scholarly journals Prevalence and socio-demographic correlates of HIV among Tuberculosis patients of DOTS centre in Delhi

2015 ◽  
Vol 7 (1) ◽  
pp. 53-58 ◽  
Author(s):  
Vishal C Soyam ◽  
Jyoti Das ◽  
Rajeeva TC ◽  
Pallavi Boro ◽  
Charu Kohli
Keyword(s):  
Cross Sectional Study ◽  
Point Of View ◽  
Hiv Care ◽  
Hiv Status ◽  
Medical Sciences ◽  
Hiv Diagnosis ◽  
Cross Sectional ◽  
Continuation Phase ◽  
Tb Treatment ◽  
Demographic Correlates

Background: Knowledge of HIV status of a TB patient is critical from both patient and public health point of view. Early HIV diagnosis among TB patients could serve as an entry point for HIV care and treatment. Surveillance of HIV among TB patients has been recognized to be important as the HIV epidemic continues to fuel TB epidemics. Hence, this study was conducted with an objective to assess the socio-demographic profile and the prevalence of HIV among TB patients.Methodology: Cross sectional study was carried out in eight DOTS cum DMCs of Delhi. Data was collected from January 2012 to December 2012. Registered TB patients (new and retreatment) were interviewed on a predesigned questionnaire at the end of five months of treatment.Results: In 2012, out of the total 552 TB patients interviewed, 524 (94.9%) had been tested for HIV by the end of fifth month of their TB treatment. In them, 13 patients (2.4%) were HIV positive. All of them had been initiated on ART and CPT during continuation phase of TB treatment. In present study no variable was found to be significantly associated with HIV status except number family member and patients on retreatment category.Conclusions: The prevalence of HIV infection in TB patients in current study was (2.4%) substantially lower than reported in studies from other states. If HIV testing done by all TB patients then routine reporting of HIV status for all TB patients would provide even better information on which to base future planning.Asian Journal of Medical Sciences Vol.7(1) 2015 53-58

scholarly journals Missed opportunities for tuberculosis investigation in a municipal hospital in Ghana: evidence from patient exit interviews

2020 ◽  
Author(s):  
Joyce B Der ◽  
Daniel J Grint ◽  
Clement T Narh ◽  
Frank Bonsu ◽  
Alison D Grant
Keyword(s):  
Multivariable Analysis ◽  
Cross Sectional Study ◽  
Hiv Positive ◽  
Symptom Duration ◽  
Hiv Status ◽  
Cross Sectional ◽  
Missed Opportunities ◽  
Tb Treatment ◽  
Symptom Screening ◽  
Night Sweats

Abstract Background We assessed coverage of symptom screening and sputum testing for tuberculosis (TB) in hospital outpatient clinics in Ghana. Methods In a cross-sectional study, we enrolled adults (≥18 years) exiting the clinics reporting ≥1 TB symptom (cough, fever, night sweats or weight loss). Participants reporting a cough ≥2 weeks or a cough of any duration plus ≥2 other TB symptoms (per national criteria) and those self-reporting HIV-positive status were asked to give sputum for testing with Xpert MTB/RIF. Results We enrolled 581 participants (median age 33 years [IQR: 24–48], 510/581 [87.8%] female). The most common symptoms were fever (348, 59.9%), chest pain (282, 48.5%) and cough (270, 46.5%). 386/581 participants (66.4%) reported symptoms to a healthcare worker, of which 157/386 (40.7%) were eligible for a sputum test per national criteria. Only 31/157 (19.7%) had a sputum test requested. Thirty-two additional participants gave sputum among 41 eligible based on positive HIV status. In multivariable analysis, symptom duration ≥2 weeks (adjusted odds ratio [aOR] 6.99, 95% confidence interval [CI] 2.08–23.51) and previous TB treatment (aOR: 6.25, 95% CI: 2.24–17.48) were the strongest predictors of having a sputum test requested. 6/189 (3.2%) sputum samples had a positive Xpert MTB/RIF result. Conclusion Opportunities for early identification of people with TB are being missed in health facilities in Ghana.

scholarly journals Retention in HIV Care among Children Aged 0-14 Years and the Associated Family and Caregiver Factors in Embu County, Kenya

