scholarly journals Pain in clients attending a South African voluntary counselling and testing centre was frequent and extensive but did not depend on HIV status

2019 ◽  
Author(s):  
Antonia L Wadley ◽  
Erica Lazarus ◽  
Glenda E Gray ◽  
Duncan Mitchell ◽  
Peter R Kamerman
Keyword(s):  
South African ◽  
Univariate Analysis ◽  
People Living With Hiv ◽  
Hiv Status ◽  
South Africans ◽  
Voluntary Counselling ◽  
Hopkins Symptom Checklist ◽  
Voluntary Testing ◽  
Living With Hiv ◽  
Voluntary Counselling And Testing

AbstractBackgroundThe frequency of pain is reported to be high in people living with HIV (PLWH), but valid comparisons between PLWH and HIV-negative cohorts are rare. We investigated whether HIV infection influenced frequency and characteristics of pain in adults undergoing voluntary testing for HIV.MethodsParticipants were recruited from a HIV voluntary counselling and testing (VCT) centre at the Chris Hani Baragwanath Academic Hospital, Soweto, South Africa. Pain was assessed using the Wisconsin Brief Pain Questionnaire. Depressive and anxiety symptomatology was determined using the Hopkins Symptom checklist-25. We then stratified by HIV status.ResultsData from 535 black South Africans were analysed: HIV-infected n=70, HIV uninfected n=465. Overall, frequency of pain was high with 59% (95%CI: 55; 63, n: 316/535) of participants reporting pain, with no difference related to HIV status: HIV-infected 50% (95% CI: 37; 61, n: 35/70), HIV-uninfected 60% (95%CI: 56; 65, n: 281/465). Pain intensity and number of pain sites were similar between the groups as were symptoms of anxiety and depression: mean HSCL-25 1.72 (95% CI 1.57; 1.87) HIV-infected participants and 1.68 (95% CI: 1.63; 1.73) HIV-uninfected participants. Univariate analysis showed female sex and greater depressive and anxiety symptomatology associated with having pain. In a conservative multivariable model, only depressive and anxiety symptomatology was retained in the model.ConclusionThe high frequency of pain found in both HIV infected and uninfected individuals presenting at a VCT centre was more likely to be associated with depression and anxiety, than with the presence or absence of HIV.

scholarly journals VOLUNTARY COUNSELLING AND TESTING (VCT) SERVICES ON HIV/AIDS IN PRIVATE HOSPITAL OF YOGYAKARTA

2020 ◽  
Vol 2 (1) ◽  
pp. 1
Author(s):  
Suci Musvita Ayu ◽  
Desy Riski Andriyanti
Keyword(s):  
People Living With Hiv ◽  
Laboratory Staff ◽  
Voluntary Counselling ◽  
Counseling And Testing ◽  
Background Data ◽  
Post Test ◽  
Living With Hiv ◽  
Voluntary Counselling And Testing ◽  
Gain Access ◽  
Hiv Aids

Background: Data Yogyakarta AIDS Commission in 2016 stated the total number of people living with HIV/AIDS was 4,648 cases consisting of 3,334 HIV cases and 1,314 AIDS cases. Based on the data of PKU Muhammadiyah Hospital, Yogyakarta, in October 2016 to October 2017, there were 35 patients with HIV / AIDS. Regulations carried out for any action in the hospital must be following standard operating procedures (SOP), including program counseling and testing of HIV/AIDS or Voluntary Counselling and Testing (VCT). This program is the gateway for the community to gain access to all HIV/AIDS services. This study aimed to explore the implementation of VCT services on HIV/AIDS at PKU Muhammadiyah Hospital in Yogyakarta.Methods: Descriptive qualitative using an observational approach was used in this study to describe the implementation of Voluntary Counselling and Testing (VCT) on HIV/AIDS.  As many as ten informants were interviewed, namely: 1 head of VCT services in PKU Muhammadiyah Yogyakarta, 3 VCT counselors, 1 laboratory staff and 5 clients. They were selected using purposive sampling refers to inclusion criteria.  Results: Implementation of pre-test counseling, testing, and post-test had been good. Improper service was identified in the number of counselors and waiting time for the VCT test results.Conclusions: Implementation of VCT at PKU Muhammadiyah Yogyakarta is running well and follow the SOPs. 

scholarly journals HIV Status and Antiretroviral Therapy as Predictors of Disability among Older South Africans: Overall Association and Moderation by Body Mass Index

