the Tshwane district hospitals in Gauteng, South Africa. Instrumental support was explored focusing on tangible assistance provided by the hospital and nurse managers. A qualitative approach with explorative, descriptive and contextual designs was employed. Purposive sampling method was used to select 25 participants who participated in the individual face-to-face interviews. Data gathered from the participants were analysed using Tesch’s eight-step criteria of open-coding techniques. The findings of the study revealed that the hospital and nurse managers did not provide effective tangible support. It was recommended that instrumental support for professional nurses who care for patients diagnosed with HIV/AIDS-related illnesses be effectively provided by the hospital and the nurse managers through the development of a model to deal with instrumental challenges.

2020 ◽  
Author(s):  
Babatunde Okunoye

The Acquired Immune Deficiency Syndrome (AIDS), caused by the Human Immunodeficiency Virus (HIV) is a leading cause of mortality on the African continent and world. HIV and AIDS are among the greatest public health challenges confronting health authorities around the world. The greatest burden of HIV and AIDS is felt in sub-Saharan countries, with Nigeria and South Africa having the greatest incidence of the disease in the world. AIDS is the final stage of HIV infection, but with effective treatment and healthy living, HIV infection will not develop into AIDS. With increased awareness campaigns by national, regional and international health institutions, there has been an increased awareness on HIV and AIDS across the world. Using data from search query trends on HIV/AIDS submitted online on the most widely used search engine Google from 2004-2019, a decline in search interest for AIDS relative to HIV is revealed in South Africa. This trend mirrors progress on the ground in South Africa, with a decline in AIDS-related deaths and people living longer with the HIV virus. This observed trend might be an indicator that multilateral efforts at combating HIV/AIDS, particularly through awareness raising and behavioural interventions in South Africa is bearing fruit, not just on the ground, but also reflected in the online information seeking on the HIV/AIDS pandemic.


Curationis ◽  
1985 ◽  
Vol 8 (3) ◽  
Author(s):  
Michael C Herbst

At present the number of AIDS victims in South Africa has been small with only 19 cases reported by 19 July 1985. Nurses in South Africa should however understand AIDS (Auto Immune Deficiency Syndrome) so that a possible sudden increase in the number of cases does not Find them unprepared. AIDS is a disease characterised by the development of an inexplicable immune deficiency. These patients develop fatal opportunistic infections and a specific malignancy — Kaposi Sarcoma. AIDS is believed to be caused by a retro-virus named HTLV-III. It seems to be spread through sexual contact, blood, blood products, syringes of drug-addicts and to a baby during the birth process. The diagnosis of AIDS is made on the basis of an opportunistic infection or the development of a malignancy. Four patterns have been identified including the pulmonary, central nervous system, gastro-intestinal and fever o f unknown origin patterns. (Next issue: Nursing patients with AIDS).


e-GIGI ◽  
2017 ◽  
Vol 5 (2) ◽  
Author(s):  
Fitrisya C. Kinontoa ◽  
Christy N. Mintjelungan ◽  
Elita Tambunan

Abstract: Human immunodeficiency virus/acquired immune deficiency syndrome (HIV/ AIDS) is an infectious disease that attacks the immune system, therefore, the individual becomes more susceptible to opportunistic infections. The lower the dental and oral hygiene status are, the more susceptible an individual to opportunistic infections in the oral cavity due to the presence of HIV/AIDS. This study was aimed to obtain the status of oral and dental hygiene in individuals with HIV/AIDS at the Batamang Plus Foundation in Bitung. This was a descriptive study with a cross-sectional design. Data were obtained by examination of oral and dental hygiene status using OHI-S index. There were 30 respondents obtained by using total sampling method. The results showed that the highest percentage of the oral and dental hygiene status of the respondents (68% of male respondent and 57% of female respondents) was at moderate category. The average OHI-S was 2,2, categorized as moderate. Conclusion: Most respondents in this study had moderate category of oral and dental hygiene status.Keywords: human immunodeficiency virus, dental and oral hygiene status Abstrak: Human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS) merupakan penyakit menular yang menyerang sistem kekebalan tubuh seseorang sehingga lebih mudah terserang infeksi oportunistik. Semakin rendah status kebersihan gigi dan mulut seorang pengidap HIV/AIDS akan lebih memudahkannya terserang infeksi oportunistik pada rongga mulut. Penelitian ini bertujuan untuk mengetahui status kebersihan gigi dan mulut pada pengidap HIV/AIDS di Yayasan Batamang Plus Bitung. Jenis penelitian ialah deskriptif dengan desain potong lintang. Data diperoleh dari hasil pemeriksaan status kebersihan gigi dan mulut menggunakan indeks OHI-S. Terdapat 30 responden yang diperoleh mengunakan metode purposive sampling. Hasil penelitian memperlihatkan bahwa persentase tertinggi dari status kebersihan gigi dan mulut responden berada pada kategori sedang yaitu 68% responden laki-laki dan 57% responden perempuan. Rerata OHI-S yang diperoleh ialah 2,2 yang tergolong kategori sedang. Simpulan: Sebagian besar responden memiliki status kebersihan gigi dan mulut kategori sedang.Kata kunci: pengidap HIV/AIDS, kebersihan gigi dan mulut


2018 ◽  
Vol 34 (S1) ◽  
pp. 54-55
Author(s):  
John Wong ◽  
Stephanie Anne Co ◽  
Christine Ingrid Espinosa ◽  
Wilibald Zeck ◽  
Raoul Bermejo ◽  
...  