2021 ◽  
Vol 11 (7) ◽  
pp. 293-302
Author(s):  
Ikiara, Eliza Kathure ◽  
Orinda, George Owino ◽  
Thigiti, Joseph Mwangi
Keyword(s):  
Retention In Care ◽  
Cross Sectional Study ◽  
Hiv Care ◽  
Hiv Positive ◽  
Hiv Status ◽  
Cross Sectional ◽  
Number Of Factors ◽  
Retention In Hiv Care ◽  
The Family ◽  
Associated Family

Background: Retention of children in HIV care is influenced by a number of factors, among them family and caregiver factors. Objective: To determine the family and caregiver factors associated with retention in care. Methods: We conducted a cross sectional study in level 4 and 5 hospitals in Embu county. Data were collected through interviews using a predesigned questionnaire. Descriptive and inferential data analysis was performed. Results: We enrolled 238 participants between January and April 2018, comprising 143 males (50.5%) and 140 females (49.5%). The median age of the participants was 12 years (IQR 5). Two thirds of the minors were in primary school (192, 67.8%). More of the children’s mothers were HIV positive compared to the fathers (257 vs 99) though a greater number of the fathers had an unknown HIV status compared to the mothers (138 vs 21). Most minors (241, 85.2%) were retained in care throughout having never missed an appointment. The number of siblings alive (aOR 0.72, 95% CI: 0.56, 0.92), siblings with HIV (aOR 0.26, 95% CI: 0.10, 0.68), a HIV positive caregiver (aOR 5.48, 95% CI: 2.44, 12.97), stigma (aOR 0.35, 95% CI: 0.15, 0.77), work duties of the caregiver (aOR 0.28, 95% CI 0.13, 0.58) and denial of HIV status by the caregiver (aOR 0.10, 95% CI 0.02, 0.47) were all associated with retention in HIV care. Conclusion: A HIV positive caregiver was most likely to ensure a child is retained in care. Stigma and denial of HIV status still hinder retention. Key words: Retention, HIV, children, caregiver.

scholarly journals Comparing the Current and Desired Situation of Midwifery Students' Clinical Evaluation from Tutors' and Students' Viewpoints of Mashhad School of Nursing & Midwifery / Poređenje Trenutne I Željene Situacije U Pogledu Kliničke Evaluacije Studenata Akušerstva Sa Stanovišta Asistenata I Samih Studenata Mašhad Fakulteta Za Obrazovanje Akušerskih I Medicinskih Sestara

2014 ◽  
Vol 31 (4) ◽  
pp. 255-262
Author(s):  
Farzaneh Jafarnejad ◽  
Bibi Leila Hoseini ◽  
Seyed Reza Mazloum
Keyword(s):  
Clinical Evaluation ◽  
Clinical Education ◽  
Cross Sectional Study ◽  
Current Situation ◽  
Point Of View ◽  
Current Status ◽  
Medical Sciences ◽  
Cross Sectional ◽  
School Of Nursing ◽  
Important Field

Summary Evaluation is the most important field of efficacy in clinical education. Since knowledge of the current situation is one of the most essential requirements for planning a desirable one and students' and tutors' viewpoints act as a facilitator in this regard, we conducted this study to compare the current and desirable situation of clinical evaluation from the students' and tutors' point of view at Mashhad Faculty of Nursing and Midwifery. In this cross-sectional study, midwifery students and tutors of the Mashhad University of medical sciences were assessed. The researcher - designed questionnaires "current and desirable situation of criteria and methods in clinical evaluation" were approved by content validity and Cronbach's alpha. Descriptive and analytic statistics were used. Total score means of current and desirable criteria in clinical evaluation were: 55.2± 18.0 and 68.4±19.3 (of 100) from students' view, respectively; and: 47.0±18.3 and 72.3± 20.4 (of 100) from tutors' view, respectively. Mean total scores of current and desirable methods in clinical evaluation from students' point of view were: 51.5±17.9 and 56.5±18.3, respectively, and tutors': 55.6±16.0 and 69.5±14.4 (of 100), respectively. The findings showed that the current situation of criteria and methods in midwifery clinical evaluation differs from the desirable situation, i.e. the current status score of criteria and methods is lower than the desirable ones. Therefore, we can improve the current situation with criteria and methods in clinical evaluation by using desirable situation.