2020 ◽  
Vol 32 (10) ◽  
pp. 1335-1344
Author(s):  
Stephen B. Asiimwe ◽  
Livia Montana ◽  
Kathleen Kahn ◽  
Stephen M. Tollman ◽  
Chodziwadziwa W. Kabudula ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Antiretroviral Therapy ◽  
Body Mass ◽  
Sex Education ◽  
Care Utilization ◽  
People Living With Hiv ◽  
Hiv Status ◽  
South Africans ◽  
Primary Health ◽  
Living With Hiv

Objectives: Among older people living with HIV (PLWH) and comparable individuals without HIV, we evaluated whether associations of HIV and antiretroviral therapy (ART) with disability depend on body mass index (BMI). Methods: We analyzed 4552 participants in the “Health and Aging in Africa: A Longitudinal Study of an INDEPTH Community in South Africa.” (HAALSI) We compared prevalence of disability (≥1 impairment in basic activities of daily living) by HIV status, ART use, and BMI category, adjusting for age, sex, education, father’s occupation, country of origin, lifetime alcohol use, and primary health-care utilization. Results: Among PLWH, those underweight had 9.8% points (95% confidence interval (CI): 1.2 to 18.4) higher prevalence of disability than those with normal BMI. Among ART users, those underweight had 11.9% points (95% CI: 2.2 to 21.6) higher prevalence of disability than those with normal BMI. Conclusions: We found no evidence that weight improvement associated with ART use is likely to increase disability.

scholarly journals Effectiveness of HIV/AIDS voluntary counselling and testing at a university in South Africa

2015 ◽  
Vol 12 (3) ◽  
pp. 522-533
Author(s):  
Jenni Gobind ◽  
Wilfred Isioma Ukpere
Keyword(s):  
Higher Education ◽  
South Africa ◽  
South African ◽  
Structured Interview ◽  
Sexual Practices ◽  
South Africans ◽  
Voluntary Counselling ◽  
The University ◽  
Voluntary Counselling And Testing ◽  
Hiv Aids

The increasing prevalence rates of HIV amongst South Africans 20 years and above, raises a concern as to the rising trend of the epidemic in similar age group within Higher Education Institutions (HEIs). Higher Education HIV/AIDS Programme (HEAIDS), in conjunction with HEIs and the South African government have undertaken to implement HIV/AIDS workplace programmes within universities in South Africa. Voluntary Counselling and Testing (VCT) is a critical component of most universities HIV/AIDS workplace programmes. The rationale for promoting VCT is to encourage testing. An uptake in testing offers a crucial benefit, participants become aware of their status, and in most instances this awareness leads to safer sexual practices which in turn help reduce the number of new infections. A dominate sequential explanatory mixed methodology was adopted for the study. However, the quantitative method was dominant in the mixed method. A sample size of 739 respondents responded to the flouted questionnaire during the quantitative phase. This was followed by the qualitative interview of which 14 participants answered the semi structured interview questions. The findings revealed that more respondents are aware of the availability of VCT sessions, when compared to the number of respondents who actually participated in the testing. It was further disclosed in the findings that awareness of the availability of VCT sessions at the university unfortunately does not amount to testing and thus does not result in the intended changes sought after by HEAIDS or the Department of Education. Research suggests that HEIs are not really helping students to realise their right to remain HIV negative. HEIs need to be concerned, and HIV/AIDS institutional offices, in particular, need to revisit the VCT with the intention of re-attracting student and staff participation

scholarly journals The Lived Experiences of Stigmatization in the Process of HIV Status Disclosure among People Living with HIV in Taiwan

2021 ◽  
Vol 18 (10) ◽  
pp. 5089
Author(s):  
Chia-Hui Yu ◽  
Chu-Yu Huang ◽  
Nai-Ying Ko ◽  
Heng-Hsin Tung ◽  
Hui-Man Huang ◽  
...  
Keyword(s):  
Lived Experiences ◽  
Healthcare Professionals ◽  
Social Stigma ◽  
People Living With Hiv ◽  
Hiv Status ◽  
Structured Interviews ◽  
Two Phases ◽  
Hiv Status Disclosure ◽  
Living With Hiv ◽  
Status Disclosure

