scholarly journals Adherence to Anti-Retroviral Therapy among People Living with HIV and AIDS in Far West, Nepal

2011 ◽  
Vol 2 (1) ◽  
pp. 7-13 ◽  
Author(s):  
Kiran Bam ◽  
Deepak Kumar Karki ◽  
Shyam Prasad Lohani ◽  
Rajshree Thapa ◽  
Umesh Raj Aryal ◽  
...  
Keyword(s):  
Sampling Technique ◽  
Immune Deficiency Syndrome ◽  
Deficiency Syndrome ◽  
Cross Sectional Study ◽  
Hiv And Aids ◽  
People Living With Hiv ◽  
Medical Sciences ◽  
Cross Sectional ◽  
Aids Clinical Trials ◽  
Living With Hiv

Objective: Adherence to Anti-Retroviral Therapy is a principal predictor for the success of Human Immunodeficiency Virus (HIV) and Acquired Immune Deficiency Syndrome (AIDS) treatment. It remains as a challenge to AIDS treatment and care with the wide spread of the associated risks. The study aims to assess adherence level and factors associated with adherence to Anti-Retroviral Therapy (ART) among people living with HIV and AIDS in Far West, Nepal. Material & Methods: A cross sectional study was carried out in Far West between May 2009 to September 2009. A total of 176 samples allowed with 95% CI and 5% error proportionately from four ART sites were drawn. Random sampling technique was used to recruit patients. Semi-structured questionnaire schedule adapted from the Adult AIDS Clinical Trials Group (AACTG) was used and pre-tested to collect data on drug adherence. We compared non-adherent patients with adherent patients and associations with key risk factors were determined.Results: An overall self reported adherence for a month was 84%. Those who were more than 95% adherent responded that use of watch, electronic devices such as mobiles, watch and calendar facilitated them to take the drugs regularly. Improved adherence was significantly determined by time to reach the health faility at terai (OR: 2.86, 1.10-7.47), disclosing of the HIV status (OR: 3.25; 1.02-10.19), the perceived positive benefits of ART (OR: 21.07; 6.79-68.04) and excellent satisfaction with the provider (OR: 13.11; 4.75-36.19). Travel cost more than 2$ (OR: 9.84; 3.44-28.73) was significant barrier to adherence. Conclusion: Timely detection of non-adherence behaviours and understanding of patients' difficulties with ART could potentially help patients for adherence and therefore improve the treatment outcomes in rural hilly Nepal. Government’s initiatives towards moral support for encouraging to join support group including discussions of side-effects, and everyday problems in sticking to a regimen and financial support to PHLA should be promoted to optimize the adherence rate.Key Words: Adherence; ART; PLHA; Far West NepalDOI: 10.3126/ajms.v2i1.4290Asian Journal of Medical Sciences 2 (2011) 7-13

scholarly journals Factors related quality of life among people living with HIV and AIDS in Bulukumba

2018 ◽  
Vol 5 (8) ◽  
pp. 3227
Author(s):  
Andi Suswani ◽  
A. Arsunan Arsin ◽  
Ridwan Amiruddin ◽  
Muhammad Syafar ◽  
Sukri Palutturi
Keyword(s):  
Quality Of Life ◽  
Sampling Technique ◽  
Cross Sectional Study ◽  
Hiv And Aids ◽  
Bivariate Analysis ◽  
People Living With Hiv ◽  
Cross Sectional ◽  
Related Quality ◽  
Living With Hiv

Background: Good quality of life is a condition that must be achieved and maintained by PLHIVs. This study aims to identify factors related to the quality of life among people living with HIV (PLHIV) in the Bulukumba district.Methods: Cross sectional study was conducted among 42 PLHIV. The samples were selected by using purposive sampling technique which was conducted for 30 days. Data was collected by using WHOQOL-HIV BREF and analyzed by logistic regression to identified factors related quality of life.Results: Most (52.4%) of PLHIV have not good quality of life. Bivariate analysis showed that behavior (p=0.0293), ARV access (p=0.0197) and adherence (p=0.0088) were factors that increased quality of life among PLHIV. Adherence variable was the greatest influence to the quality of life with OR 11.06 with CI 95% 1.22-100.38.Conclusions:Behavior, ARV access easily, and treatment adherence were factors that influence quality of life among PLHIV. Improving behavior, access ARV, and adherence are recommended to maintain quality of life.  

scholarly journals Analysis Of Counsel Support With The Time Of Disclosure Of Personal Status Of People with HIV/AIDS (ODHA) Against His Partners In Sumenep District

