HIV/AIDS in Physiotherapy Education – Mainstreaming Using UN Principles

Myezwa, Hellen; Stewart, Aimée

doi:10.4102/sajp.v68i1.7

Cited by 2 publications

(4 citation statements)

References 36 publications

(42 reference statements)

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“…The crucial role of physiotherapists in the function and well-being of people living with HIV (PLHIV) is often not acknowledged (Malan 2012), and the urgent need for therapy resources in the area of HIV management especially in the motor and cognitive development challenges facing HIV-infected children has been neglected and underscored (Potterton et al 2010). As such physiotherapists working in all sectors need to respond proactively and energetically to the HIV epidemic to improve the relevance and the value of the profession (Myezwa & Stewart 2012).…”

Section: Discussionmentioning

confidence: 99%

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Do physiotherapists have a role to play in the Sustainable Development Goals? A qualitative exploration

Narain

Mathye

2019

South African Journal of Physiotherapy

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Background While physiotherapists appear to be ideally positioned as key role players in achieving the health- and education–related Sustainable Development Goals (SDGs), few studies have examined the complete scope of physiotherapy practice in addressing the SDGS. Considering the broad scope of physiotherapy practice, physiotherapists are a valuable resource that the South African government can utilise to address their workforce shortages in achieving inclusive primary education, promoting gender equality, reducing child mortality, improving maternal health, and combating HIV and AIDS, and other diseases. Objectives The aim of this study was to understand the roles of physiotherapists in the SDGs. Method A qualitative, exploratory and descriptive approach was used. Semi-structured telephonic and Skype interviews were utilised to collect data from nine physiotherapists with PhDs working in academic institutions. Data were transcribed verbatim by the first author and verified by the second author. Data were entered into NVivo ® Version 10. An inductive approach to qualitative data analysis was used. In vivo and open coding was used to generate codes and themes. Results The following roles were highlighted: (1) address HIV and AIDS, tuberculosis and other chronic diseases of lifestyle; (2) improve maternal health; (3) reduce child mortality; (4) empower women and (5) achieve inclusive education for children, especially children with disabilities. Conclusions Physiotherapists are well suited to address the SDGs of promoting gender equality and empowering women, reducing child mortality rates, improving maternal health, achieving inclusive primary education and combating HIV and AIDS, tuberculosis and other chronic diseases of lifestyle. Physiotherapists have a valuable role in addressing the quadruple burden of disease in South Africa and assisting the government with the current health resource crisis. Clinical implications The results of this study will assist to move patient management from a more curative approach to health promotion and prevention. In addition, this study highlights the valuable role of physiotherapists in assisting and supporting the development agenda for ‘Transforming our world: the 2030 Agenda for Sustainable Development’.

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Section: Discussionmentioning

confidence: 99%

“…With an estimated 35 million people living with HIV (UNAIDS 2011), HIV remains a major global health catastrophe. The effectiveness of physiotherapy in the management of persons living with HIV and AIDS has been well documented (Grace & Combrink 2015; Myezwa & Stewart 2012; Pullen 2017).…”

Section: Introductionmentioning

confidence: 99%

Do physiotherapists have a role to play in the Sustainable Development Goals? A qualitative exploration

Narain

Mathye

2019

South African Journal of Physiotherapy

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“…Most previous studies of HIV used a system-based approach to present complications and mostly focused on the medical diagnosis11–13. Other studies focused only on the effects of HIV on individual body systems14,15.…”

Section: Introductionmentioning

confidence: 99%

“…For example, one previous study in Malawi showed that 40–70% of people living with HIV and AIDS present with neurological complications manifesting as hemiplegic-type symptoms14 and that stroke was strongly associated with HIV14. HIV presents with opportunistic diseases such as tuberculosis (TB) that can affect both the pulmonary (i.e., pulmonary TB) and musculoskeletal systems (i.e., spinal TB)11. Pulmonary TB is the most common cardiorespiratory effect of HIV worldwide15.…”

Section: Introductionmentioning

confidence: 99%

Common impairments and functional limitations of HIV sequelae that require physiotherapy rehabilitation in the medical wards at Queen Elizabeth Central Hospital, Malawi: A cross sectional study

et al. 2019

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IntroductionThe progression of human immunodeficiency virus (HIV) to acquired immune deficiency syndrome (AIDS) and the use of anti-retroviral therapy (ART) have resulted in a range of complications, which affect different body systems and result in functional limitations and disabling impairments. ObjectiveTo investigate HIV-related impairments and functional limitations that require physiotherapy rehabilitation in patients admitted to the medical wards at Queen Elizabeth Central Hospital in Blantyre, Malawi. MethodsThis was a descriptive quantitative cross-sectional study involving the participation of 32 female (59.3%) and 22 male (40.7%) adults living with HIV and admitted to the medical wards at Queen Elizabeth Central Hospital. We collected data using a questionnaire that consisted of the World Health Organization Disability Assessment Schedule 2 (WHODAS2.0) and some demographic questions. Results were analysed using the Statistical Package for the Social Sciences (SPSS). ResultsParticipation in society was the most frequently reported functional complication; the least common limitation was getting along with people (70.3%, n = 38 participants) and interaction with others (24%; n=13). Shortness of breath (55%; n=30), muscle weakness (44.4%; n=24) and joint and muscle pain (37%; n=20) were the most commonly reported impairments. Participation restriction in the society affected both males (77.3%) and females (70.7%). The least common limitation that required physiotherapy for both males and females was getting along with people (26.6% and 25%, respectively). On average, male and female participants had a disability severity score of 48.5±4.6 and 42.2±22.8, respectively. ConclusionOur data showed that there is a clear need for early intervention to halt or delay the progression of complications to avoid severe disability; this is not only good for the patient but also for the socioeconomic state of the nation. Timely and full functional assessment, as well as referral of people living with HIV/AIDS for rehabilitation, is an important step forwards.

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HIV/AIDS in Physiotherapy Education – Mainstreaming Using UN Principles

Cited by 2 publications

References 36 publications

Do physiotherapists have a role to play in the Sustainable Development Goals? A qualitative exploration

Do physiotherapists have a role to play in the Sustainable Development Goals? A qualitative exploration

Common impairments and functional limitations of HIV sequelae that require physiotherapy rehabilitation in the medical wards at Queen Elizabeth Central Hospital, Malawi: A cross sectional study

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