Background: There are limited studies from India on use of ICF in finding out the Disability experienced by PLHIV. We undertook this study to understand the level of disability experienced by the PLHIV attending tertiary healthcare setting. This study mainly focuses on the self-care domain of ICF classification.Methods: Cross sectional, hospital based, conducted with permission from institutional ethics committee. Predesigned standardised ICF questionnaire, with only self care part of it was administered and participants assessed for activity limitation and participation restriction domains of self care.Results: Inactivity limitation block, with regards to washing oneself, caring for body parts and dressing none reported any problem. In regulating menstruation 15 (6.67%) had moderate, 15 (6.67%) had severe and 3 (1.33%) had complete problem while 67 (29.67%) had no problem. In participation restriction, it was observed that participants had difficulties in regulating defecation 47 (20.8%) moderate, 33 (14.66%) severe, 9 (4%) mild whereas 6 (2.67%) complete problem. Overall prevalence was 42.67%. in block of participation restriction, on performance qualifier, overall 149 (66.67%) had problem in eating, 77 (34.22%) had moderate, 36 (16%) severe, 34 (15.1%) had mild and 3 (1.33%) had complete problem. In drinking overall 29.78% participants experienced problems, out of which 31 (13.7%) had moderate, 23 (10.22%) mild 12 (5.33%) and 1 (0.44%) had complete problem.Conclusions: Significant amount of activity limitation in self care observed with reference to toileting, eating drinking. Hence, this parameters to be stressed on in planning National program on AIDS.
Background: Dream of universal health coverage cannot be possible with huge burden of out of pocket expenditures, common in our community. Here attempt was made to find out the pattern of expenditure towards health in the people residing around the field practice area of concerned medical college. Methods: Community based cross sectional survey with predesigned and pretested questionnaire, with stratified random sampling, total of 257 study participants were included in study, which was initiated after ethical clearance and with informed oral consent. Results: With majority in lower socio economic class, 33.85% of population was found to be beneficiaries of one of the other Health insurance, provided through social security measures. On an average, families were spending Rs. 770.08 (±956.24) for monthly health related expenses. This high variation in was observed due to difference in the constitutional structure of families. Outpatient expenses had least burden on families (154.26 (±99.90)) followed by in patient expenses, which included day care for various minor elements. More than 60% reported catastrophic Health expenses, resulting in variety of financial issues in family. Conclusions: Huge burden of OOPE exists in the study area and at the same time, health care expenditure resulting in catastrophic expenses is high. The need of society to provide healthcare at subsidised rates including medicines is emphasised, which to be considered while implementing any policy decision.
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