Determinants of willingness to participate in health insurance amongst people living with HIV in a tertiary hospital in South-East Nigeria

2020 ◽  
Vol 27 (3) ◽  
pp. 196
Author(s):  
IjeomaNkem Okedo-Alex ◽  
ChihurumnanyaNwachi Alo ◽  
IfeyinwaChizoba Akamike
Keyword(s):  
Health Insurance ◽  
Tertiary Hospital ◽  
People Living With Hiv ◽  
Willingness To Participate ◽  
Living With Hiv

scholarly journals Willingness to participate and take risks in HIV cure research: survey results from 400 people living with HIV in the US

2017 ◽  
Vol 3 (1) ◽  
pp. 40-71 ◽  
Author(s):  
Karine Dubé ◽  
David Evans ◽  
Laurie Sylla ◽  
Jeff Taylor ◽  
Bryan J. Weiner ◽  
...  
Keyword(s):  
People Living With Hiv ◽  
Willingness To Participate ◽  
Hiv Cure ◽  
Research Survey ◽  
The Us ◽  
Survey Results ◽  
Living With Hiv ◽  
Hiv Cure Research

scholarly journals Human cytomegalovirus infection, viraemia and retinitis among people living with HIV/AIDS in Kano, North-Western Nigeria

2021 ◽  
Vol 9 (8) ◽  
pp. 2191
Author(s):  
Chinagozi P. Edwin ◽  
Sadiq Hassan ◽  
Philips I. Ebisike ◽  
Saudat G. Habib ◽  
Taiwo G. Amole ◽  
...  
Keyword(s):  
Human Cytomegalovirus ◽  
Hcmv Infection ◽  
Tertiary Hospital ◽  
Cross Sectional Study ◽  
People Living With Hiv ◽  
Cd4 Cells ◽  
Cross Sectional ◽  
Cd4 Cell Count ◽  
Living With Hiv ◽  
Cd4 Cell

Background: Human cytomegalovirus (HCMV) is a leading cause of opportunistic infection in HIV-infected patients. HCMV viraemia is an active infection marker and prelude to end-organ diseases (EODs), such as retinitis. The aim of the study was to assess the burden and associated factors of HCMV infection, viraemia and retinitis among HIV-infected patients in Nigeria.Methods: Comparative cross-sectional study of 160 HIV-infected adults, comprising 80 participants in each of <100/mm3 and ≥100 cells/mm3 CD4+ cell count groups, who attended HIV clinic at a tertiary hospital located in a major Nigerian city.  A questionnaire was used to collect data from eligible consenting participants and their case files. Sera from all participants were tested for anti-HCMV IgG using ELISA method, and plasma of seropositive participants were subjected to PCR for HCMV viraemia. Participants whose samples were HCMV viraemic were examined for HCMV retinitis using indirect ophthalmoscopy. Data was analyzed using Minitab vs 14.1.1PP.Results: All 160 participants tested positive for anti-HCMV IgG. HCMV viraemia was 14.4% (23 of 160) generally, but comparatively more among <100 CD4 cells/mm3 group (18.8%; 15 of 80) than in ≥100 cells/mm3 patient group (10%; 8 of 80). Only HCMV viraemic patients in <100 CD4 cells/mm3 group (20%; 3 of 15) were diagnosed with HCMV retinitis. WHO stage was associated with HCMV viraemia (χ2= 7.79, p=0.05) and HCMV retinitis (χ2= 4.60, p=0.03). The only predictor of HCMV retinitis was WHO staging I and II [aOR = 0.04, 95%CI (0.01- 0.52)].  Conclusions: Evidence of previous and active HCMV infection is prevalent among PLWHA in Nigeria with WHO staging being associated and a predictor of HCMV viraemia and retinitis, respectively.

scholarly journals Low Partner Testing in High HIV Prevalence Setting in Freetown, Sierra Leone: A Retrospective Study

2019 ◽  
Author(s):  
Sulaiman Lakoh ◽  
Emmanuel Firima ◽  
Darlinda F. Jiba ◽  
Momodu Sesay ◽  
Mariama Marco Conteh ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Sierra Leone ◽  
Tertiary Hospital ◽  
Hiv Prevalence ◽  
People Living With Hiv ◽  
Hiv Diagnosis ◽  
Partner Testing ◽  
Hiv Test ◽  
Living With Hiv ◽  
Testing And Counseling

