scholarly journals Implementation of Fingerprint Technology for Unique Patient Matching and Identification in Kenya: Cross-sectional study conducted at a HIV care and treatment facility in Western Kenya. (Preprint)

10.2196/28958 ◽  
2021 ◽  
Author(s):  
Noah Jaafa ◽  
Benard Mokaya, ◽  
Simon Muhindi Savai, ◽  
Ada Yeung ◽  
Abraham Siika ◽  
...  
Keyword(s):  
Cross Sectional Study ◽  
Hiv Care ◽  
Sectional Study ◽  
Treatment Facility ◽  
Cross Sectional ◽  
Western Kenya ◽  
Care And Treatment

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 Clients’ satisfaction with HIV care and treatment centres in Dar es Salaam, Tanzania: A cross-sectional study

PLoS ONE ◽  
2021 ◽  
Vol 16 (2) ◽  
pp. e0247421
Author(s):  
Salome E. Buluba ◽  
Neema E. Mawi ◽  
Edith A. M. Tarimo
Keyword(s):  
Public Health ◽  
Health Facility ◽  
Cross Sectional Study ◽  
Dar Es Salaam ◽  
Health Facilities ◽  
Hiv Care ◽  
Sectional Study ◽  
Cross Sectional ◽  
Care And Treatment ◽  
Hiv Aids

Background HIV is a major global public health challenge, claiming the lives of over 32 million people so far. The satisfaction of HIV-affected clients with the quality of their HIV services at treatment centres is crucial for quality improvement. This article assesses clients’ satisfaction with different aspects of the overall care experience and seeks to determine if the type of health facility ownership is a predictor of satisfaction. Methods A cross-sectional study involving 430 respondents was conducted between September and October 2019. Purposeful and convenient sampling techniques were used to select health facilities and potential respondents, respectively. A pre-tested, interviewer-administered questionnaire was used to collect data. Binary logistic regression was used to assess the association between type of health facility and clients’ satisfaction based on the six assessed aspects of care, and p˂0.05 was considered statistically significant. Results The general clients’ satisfaction with HIV/AIDS services at care and treatment centres was 92.3%. Respondents from public health facilities were most satisfied with privacy and confidentiality (100%), physical environment (100%), counseling (99.5%) and drug availability (99.5%); respondents from private health facilities were most satisfied with the time spent in the facility (95.9%); while respondents from faith-based health facilities were most satisfied with staff-patient communication (99.2%). However, after adjusting for confounders, only one aspect of care, that of “time spent in the facility,” showed significant association with the type of health facility. Conclusion Generally, clients’ satisfaction with HIV/AIDS services at care and treatment centres in the Ubungo District, Dar es Salaam was high. This finding should encourage health care providers to maintain high-quality services to sustain clients’ satisfaction.

scholarly journals Precancerous Cervical Lesions Among HIV-Infected Women Attending HIV Care and Treatment Clinics in Southwest Ethiopia: A Cross-Sectional Study

2021 ◽  
Vol Volume 13 ◽  
pp. 297-303
Author(s):  
Lidiya Gutema Lemu ◽  
Biruktawit Fekade Woldu ◽  
Natnael Eshetu Teke ◽  
Nardos Delelegn Bogale ◽  
Ermias Ayalew Wondimenew
Keyword(s):  
Cross Sectional Study ◽  
Hiv Care ◽  
Sectional Study ◽  
Cervical Lesions ◽  
Cross Sectional ◽  
Southwest Ethiopia ◽  
Care And Treatment ◽  
Precancerous Cervical Lesions

Implementation of Fingerprint Technology for Unique Patient Matching and Identification in Kenya: This cross-sectional study was conducted at a HIV care and treatment facility in Western Kenya. An open-source fingerprint application was integrated within an implementation of the Open Medical Records System (OpenMRS) which is currently in use at the study setting (Preprint)

2021 ◽  
Author(s):  
Noah Jaafa ◽  
Benard Mokaya, ◽  
Simon Muhindi Savai, ◽  
Ada Yeung ◽  
Martin Were ◽  
...  
Keyword(s):  
Open Source ◽  
Medical Records ◽  
Cross Sectional Study ◽  
Hiv Care ◽  
Treatment Facility ◽  
Patient Identification ◽  
Cross Sectional ◽  
Western Kenya ◽  
Medical Records System ◽  
Study Setting