scholarly journals Barriers in Implementing E-Learning in Hormozgan University of Medical Sciences

2015 ◽  
Vol 8 (7) ◽  
pp. 83 ◽  
Author(s):  
Parvin Lakbala
Keyword(s):  
English Language ◽  
Cross Sectional Study ◽  
Point Of View ◽  
Medical Sciences ◽  
Learning Program ◽  
Cross Sectional ◽  
Learning Programs ◽  
Proper Training ◽  
E Learning ◽  
The University

<p><strong>BACKGROUND: </strong>E-learning provides an alternative way for higher educational institutes to deliver knowledge to learners at a distance, rather than the traditional way. The aim of this study is to identify the barrier factors of e-learning programs in Hormozgan University of Medical Sciences (HUMS) in respect of the students and lecturers’ point of view.</p><p><strong>METHODS:</strong> A cross-sectional study based on a questionnaire was conducted among 286 of students and lecturers in the nursing, midwifery and paramedic schools of HUMS. Two hundred and eighty-six participants filled in the questionnaire: 256 students, and 30 lecturers.</p><p><strong>RESULTS: </strong>Results of the study showed a lack of proper training in e-learning courses of the university 182 (69.1%), limited communication with the instructor 174 (68%) and the learners dominance of English language 174 (68%) showed the greatest importance for the students. The awareness about e-learning program was 80% and 43% among lecturers and students respectively.</p><p>The dominance of English language 26 (86.7%) and lack of research grants for e-learning 23 (76.6%) and lack of proper training on e-learning courses from the university 20 (66.7 %) were the most important barrier factors of implementing e-learning for lecturers. E-learning courses to supplement classroom teaching was a solution that mentioned by the majority of students 240 (93.8%) and lecturers 29 (96.7%) in this study.</p><p><strong>CONCLUSIONS:</strong> The positive perception of e-learning is an important consequence effect in the future, educational development of nursing, midwifery and paramedic schools.</p>

scholarly journals Pattern of disease disclosure to patients in pediatric HIV clinic in a tertiary care center in Kerala

2019 ◽  
Vol 6 (6) ◽  
pp. 2574 ◽  
Author(s):  
Priya S. ◽  
Lathika Nayar ◽  
Purushothaman K. K.
Keyword(s):  
Care Center ◽  
Tertiary Care ◽  
Healthcare Providers ◽  
Cross Sectional Study ◽  
Pediatric Hiv ◽  
Hiv Status ◽  
Design Strategies ◽  
Hiv Diagnosis ◽  
Cross Sectional ◽  
The Status

Background: The pattern and rates of disclosure of HIV status to infected children may differ within a country, and among the states, based on the socioeconomic, cultural, and even health status. Understanding this pattern is important in the formulating guidelines of disclosure on their HIV diagnosis to children infected by HIV, and to design strategies for improvement of adherence. This study was proposed to study the pattern of disclosure of HIV status in children aged 6 to 17 years.Methods: This cross sectional study was conducted for a year (2016-2017) at a Pediatric HIV clinic in Thrissur, Kerala. Participants for this study were 58 HIV-infected children in the age group of 6-17 years who were on ART, and their parents/caregivers.Results: Among the 58 participants, only 25 (43.1%) were aware of their HIV status, either fully (17; 68%) or partially (8; 32%). Healthcare providers were more likely to disclose the status to the affected child. Majority of the participants (84%) had better compliance to therapy after disclosure and most of the children in the non-institutional group were more supportive towards their parents (50%) after disclosure. The factors that were associated with disclosure in the non-institutional group were age of the child and duration of therapy.Conclusions: Children infected with HIV showed better adherence after complete disclosure. Rate of disclosure can be improved by reviewing the disclosure hurdles in our state so that intervention programs can be planned for improving the rate of disclosure.

scholarly journals Stigmatization and discrimination towards people living with HIV/AIDS attending antiretroviral clinic in a centre of excellence in HIV care in India