People living with HIV (PLWH) face social stigma which makes disclosure of HIV status difficult. The purpose of this descriptive qualitative study was to understand the lived experiences of stigmatization in the process of disease disclosure among PLWH in Taiwan. Analysis of the semi-structured interviews from 19 PLWH in Taiwan revealed two phases and six themes. Phase one “experiences before disclosure” involved three themes: “Struggles under the pressure of concealing the HIV Status,” “Torn between fear of unemployment/isolation and desire to protect closed ones,” and “Being forced to disclose the HIV status.” Phase two “experiences after disclosure” included three themes: “Receiving special considerations and requirements from school or work,” “Receiving differential treatments in life and when seeking medical care,” and “Stress relief and restart.” Healthcare professionals need to assess stigmatization in PLWH and develop individualized approaches to assist with the disease disclosure process.

scholarly journals Community Viral Load and CD4 Count Distribution Among People Living With HIV in a South African Township

2013 ◽  
Vol 63 (4) ◽  
pp. 498-505 ◽  
Author(s):  
Katharina Kranzer ◽  
Stephen D. Lawn ◽  
Leigh F. Johnson ◽  
Linda-Gail Bekker ◽  
Robin Wood
Keyword(s):  
Viral Load ◽  
South African ◽  
Cd4 Count ◽  
People Living With Hiv ◽  
Count Distribution ◽  
Living With Hiv ◽  
South African Township

scholarly journals Exploring the Factors Considered by People Living with HIV and Their Partners during Preconception

2016 ◽  
Vol 16 (3) ◽  
pp. 239-246 ◽  
Author(s):  
V. Logan Kennedy ◽  
Micaela Collins ◽  
Mark H. Yudin ◽  
Lena Serghides ◽  
Sharon Walmsley ◽  
...  
Keyword(s):  
Logit Model ◽  
Hiv Transmission ◽  
Horizontal Transmission ◽  
People Living With Hiv ◽  
Relative Importance ◽  
Hiv Status ◽  
Ordered Logit Model ◽  
Living With Hiv ◽  
Shed Light ◽  
Hiv Negative

Data are lacking on factors that may impact conception-related decision-making among individuals living with HIV. This study’s aim was to shed light on these considerations. Participants were invited to complete a survey on preconception considerations. A rank-ordered logit model was fit to estimate the relative importance of listed consideration factors; the interaction of HIV status and the factors was assessed. Fifty-nine participants living with HIV and 18 partners (11 HIV-negative participants and 7 living with HIV) were included. Risk of vertical and horizontal HIV transmission and the effect of antiretroviral therapy on the fetus were the top considerations. However, individuals living with HIV prioritized vertical transmission, whereas HIV-negative participants prioritized horizontal transmission. Other factors of importance were probability of conception, stress of trying to conceive, cost associated with fertility clinics, and stigma associated with certain conception methods. This study builds our understanding of the preconception considerations for people living with HIV.

scholarly journals The essential role of physiotherapists in providing rehabilitation services to people living with HIV in South Africa

2013 ◽  
Vol 69 (1) ◽  
Author(s):  
S. Cobbing ◽  
V. Chetty ◽  
J. Hanass-Hancock ◽  
J. Jelsma ◽  
H. Myezwa ◽  
...  
Keyword(s):  
South Africa ◽  
South African ◽  
Policy Formulation ◽  
People Living With Hiv ◽  
Highly Active ◽  
Hiv Epidemic ◽  
Wide Range ◽  
Living With Hiv ◽  
Education Courses

Despite increased access to highly active anti-retroviral therapy (HAART) in South Africa, there remains a high risk of people living with HIV (PLHIV) developing a wide range of disabilities. Physiotherapists are trained to rehabilitate individuals with the disabilities related to HIV. Not only can South African physiotherapists play a significant role in improving the lives of PLHIV, but by responding proactively to the HIV epidemic they can reinforce the relevance and value of the profession in this country at a time when many newly qualified therapists are unable to secure employment. This paper offers recommendations that may help to fuel this response. These ideas include enhancing HIV curricula at a tertiary level, designing and attending continuing education courses on HIV and researching Southern African rehabilitation interventions for HIV at all levels of practice. furthermore, it is vital that physiotherapists are at the forefront of directing multi-disciplinary responses to the rehabilitation of PLHIV in order to influence stakeholders who are responsible for health policy formulation. it is hoped that this paper stimulates discussion and further ideas amongst physiotherapists and other health professionals in order to improve the quality and access to care available to PLHIV in South Africa.

scholarly journals HIV/AIDS in childhood – a special case

2016 ◽  
Vol 19 (2) ◽  
pp. 60-64
Author(s):  
Mioriţa Toader ◽  
◽  
Daniela Neacşu ◽  
Alina Oprea ◽  
Andreea Şerbănică ◽  
...  
Keyword(s):  
Support Groups ◽  
Western Europe ◽  
People Living With Hiv ◽  
Children And Families ◽  
Hiv Status ◽  
Pediatric Pathology ◽  
Aids Epidemic ◽  
Poor Access ◽  
The Us ◽  
Living With Hiv