BACKGROUND Unique patient identification remains a challenge in many healthcare settings within low- and middle-income countries (LMICs). Without national-level unique identifiers for whole populations, countries rely on deterministic and probabilistic patient matching approaches that have proven suboptimal in LMICs. Affordable bio-metric-based approaches, implemented with consideration of contextual ethical, legal and social implications (ELSI), have a potential to address patient identification challenges and to improve care quality, patient safety and reporting accuracy. However, limited studies exist to evaluate actual performance of biometric approaches and perceptions towards these systems within LMIC contexts. OBJECTIVE To evaluate performance and acceptability of fingerprint technology (FPT) for unique patient matching and identification in the LMIC setting of Kenya METHODS This cross-sectional study was conducted at a HIV care and treatment facility in Western Kenya. An open-source fingerprint application was integrated within an implementation of the Open Medical Records System (OpenMRS) which is an open source electronic medical records system (EMR) and currently in use at the study setting. OpenMRS is nationally-endorsed and deployed for HIV care in Kenya and in over 40 countries, hence potential for ease of translating findings across multiple countries. Adult participants over 18 years of age were conveniently sampled and enrolled into the study. Participants’ left thumbprints were captured, stored and used to retrieve and match patient records. FPT performance was evaluated using standard measures namely: Sensitivity, False Acceptance Rate (FAR), False Rejection Rate (FRR), and Failure to Enroll Rate (FER). Wald test was used to compare the accuracy of the FPT to the EMRs’ probabilistic matching technique. Time to retrieval and matching of records was compared using the independent samples t-test. A survey was administered to evaluate patient acceptance and satisfaction with use of the FPT. RESULTS 300 participants were enrolled, mean age was 36.3 years (SD 12.2) and 174/300 (58%) were female. FPT per-formed as follows: sensitivity 89.3%, FAR 0%, FRR 11%, and FER 2.3%. FPT mean record retrieval speed was 3.2s (SD 1.1) vs. 9.5s (SD 1.9) with demographic-based record retrieval in the EMR (p<.001). Survey results revealed participants’ comfort (96.3%) and willingness (90.3%) to use the FPT. CONCLUSIONS Fingerprint Technology (FPT) performed very well in identifying adult patients within a LMIC setting. Patients reported a high level of satisfaction and acceptance of the technology. Serious considerations need to be given to use of FPT for patient identification in LMICs, but this has to be done with strong consideration on ELSI and security issues.

scholarly journals Isoniazid preventive therapy utilization rate and associated factors in adult HIV/AIDS patients in Jimma University Specialized Hospital ART clinic, Oromia Region, Ethiopia: A cross-sectional study.

2019 ◽  
Author(s):  
Gudeta Imana Jaleta ◽  
Vinodhini Rajamanickam ◽  
Kifle Woldemichael
Keyword(s):  
Cross Sectional Study ◽  
Preventive Therapy ◽  
Hiv Care ◽  
Utilization Rate ◽  
Sectional Study ◽  
Cross Sectional ◽  
Specialized Hospital ◽  
Depth Interviews ◽  
Jimma University

Abstract Background: Tuberculosis (TB) is the most frequent life-threatening infection and a common cause of death for people living with HIV (PLHIV). The influence of TB and HIV infection has enhanced the magnitude of both epidemics. Several clinical interventions recommended early diagnosis in PLHIV and treating latent TB infection (LTBI) with Isoniazid preventive therapy (IPT) along with antiretroviral therapy (ART). IPT is one of the key interventions recommended by the world health organization (WHO) for the prevention of TB in patients infected with HIV. Hence, this study aimed to determine IPT utilization rate among adult HIV infected patients enrolled in HIV care and qualitative analysis, which explore the factors that influence IPT use among PLHIV under follow-up, Health care providers (HCPs) and TB/HIV coordinators working in Jimma University Specialized Hospital (JUSH) ART clinic. Methods: An Institution based mixed cross-sectional study was conducted in JUSH ART clinic. Adult HIV infected patients were enrolled by a systematic sampling technique from the registered medical records of JUSH HIV care. PLHIV who were on follow-up and eligible for IPT during the study period, permanent HCPs and TB/HIV coordinators working in ART clinic were included in the qualitative investigation using semi-structured questioners and in-depth interviews. All statistical analysis was compiled by Epi data 3.1 and SPSS 20. Results: Demographic and clinical factors are not significantly associated with IPT use but ethnicity (P≤ 0.02**) was highly significant with IPT use in logistic regression model. Overall, 59.2% of the patients have been prescribed and taken at least one-month course of IPT. The results of in-depth interviews are grouped into three core categories as patient perceptions, HCPs and TB/HIV coordinator perspectives. Discussion and conclusion: PLHIV, HCPs and TB/HIV coordinators suggested their overall response as periodic counseling for target groups, educating the benefits of IPT and increasing public awareness on TB prophylaxis in PLHIV will increase the acceptance and implementation of IPT in large scale. Higher attention should be provided in linking all HIV patients to the nearest health facilities for receiving free service packages and medical care. Key words: IPT, TB /HIV, PLHIV, ART, INH prophylaxis

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