2019 ◽  
Vol 6 (3) ◽  
pp. 1241
Author(s):  
Trinath Sarkar ◽  
Nabarun Karmakar ◽  
Aparajita Dasgupta ◽  
Bibhuti Saha
Keyword(s):  
Social Stigma ◽  
Cross Sectional Study ◽  
Hiv Care ◽  
People Living With Hiv ◽  
Hiv Status ◽  
Cross Sectional ◽  
Centre Of Excellence ◽  
Study Population ◽  
Living With Hiv ◽  
Hiv Aids

Background: HIV/AIDS is a serious challenge globally. Plethora of morbidities due to crippling immune system reduces quality of life (QOL). The advent of HAART has changed this deadly disease to a chronic manageable illness with focus shifting from fighting virus to ensuring a good QOL. Objective of the study was to assess stigma and discrimination among PLHA and factors influencing, if any in Indian setting.Methods: A cross sectional study was carried out among 220 male aged >15 years (PLHA) attending ART centre of centre of excellence in HIV care in India (CSTM, Kolkata) from May 2012-April 2013 using a pre-designed and pre-tested schedule regarding socio-demographic characteristics and social stigma. Statistical analysis was done using SPSS version 16.0 and p<0.05 was considered as significant.Results: Nearly half (45%) and one-fifth (20.9%) of the study population were discriminated by the family and community respectively. Most (74.5%) of the study population had disclosed their HIV status to their family members. Maximum participants (96.4%) agreed that those who know their HIV status will tell that to others. In the multivariate model with increase in PCI the odds of score of dependant variable increases, so the odds of social stigma decrease (as increase in score means decrease in social stigma).Conclusions: The results show that factors associated with stigma should be further explored as it’s important in considering public health interventions to improve care of PLHA in India.

Factors associated with HIV care and treatment cascade in Rio Grande do Sul, Brazil, 2014–2017: A cross-sectional study

2021 ◽  
pp. 095646242097594
Author(s):  
Guilherme B Shimocomaqui ◽  
Craig S Meyer ◽  
Maria L Ikeda ◽  
Elson Romeu Farias ◽  
Tonantzin R Gonçalves ◽  
...  
Keyword(s):  
Viral Load ◽  
Rio Grande ◽  
Undetectable Viral Load ◽  
Cross Sectional Study ◽  
Hiv Care ◽  
Rio Grande Do Sul ◽  
Sectional Study ◽  
Cross Sectional ◽  
Treatment Cascade ◽  
Care And Treatment

In 2018, Rio Grande do Sul (RS) had some of the highest HIV/AIDS rates in Brazil, and we did not find any studies about the HIV care and treatment cascade (HCTC) related to this state. We aimed to estimate the indicators of HCTC of RS, Brazil, and associated factors. A cross-sectional study with all people living with HIV (PLWH) in RS between 1 January 2014 and 31 December 2017 was conducted using a national database which registers all HIV notifications, CD4 and viral load laboratory data and antiretroviral therapy (ART) usage in the public health system. We considered sex, age, education, race, year of HIV diagnosis, and health region as predictor factors, and defined linkage to care, retention to care, being on ART, and having undetectable viral load as the HCTC indicators. Descriptive analysis and multivariable logistic regression were performed using Stata 15.2. A total of 116,121 PLWH were diagnosed, 79,959 were linked to care, 72,117 retained in care, 69,219 on ART, and 54,857 had undetectable viral load from 2014 to 2017. We observed greatest attrition for younger age, non-white, and lower education in all HCTC indicators. Women are more likely to have undetectable viral load (OR = 1.04, 95% CI: 1.01–1.07), even though they are less likely to be retained to care (OR = 0.92; 95% CI: 0.89–0.96) and on ART (OR = 0.82; 95% CI: 0.78–0.86). Although all HCTC indicators have increased over the period and the “test and treat” policy indicates improvements in ART and in undetectable viral load outcomes, evidence suggests specific attrition and disparities such as those related to HIV healthcare facilities should be addressed. These findings may be used by researchers, health professionals, and policymakers in order to investigate and implement interventions to better engage PLWH across the HCTC.

scholarly journals Depression and anxiety among pregnant mothers in the initial stage of the Coronavirus Disease (COVID-19) pandemic in the southwest of Iran