Abstract Objective: Despite a 1.5% national HIV prevalence, 33% of people living with HIV in Sierra Leone know their status. Limited activities on testing partners of HIV patients could be contributory to this substantial unawareness of HIV status. We carried out a retrospective study aimed at assessing partner testing and HIV prevalence among adults (≥15 years) tested using DetermineTM and SD Bioline as recorded in the HIV testing registers from January to December 2017 at Connaught Hospital, an urban tertiary hospital in Sierra Leone. Results: Of the 3808 clients tested for HIV, 2048(53.8%) were females. The median age was 31 (IQR 24 – 42) years and 2104 (55.3%) were single. While 3014(79.1%) had Provider-Initiated Testing and Counseling (PITC), 794 (20.9%) had Client-Initiated Testing and Counseling (CITC). HIV test was positive in 925 (24.3%) {CI 22.9 – 25.6, P< 0.001} clients. Of the 17 (0.4%) partners tested for HIV, 9 (52.9%) were positive. PITC yielded more HIV positive cases (760, 25.2%) than CITC (165, 20.8%). Partner testing (P=0.007), female sex (P<0.001) and PITC (P=0.006) were associated with a positive HIV diagnosis. With high HIV prevalence and low partner testing, activities on partner testing are needed to improve the response to the epidemic.

Current sistuation on using health insurance card among people with HIV/AIDS in Sa Dec city, Dong Thap province in 2019

2020 ◽  
pp. 50-57
Author(s):  
Thu Ha Nguyen ◽  
◽  
Thi Ngoc Diep Huynh ◽  
Khanh Phuong Nguyen
Keyword(s):  
Health Insurance ◽  
Transition Period ◽  
Health Sector ◽  
Social Health Insurance ◽  
People Living With Hiv ◽  
Cross Sectional ◽  
Factors Associated ◽  
Keywords Hiv ◽  
Living With Hiv ◽  
Hiv Aids

To describe the situation and factors associated with the use of health insurance cards among people living with HIV/AIDS in Sa Dec city, Dong Thap province in 2019.A qualitative cross-sectional study combnied with a quantitative section were employed to describe the situation and factors associated with the use of health insurance cards among 210 people living with HIV/AIDS in Ward 1, 2 and 3 of Sa Dec city, Dong Thap province from March 2019 to December 2019.There were 125 people living with HIV/AIDS (59.5%) used health insurance cards during medical examination and treatment within the last 12 months. In which, only 5 people living with HIV/AIDS (4%) use health insurance cards for ARV treatment. The main reason for not using health insurance cards is self-discrimination (accounting for 83.5%). The study also found that many factors that belong to individuals, peer/family members and communication/education about health insurance are related to the proportion of people using health insurance cards in the past 12 months.The health sector and Provincial Social Security in Dong Thap need to be well-prepared for the upcoming transition period when the Global Fund no longer funding for ARV treatment. Besides, it is necessary to strengthen communication and education strategies to improve knowledge and reduce the issue of self-discrimination among people living with HIV/AIDS when using health insurance cards. Keywords: HIV/AIDS, social health insurance, treatment, ARV.

scholarly journals Low partner testing in high HIV prevalence setting in Freetown, Sierra Leone: a retrospective study

2019 ◽  
Vol 12 (1) ◽  
Author(s):  
Sulaiman Lakoh ◽  
Emmanuel Firima ◽  
Darlinda F. Jiba ◽  
Momodu Sesay ◽  
Mariama Marco Conteh ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Sierra Leone ◽  
Tertiary Hospital ◽  
Hiv Prevalence ◽  
People Living With Hiv ◽  
Hiv Diagnosis ◽  
Partner Testing ◽  
Hiv Test ◽  
Living With Hiv ◽  
Testing And Counseling