2020 ◽  
Vol 9 (2) ◽  
pp. 1128-1133
Author(s):  
Dian Permatasari ◽  
Eva Nurhidayati ◽  
Dian Ika Puspitasari
Keyword(s):  
Support Groups ◽  
Quantitative Research ◽  
Sampling Technique ◽  
Deficiency Syndrome ◽  
People Living With Hiv ◽  
Cross Sectional ◽  
Dependent Variables ◽  
Cross Sectional Design ◽  
Living With Hiv ◽  
Hiv Aids

Human Immunodeficiency Virus and Acquired Immuno Deficiency Syndrome  have become epidemics that seriously  of the world community. East Java is one of the provinces with the highest number of HIV / AIDS sufferers in Indonesia. As of September 2018, the number of people living with HIV / AIDS was 47,396 people.  This research is a quantitative research design with explanatory research which aims at research conducted to explain the influence between independent and dependent variables through testing. Cross sectional design because the independent and dependent variables were measured at the same time. The sampling technique used total sampling. The instrument in this study was a questionnaire. Data were analyzed using regression test. One of the solutions to overcome this problem is the role of peer support groups in providing support and services to ODHA by providing access to information and referrals about treatment. 

scholarly journals Stigma and discrimination within the Ethiopian health care settings: Views of inpatients living with human immunodeficiency virus and acquired immune deficiency syndrome

2017 ◽  
Vol 9 (1) ◽  
Author(s):  
Befekadu S. Wodajo ◽  
Gloria Thupayagale-Tshweneagae ◽  
Oluwaseyi A. Akpor
Keyword(s):  
Health Care ◽  
Immune Deficiency Syndrome ◽  
Deficiency Syndrome ◽  
Hiv And Aids ◽  
People Living With Hiv ◽  
Health Care Settings ◽  
Stigma And Discrimination ◽  
Immunodeficiency Virus ◽  
Living With Hiv ◽  
Acquired Immune Deficiency

Background: Stigma and discrimination attached to human immunodeficiency virus (HIV) and acquired immune deficiency syndrome (AIDS) have been recognised as a major obstacle to HIV prevention, treatment, care and support throughout the world. Stigma and discrimination are more devastating when they occur in health care settings where it is least expected.Aim: To explore the factors attributable to stigma and discrimination of people living with HIV in two Ethiopian rural hospitals on what they thought of health care professionals (HCPs) attending to them.Methods: A qualitative exploratory approach was used. Data collection was by means of audio-taped interview and Tesch’s content analysis approach was used. The sample size for this study was determined by saturation of data and consisted of 16 participants who were people living with HIV admitted as inpatients to the two selected hospitals in Amhara region of Ethiopia.Results: Participants’ views were grouped into: fear of contact, delay of services, substandard services, denial of care, impoliteness of health care providers, breach of confidentiality and poor patient follow-up for persons infected with HIV.Conclusion: The health care settings have been recognised as one of the contexts where HIV and AIDS-related stigmatisation and discrimination can occur. Hospital policies and institutional support should be tailored to embrace people living with HIV as the provision of institutional support is imperative in creating a good working environment and improving the commitment of HCPs so as to enable them to provide holistic care for people living with HIV and AIDS (PLWHA) without discrimination.

scholarly journals Stigma, medication adherence and coping mechanism among people living with HIV attending General Hospital, Lagos Island, Nigeria

2012 ◽  
Vol 4 (1) ◽  
Author(s):  
Adekemi O. Sekoni ◽  
Obinna R. Obidike ◽  
Mobolanle R. Balogun
Keyword(s):  
Medication Adherence ◽  
General Hospital ◽  
Group Discussion ◽  
Cross Sectional Study ◽  
Public Attitude ◽  
Hiv And Aids ◽  
People Living With Hiv ◽  
Coping Mechanism ◽  
Cross Sectional ◽  
Living With Hiv

Background: People living with HIV and AIDS (PLWHA) experience some form of stigma which could lead to poor medication adherence.Objectives: This study assessed the various domains of stigma experienced by PLWHAs attending an HIV clinic at General Hospital, Lagos Island, their medication adherence patterns and their coping mechanisms for ensuring adherence to antiretroviral therapy.Method: A cross-sectional study design with a sample size of 200 was used. Respondents were selected using systematic random sampling. Interviewers administered structured questionnaires were used to collect information on the domains of stigma. Data was analysed using EPI info©. This was followed by a focus group discussion (FGD) with seven participants at the clinic using an interview guide with open-ended questions.Results: Overall, stigma was experienced by 35% of the respondents. Within this group, 6.6%, 37.1%, 43.1% and 98.0% of the respondents reported experiencing negative self image stigma, personalised stigma, disclosure stigma and public attitude stigma respectively. Almost 90% of the respondents were adherent. The FGD revealed that disclosure was usually confined to family members and the coping mechanism for achieving adherence was to put antiretroviral (ARVs) in unlabelled pill boxes.Conclusion: This study found that stigma was low and that the most common domain of stigma experienced was public attitude stigma. Medication adherence of respondents was good as a result of the coping mechanism, which involves putting ARVs in unlabelled pill boxes.

scholarly journals Awareness about Tuberculosis in people living with HIV/AIDS: A cross Sectional Institutional Study.