2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Najmeh Maharlouei ◽  
Pedram Keshavarz ◽  
Niloufar Salemi ◽  
Kamran B. Lankarani
Keyword(s):  
Short Form ◽  
Cross Sectional Study ◽  
Medical Sciences ◽  
Cross Sectional ◽  
Initial Stage ◽  
Medical Histories ◽  
Southwest Of Iran ◽  
Maternity Clinics ◽  
Abnormal Level ◽  
Pregnant Mothers

Abstract ‌Background Women are at a higher risk for depression progression, especially during pregnancy. The current study purposed to investigate depression, anxiety, and stress levels of pregnant mothers in the initial stage of the COVID-19 infection in the southwest of Iran. Methods This cross-sectional study was conducted during March and April, 2020, in Shiraz, Iran. Pregnant mothers registered in maternity clinics affiliated with Shiraz University of Medical Sciences were included. An online self-administered checklist was used. It included socio-demographic, obstetric and medical histories, and the short form of the Depression Anxiety Stress Scales (DASS-21) to evaluate depression, anxiety, and stress. A p-value < 0.05 was considered significant. Results In total, 540 pregnant mothers answered the questionnaire. 83.5% had no comorbidity. Abnormal depression scores were significantly higher in those who had no insurance (OR = 2.5) and in those with poor self-rated health (SRH) (OR = 27.8). Pregnant mothers with lower SRH and two or more comorbidities had a higher chance of having an abnormal level of anxiety subscale (6.9, 3.7 times, retrospectively). Conclusion The results revealed that an abnormal level of depression was associated with SRH and medical insurance status. Moreover, the number of comorbidities and poor SRH significantly increased the chance of achieving abnormal anxiety levels in pregnant mothers during the COVID-19 pandemic.

scholarly journals Prevalence of suicidal ideation and associated factors among HIV positive perinatal women on follow-up at Gondar town health institutions, Northwest Ethiopia: a cross-sectional study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Leul Belachew Zewdu ◽  
Mebratu Mitiku Reta ◽  
Niguse Yigzaw ◽  
Koku Sisay Tamirat
Keyword(s):  
Suicidal Ideation ◽  
Unplanned Pregnancy ◽  
Cross Sectional Study ◽  
Hiv Positive ◽  
Hiv Status ◽  
Cross Sectional ◽  
Factors Associated ◽  
Gondar Town ◽  
Perinatal Women ◽  
Significant Factors

Abstract Background Suicidal behaviors cover a range or continuum of acts from suicidal ideations to a series of actions, commonly known as suicidal attempts or deliberate self-harms. Though different mental disorders related studies were conducted among HIV/AIDS patients, there is a scarcity of information about the magnitude and determinants of suicidal thoughts among perinatal women. Therefore, this study aimed to determine the prevalence of suicidal ideation and associated factors among HIV positive perinatal women in the study setting. Methods An institution-based cross-sectional study was conducted among perinatal women on treatment to the prevention of mother to child transmission of HIV/AIDS at Gondar town health facilities. A total of 422 HIV-positive perinatal women were selected systematically and the data collected through medical record review and interview using a Composite International Diagnostic Interview (CIDI) toolkit. A binary and multivariable logistic regression model was employed to identify factors associated with suicidal ideation. An Adjusted Odds Ratio (AOR) with 95% Confidence Interval (CI) was computed to see the strength of association between outcome and independent variables. Characteristics having less than 0.05 p-value had been taken as significant factors associated with the outcome of interest. Result The prevalence of suicidal ideation was found to be 8.2% (95% CI; 5.7 to 11.3) and with a standard error of 0.013. Perinatal depression (AOR=4.40, 95%CI: 1.63 11.85), not disclosed HIV status (AOR=3.73, 95%CI: 1.44 9.65), and unplanned pregnancy (AOR=2.75, 95%CI: 1.21 6.21) were significant factors associated with suicidal ideation. Conclusion The magnitude of suicidal ideation among HIV positive perinatal women was found to be low. Perinatal depression, non-disclosed HIV status, and unplanned pregnancy were factors significantly associated with suicidal ideation. This finding suggests the integration of mental health services with maternal and HIV support programs.

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