Abstract Objective Despite a 1.5% National HIV prevalence, less than 40% of people living with HIV in Sierra Leone know their status. Limited activities on testing partners of HIV patients could be contributory to this substantial unawareness of HIV status. We carried out a retrospective study aimed at assessing partner testing and HIV prevalence among adults (≥ 15 years) tested using Determine™ and SD Bioline as recorded in the HIV testing registers from January to December 2017 at Connaught Hospital, an urban tertiary hospital in Sierra Leone. Results Of the 3808 clients tested for HIV, 2048 (53.8%) were females. The median age was 31 (IQR 24–42) years and 2104 (55.3%) were single. While 3014 (79.1%) had Provider-Initiated Testing and Counseling (PITC), 794 (20.9%) had Client-Initiated Testing and Counseling (CITC). HIV test was positive in 925 (24.3%) {CI 22.9–25.6, P < 0.001} clients. Of the 17 (0.4%) partners tested for HIV, 9 (52.9%) were positive. PITC yielded more HIV positive cases (760, 25.2%) than CITC (165, 20.8%). Partner testing (P = 0.007), female sex (P < 0.001) and PITC (P = 0.006) were associated with a positive HIV diagnosis. With high HIV prevalence and low partner testing, activities on partner testing are needed to improve the response to the epidemic.

scholarly journals Mainstreaming Human Immunodeficiency Virus (HIV) Insurance in India: Opportunities and Challenges

2017 ◽  
Vol 12 (1) ◽  
pp. 62-74
Author(s):  
Mayur Trivedi ◽  
A. Venkat Raman
Keyword(s):  
Human Immunodeficiency Virus ◽  
Health Insurance ◽  
Insurance Coverage ◽  
Development Program ◽  
Hiv And Aids ◽  
Small Scale ◽  
People Living With Hiv ◽  
Managerial Ability ◽  
Immunodeficiency Virus ◽  
Living With Hiv

Millions of Indians fall into poverty because of the private high Out of Pocket pattern of health financing, due to the absence of insurance coverage. Conditions like HIV and AIDS also influence poverty due to a lifelongtreatment requirement. Access to insurance coverage (commercial or voluntary) has been denied to People Living with HIV (PLHIV) through various clauses. However lately, there have been certain experiments on inclusion of HIV into new or existing schemes. This paper provides a systematic review of coverage, managerial and financial systems of selected cases of HIV insurance pilots in India with an objective to explore its sustainability and ability to be replicated. A cross-sectional descriptive analysis of existing literature and in-depth case studies of relevant health insurance schemes were used for the review. Data was compiled using qualitative data collection tools such as in-depth interviews with officials. The schemes were analysed using two frameworks viz. managerial ability and coverage ability. The managerial ability was analysed through a Strength-Weakness-Opportunity-Threat(SWOT) analysis. The coverage ability was analysed through three dimensions viz. a) breadth b) depth and c) height. In India, there are two types of insurance policies vis-à-vis HIV coverage. These were categorised as HIV-specific and HIV-sensitive policies. Of the seven pilot schemes reviewed, the small-scale health insurance schemes show limited success owing to smaller pool and limited managerial capabilities. The large schemes offer avenues for mainstreaming butpose issues of governance as well as marketing among PLHIVs. The findings of the research identify a specific set of issues and challenges for sustainability and replication from three perspectives viz. a) market, b) cost recovery and sustainability and c) equitable coverage. Abbreviations: AIDS – Acquired Immune Deficient Syndrome; ART - Anti-retroviral Therapy; BPL – Below Poverty Line; FF-HIP – Freedom Foundation Health Insurance Policy; HIV – Human Immunodeficiency Virus; IRDA – Insurance Regulatory and Development Authority; NGO – Non Government Organisation; PLHIV – People Living with HIV; OI – Opportunistic Infections; OOP – Out of Pocket; RSBY – Rashtriya Swasthya Bima Yojana; STI – Sexually Transmitted Infection; SWOT – Strengths, Weaknesses, Opportunities, Threats; UHC – Universal Health Coverage; UNDP – United Nations Development Program.

SARS-COV-2 infection in people living with HIV: experience from a tertiary hospital in Madrid

2021 ◽  
Author(s):  
Maria Gonzalez Guembe ◽  
Yago Tisner Pensado ◽  
Francisco Tejerina Picado ◽  
Cristina Diez ◽  
Leire Perez Latorre ◽  
...  
Keyword(s):  
Tertiary Hospital ◽  
People Living With Hiv ◽  
Living With Hiv
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