2015 ◽  
Vol 13 (1) ◽  
pp. 9-13
Author(s):  
Bikal Shrestha ◽  
Kapil Pandya ◽  
Barun Patel ◽  
Rubina Shrestha Shrestha ◽  
Raj Kumar
Keyword(s):  
Immune Deficiency Syndrome ◽  
Deficiency Syndrome ◽  
Cross Sectional Study ◽  
Hiv Positive ◽  
People Living With Hiv ◽  
Cross Sectional ◽  
Infected People ◽  
Attitudes And Practices ◽  
Route Of Transmission ◽  
Common Opportunistic Infection

Introduction: Worldwide, Tuberculosis (TB) is the most common opportunistic infection affecting HIV seropositive individuals and it remains the most common cause of death in patients with Acquired Immune Deficiency Syndrome. It is estimated that 50 to 60% of HIV infected people will develop TB in their lifetime. Keeping this in background this study was planned to assess the knowledge, attitudes and practices on TB in HIV positive patients. Methods: A cross sectional study was carried out in HIV positive individuals attending an ART centre. 100 attendees were selected by systematic random sampling method and interviewed with a pretested, structured questionnaire. Results: In the study 37.2% of respondents were not aware about air/droplet as a route of transmission of TB. Only 10% knew that infective organisms as a common opportunist infection in people with HIV & AIDS. 78.2% of the study population felt that the community will treat them differently if they suffer from TB and total of 57.7% confirmed an attitude of hiding the disease in them. Conclusion: The overall knowledge about TB in HIV positive individuals is low. Efforts must be made to counsel the patients about TB right in the first counselling session that the patient attends in ART centres so as to prevent spread of TB in the community.doi: http://dx.doi.org/10.3126/mjsbh.v13i1.12993 

scholarly journals HIV-Related Discrimination Reported by People Living with HIV in Lagos

1970 ◽  
Vol 11 (1) ◽  
pp. 39-41
Author(s):  
AA Akinbami ◽  
KO Wright ◽  
TA Adeyemo ◽  
MO Dada ◽  
AO Dosunmu
Keyword(s):  
Cross Sectional Study ◽  
Hiv And Aids ◽  
University Teaching ◽  
People Living With Hiv ◽  
State University ◽  
Educational Strategies ◽  
Questionnaire Response ◽  
Cross Sectional ◽  
The Government ◽  
Living With Hiv

Objective: Numerous factors have unilaterally and synergistically undermined the success of HIV and AIDS. It is in the light of the foregoing that this study was undertaken to evaluate some discriminatory experiences of people living with HIV and AIDS. Materials and Methods: This was a descriptive cross-sectional study on people with HIV and AIDS attending an outpatient clinic at Lagos State University Teaching Hospital within a period of 12 weeks. Respondents were recruited consecutively and data was collected with a semi-structured questionnaire. Response rate was 97.7%, analysis was done with Epi-info 6 statistical software. Results: Approximately one-fifth (17%) of respondents reported discrimination. Exploration on sources of discrimination showed that people discriminated against mentioned family members as being responsible in 49.1% of cases, 23.6% of respondents reported workplace discrimination and only 3.5% mentioned discrimination experienced by the Government workers. Conclusion: It is evident that success achieved so far in the fight against HIV and AIDS can easily be eroded if issues of discrimination against people living with HIV and AIDS are not addressed. Various innovative educational strategies targeting all stakeholders may be required if the battle against the spread of the virus must be won. Keywords: Discrimination, PLWHA, HIV, AIDS DOI:10.3329/jom.v11i1.4267 J Medicine 2010: 11: 39-41

scholarly journals Awareness about Tuberculosis in people living with HIV/AIDS: A cross Sectional Institutional Study

2015 ◽  
Vol 13 (1) ◽  
Author(s):  
Bikal Shrestha
Keyword(s):  
Immune Deficiency Syndrome ◽  
Deficiency Syndrome ◽  
Cross Sectional Study ◽  
Hiv Positive ◽  
People Living With Hiv ◽  
Cross Sectional ◽  
Infected People ◽  
Attitudes And Practices ◽  
Route Of Transmission ◽  
Common Opportunistic Infection