HIV pediatric pathology is currently facing a large number of specialists such as neonatologists, pediatricians, family physicians, oncologists, otorhinolaryngologists, pharmacists, pediatric infectious disease, etc. The involvement of epidemiologists, nurses, social workers, sociologists, support groups together not by politicians is imperative, essential for the diagnosis, management and prevention of HIV infection require focusing on mothers of children and families within dysfunctions social and poverty. Social problems that a child infected with HIV face are almost always overwhelming: drug abuse, discrimination against minority people living with HIV, poverty, poor access to adequate medical services, family breaking when the HIV status of a family member is learned by and other domestic violence, are important to consider. Countries like Romania must learn what is good and what is bad about the AIDS epidemic in the US and Western Europe not to repeat their mistakes and at the same time to rediscover principles generally available today.

scholarly journals An Integrated Approach to HIV Disclosure for HIV-Affected Families in Thailand

2019 ◽  
Vol 18 ◽  
pp. 232595821983102 ◽  
Author(s):  
Jureeporn Jantarapakde ◽  
Chitsanu Pancharoen ◽  
Somsong Teeratakulpisarn ◽  
Pornpen Mathajittiphan ◽  
Rosalin Kriengsinyot ◽  
...  
Keyword(s):  
Family Relationship ◽  
Integrated Approach ◽  
Hiv Disclosure ◽  
People Living With Hiv ◽  
Hiv Status ◽  
Hiv Knowledge ◽  
Group Education ◽  
Living With Hiv ◽  
Hiv Programs ◽  
The Impact

Disclosure of HIV status to family members could improve communication, relationship, and cohesion. We evaluated the impact of a family-centered program designed to increase the readiness/willingness of parents to disclose HIV status to their children. People living with HIV (PLWH) with children ≥8 years were surveyed regarding HIV knowledge, family relationship, attitudes, willingness/readiness to disclose, and they were then invited to participate in group education and family camps. Of 367 PLWH surveyed, 0.8% had disclosed, 14.7% had not yet disclosed but were willing/ready to disclose, 50.4% were willing but not ready, and 33.2% did not wish to disclose. The educational sessions and camps led to significant improvements of HIV knowledge and disclosure techniques, and readiness/willingness to disclose. Given the benefits of group education and family camps in supporting PLWH to improve their communication with their families and disclose their HIV status, these supporting activities should be included in HIV programs.

HIV testing of pregnant women—what is needed to protect positive women's needs and rights?

Sexual Health ◽  
2005 ◽  
Vol 2 (3) ◽  
pp. 143 ◽  
Author(s):  
Maria de Bruyn ◽  
Susan Paxton
Keyword(s):  
Pregnant Women ◽  
Hiv Testing ◽  
Perinatal Transmission ◽  
Hiv Positive ◽  
Physical Assault ◽  
People Living With Hiv ◽  
Women's Lives ◽  
Living With Hiv ◽  
Voluntary Counselling And Testing ◽  
The Impact

With increased availability of antiretroviral therapy, there is an escalating global trend to test all pregnant women for HIV in order to stop perinatal transmission. However, insufficient consideration is given to the impact this may have on the lives of these women and their families. Many women feel pressured into HIV testing during pregnancy, do not receive adequate pre-test counselling or do not give truly informed consent. Some women who test positive experience significantly more discrimination from their partners, families and community members than HIV-positive men do. As a consequence, large numbers of women diagnosed during pregnancy do not tell their husband their status because they fear blame, abandonment or abuse, including physical assault. Women who do disclose their HIV status may face dramatic negative repercussions on their own and their children’s wellbeing. Consequently, it is unfair to test women during pregnancy solely or mainly to help prevent perinatal transmission if there are no available support services to protect the women’s rights, enable them to live healthily after an HIV-positive diagnosis and engage them in the policies and programmes that affect women’s lives. We need to create a climate that encourages HIV testing before pregnancy so that women can make informed reproductive choices. Men must be brought into the testing process through couple counselling before pregnancy and scaling up of voluntary counselling and testing programmes outside the antenatal care setting. In addition, people living with HIV have unique expertise and are very effective as peer counsellors. They have been under-utilised in the health care sector to provide support to newly-diagnosed people and to help eliminate AIDS-related shame and stigma.

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