Introduction:The Philippines has an increasing number of newly diagnosed cases of human immunodeficiency virus and acquired immune deficiency syndrome (HIV/AIDS). Most Filipinos rely on out-of-pocket (OOP) expenditure to finance their healthcare needs. In 2010, the Philippine National Health Insurance Corporation (PhilHealth) introduced an Outpatient HIV/AIDS Treatment (OHAT) package to cover the necessary basic healthcare expenses of patients. The objective of this study was to review the OHAT package in terms of patients’ financial risk protection, specifically the amount of OOP expenses incurred and the package's support value.Methods:The study was divided into two phases: (i) patient surveys (PS); and (ii) facility costing surveys (FCS). PS focused on information from enrolled and non-enrolled patients, specifically their current financial needs and expenses. The FCS reviewed actual cost breakdown for each treatment hub of package inclusions.Results:The calculated maximum support value of the package in 2015 was 267 percent. The median annual patient OOP expenditure was PHP 4,700 (USD 91). Maximum expenditure reached as high as PHP 392,000 (USD 7,551) per year mostly due to treatment for opportunistic infections (OIs), which are currently not included in the package. High OOP expenditure was also due to non-uniform coverage of services across different hubs; there was no consensus among providers on what specifically should be included in the package. This reflected a variety of package support values, with some hubs falling below patient expenditure.Conclusions:The current OHAT package, if properly implemented, is sufficient to cover the basic yearly healthcare needs of patients. However, non-uniform implementation and variation in prices of services per treatment hub means that coverage is not always sufficient in all areas, which can cause continued high OOP expenses for patients even with insurance coverage. Furthermore, coverage of OI's as the main driver of increased OOP expenses should be explored.


2012 ◽  
Vol 24 (2) ◽  
pp. 188-192 ◽  
Author(s):  
Eliene da Silva Araújo ◽  
Fernanda Zucki ◽  
Lilian Cássia Bórnia Jacob Corteletti ◽  
Andrea Cintra Lopes ◽  
Mariza Ribeiro Feniman ◽  
...  

PURPOSE: To investigate the occurrence of hearing loss in individuals with HIV/AIDS and their characterization regarding type and degree. RESEARCH STRATEGY: It was conducted a systematic review of the literature found on the electronic databases PubMed, EMBASE, ADOLEC, IBECS, Web of Science, Scopus, Lilacs and SciELO. SELECTION CRITERIA: The search strategy was directed by a specific question: "Is hearing loss part of the framework of HIV/AIDS manifestations?", and the selection criteria of the studies involved coherence with the proposed theme, evidence levels 1, 2 or 3, and language (Portuguese, English and Spanish). DATA ANALYSIS: We found 698 studies. After an analysis of the title and abstract, 91 were selected for full reading. Out of these, 38 met the proposed criteria and were included on the review. RESULTS: The studies reported presence of conductive, sensorineural, and mixed hearing loss, of variable degrees and audiometric configurations, in addition to tinnitus and vestibular disorders. The etiology can be attributed to opportunistic infections, ototoxic drugs or to the action of virus itself. The auditory evoked potentials have been used as markers of neurological alterations, even in patients with normal hearing. CONCLUSION: HIV/AIDS patients may present hearing loss. Thus, programs for prevention and treatment of AIDS must involve actions aimed at auditory health.


Curationis ◽  
2010 ◽  
Vol 33 (3) ◽  
Author(s):  
R. N. Malema ◽  
D W. Malaka ◽  
T M. Mothiba

Human Immune Deficiency Virus (HIV) and Acquired Immune-Deficiency Syndrome (AIDS) still carry a stigma in the community. Many people do not know their status and they are still reluctant to be tested including pregnant women despite the fact that Voluntary Counselling and Testing (VCT) is offered for free in South Africa. In South Africa VCT for HIV and AIDS is offered by lay counsellors in public hospitals and clinics. The study conducted by Mate, Bennet, Mphatswe, Barker and Rollins (2009:5483) outlined that in South Africa the prevention of mother-to-child transmission (PMTCT) of HIV guidelines have raised hope that the national goal of reducing perinatal HIV transmission rates to less than 5% can be attained. A qualitative, exploratory, descriptive and contextual study was conducted in 15 public clinics of the Polokwane Municipality in the Capricorn District, Limpopo Province. The purpose of the study was to determine the experiences of the lay counsellors who provide VCT for the PMTCT of HIV and AIDS in the Capricorn District, Limpopo Province. Data were collected through one-to-one interviews using a semi-structured guide (De Vos et al, 2006:296). The findings of the study reflected the following: the content of training and counselling skills received by lay counsellors were satisfactory, there was lack of counsellor support and in-service education. A program for in-service education and support for all lay counsellors who have had VCT training should be conceptualised and implemented.


2021 ◽  
pp. 0192513X2110300
Author(s):  
Charles MS. Birore ◽  
Liyun Wu ◽  
Tina Abrefa-Gyan ◽  
Marilyn W. Lewis

Utilization of antiretroviral therapies (ART) prolongs life and heightens ability to engage in productive activities among people living with human immunodeficiency virus (HIV) infection and acquired immune deficiency syndrome (AIDS). This study implemented a 6-week long Social Care Intervention (SCI) Program in Ghana and identified protective factors associated with Quality of Life (QoL) among people living with HIV/AIDS (PLWHA). We discovered that SCI model in the form of social support associated positively with differences in the QoL among PLWHA. Logistic regression revealed that social support, especially affectionate support, was positively associated with a higher level of QoL. People who were older and healthier tended to have higher levels of QoL compared with their counterparts who were younger and sicker. These findings suggest that building social support system can serve as an empowerment approach to promote quality of life among PLWHA in low- and middle-income countries (LMICs) where resources are limited.


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