<p><strong>Introduction </strong><strong>&nbsp;</strong></p> <p>Worldwide, Tuberculosis (TB) is the most common opportunistic infection affecting HIV seropositive individuals and it remains the most common cause of death in patients with Acquired Immune Deficiency Syndrome. It is estimated that 50 to 60% of HIV infected people will develop TB in their lifetime. Keeping this in background this study was planned to assess the knowledge, attitudes and practices on TB in HIV positive patients.</p> <p><strong>Methods</strong></p> <p>A cross sectional study was carried out in HIV positive individuals attending an ART centre. 100 attendees were selected by systematic random sampling method and interviewed with a pretested, structured questionnaire.</p> <p><strong>Results</strong></p> <p>In the study 37.2% of respondents were not aware about air/droplet as a route of transmission of TB. Only 10% knew that infective organisms as a common opportunist infection in people with HIV &amp; AIDS. 78.2% of the study population felt that the community will treat them differently if they suffer from TB and total of 57.7% confirmed an attitude of hiding the disease in them.</p> <p><strong>&nbsp;</strong><strong>&nbsp;</strong><strong>&nbsp;</strong></p> <p><strong>Conclusion </strong></p> <p><strong>&nbsp;</strong>The overall knowledge about TB in HIV positive individuals is low. Efforts must be made to counsel the patients about TB right in the first counselling session that the patient attends in ART centres so as to prevent spread of TB in the community.<strong></strong></p> <p><strong>&nbsp;</strong></p> <p>&nbsp;</p>

scholarly journals Characteristics Associated with Nurses and Midwives Stigma in People with HIV/AIDS (PLWHA) in The District Health Talun Blitar

2015 ◽  
Vol 2 (1) ◽  
pp. 030-037
Author(s):  
Sudarsono Sudarsono
Keyword(s):  
Health Workers ◽  
Health Sector ◽  
Immune Deficiency Syndrome ◽  
Deficiency Syndrome ◽  
People Living With Hiv ◽  
District Health ◽  
Cross Sectional ◽  
Pearson Test ◽  
Living With Hiv ◽  
Hiv Aids

HIV/AIDS (Human Immunodeficiency Virus / Acquired Immune Deficiency Syndrome) haslong been an issue along with the continued attention of various circles around the world, especiallythe health sector. The purpose of this study was to determine the characteristics of the relationship withthe health workers in health centers stigma on people living with HIV Talun Blitar regency. This studyused a cross-sectional study design with a population of 36 respondents that all the research sample.Collecting data using questionnaires. Analysis of data using statistical test Pearson and Spearman rhocorrelation with p  0.05. There is no relationship between education and stigma on people living withHIV, with a value of p = 0.367 in Spearman rho correlation test. There is a relationship between longworking with the stigma on people living with HIV, with p = 0.046 in correlatioan Pearson test. Thereis a relationship between knowledge of HIV/AIDS stigma on people living with HIV, with p = 0.035 incorrelatioan Pearson test. Need more attention from policy makers at government level for programs ofprevention of transmission of HIV/AIDS among health workers, by providing a uniform and continuoustraining to all health workers.

scholarly journals Religious Leader’s Support toward Individual at Risk ofHIV/AIDS to Attend Voluntary Counselling and Testing Service

2020 ◽  
Vol 15 (2) ◽  
Author(s):  
Imelda Februati Ester Manurung ◽  
Chatarina Umbul Wahyuni ◽  
Ari Probandari
Keyword(s):  
At Risk ◽  
Sampling Technique ◽  
Immune Deficiency Syndrome ◽  
Deficiency Syndrome ◽  
Hiv And Aids ◽  
Religious Leader ◽  
Chi Square ◽  
Cross Sectional ◽  
Voluntary Counselling ◽  
Voluntary Counselling And Testing

Religious leader is a figure who is believed to have the gift of healing. A person with illness will follow any advice the religious leader gives for his/her recovery.Based on the phenomenon, religious leader is a potential local figure to give support for individuals at risk of human immunodeficiency virus (HIV) andacquired immune deficiency syndrome (AIDS). This study aimed to determine factors related to religious leader’s support toward individuals at risk of HIV andAIDS to attend voluntary counselling and testing (VCT) service. This study was an observational analytical with cross-sectional design. The population of thisstudy was religious leader in Kupang City. The sample size was 70 people selected through random sampling technique. The data were collected using questionnaire and analyzed using chi-square and multiple logistic regression test. Factors significantly related to the religious leaders supports’ for individuals atrisk of HIV and AIDS to get VCT were knowledge (OR = 9.01; 95% CI = 1.73 - 47.07), servant leadership (OR = 11.67; 95% CI = 2.44 - 55.84, trust (OR =11.55; 95% CI = 2.35 - 56.70) and perception (OR = 6.12; 95% CI = 1.26 - 29.71). Social capital had no significant effect on the religious leader support’s (OR= 1.06; 95% CI = 0.22 - 5.12). It is necessary to improve religious leader’s knowledge of HIV and AIDS.

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