Perception of People Living with HIV and AIDS Regarding Home Based Care in Malawi

Pindani, Mercy; Maluwa, Alfred; Nkondo, Makhubella; Nyasulu, Betty Mkwinda; Chilemba, Winnie

doi:10.4172/2155-6113.1000201

Cited by 10 publications

(15 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The association between provision of cotrimoxazole prophylaxis and ART client dissatisfaction with care might be attributable to a reduced pill burden among this subset of patients. Several studies have found signi cant increases in patient satisfaction with care with pill burden reduction [26][27][28][29]. Our study also found that clients in private health facilities that did not refer patients were satis ed, and this may have several explanations.…”

Section: Discussionsupporting

confidence: 64%

The Role Of Client Feedback, Non-referral, And Facility Supervision On Client Satisfaction With Antiretroviral Services In Abuja, 2015

Egwuenu

Suleman

Balogun³

et al. 2020

Preprint

View full text Add to dashboard Cite

IntroductionIn many developing countries including Nigeria, the private sector has been identified as the main care provider for HIV infection. However technical weaknesses still exist, which have the potential to impact patient satisfaction negatively. Our aims were to describe the characteristics of private health facilities used by ART clients in FCT and determine which health system factors influenced client satisfaction.MethodsThree hundred and thirteen clients on antiretroviral therapy were selected randomly from 6 health facilities via multistage random sampling. Proportions, frequencies and means were used to summarize data. We examined the relationship between health system characteristics and client satisfaction with odds ratios and estimated the model for satisfaction via binary logistic regression, with p set at ≤ 0.05.ResultsA total of 259 (82.7%) respondents were satisfied with the services. A total of 299 (95.5%) respondents utilized secondary care private hospitals. Health system factors associated with client satisfaction were obtaining patient feedback [OR:5.5, 95%CI:1.3-23.3] and provision of ART services for at least 5 years [OR:3.3, 95%CI:1.8-6.1]. ART clinics with at least one adherence counsellor[OR:3.2, 95%CI:1.6-6.1] and liased with community-based ART health workers[OR:3.3, 95%CI:1.8-6.1] had higher odds of satisfying their clients. Referral of ART patients to other hospitals[OR:0.22, 95%CI:0.07-0.7] due to unavailability of some ART-specific services was associated with dissatisfaction.ConclusionMajority of the ART clients in private hospitals were satisfied. Collecting client feedback on ART services provided should be prioritized and the range of HIV treatment services provided in private hospitals be increased, to reduce patient referrals.

show abstract

Section: Discussionsupporting

confidence: 64%

The Role Of Client Feedback, Non-referral, And Facility Supervision On Client Satisfaction With Antiretroviral Services In Abuja, 2015

Egwuenu

Suleman

Balogun³

et al. 2020

Preprint

View full text Add to dashboard Cite

show abstract

“…The World Health Organisation, the government of several countries as well as care givers of PLWHA have acknowledged HBC as a necessary component of HIV care and support (WHO, 2002;Pindani et al, 2013;Ibrahim et al, 2011;WHO, 2000). HBC programmes have been developed with a view to assisting families and care givers in providing HIV-related care to patients, and this has aided in reducing the burden on hospitals caring for PLWHA (Makoae and Jubber, 2008).…”

Section: Introductionmentioning

confidence: 99%

Pattern of home-based care in human immunodeficiency virus-infected patients attending adult antiretroviral therapy clinic of Jos University Teaching Hospital, Nigeria: A review from September, 2008 to December, 2013

Sule¹,

Agaba²,

Patrick³

et al. 2016

J. AIDS HIV Res.

View full text Add to dashboard Cite

Home based care (HBC) is a key component of care and support for people infected with human immunodeficiency virus (HIV). Understanding the pattern of HBC needs in a population is beneficial in planning and providing optimal HBC services for the people. This retrospective study assessed the pattern of home based care needs and services in patients of the adult antiretroviral therapy (ART) clinic of Jos University Teaching Hospital (JUTH), Jos, Nigeria. All documented home based care visits to patients of the clinic from September 2008 to December 2013 were reviewed. Relevant information was obtained from the patients' clinical and home visit records. Data was analysed using Epi info version 7 statistical software. A total of 152 patients with 542 home visits were reviewed. There were 112 (73.7%) females and 40 (26.3%) males, with a mean age of 34±8.9 years at the time of initial home visits. The three commonest primary reasons for home visits were psychological counselling (22.7%), adherence counselling (15.5%) and ill-health (12.4%), while follow up visits accounted for 32.5% of the home visits. The 3 most frequent services provided during home visits were counselling on clients medication for adherence (77.5%), basic nursing care (61.6%), and psychological counselling (41.5%). By December 2013, out of 152 patients reviewed, 61.8% were alive, 15.1% had died and 23.1% were lost to follow up. The services provided during home visits extended beyond the patients' perceived needs (primary reasons for visit). Home based care brings to light some patient needs that may not be evident or catered for at the facility level of care. This supports the endorsement of home based care as a useful strategy to complement facility care towards achieving an overall patient well-being.

show abstract

“…In CHBC, the family has always been and still remains the major provider of long term care for patients including PLWHA. CHBC is therefore the best way for most people to be cared for and to die peacefully [3]. Other positive effects of CHBC are that it raises awareness among community members about HIV and AIDS and reduces stigma thus preventing the spread of HIV and gets rid of myths and misconceptions about HIV and AIDS [3].…”

Section: Introductionmentioning

confidence: 99%

“…CHBC is therefore the best way for most people to be cared for and to die peacefully [3]. Other positive effects of CHBC are that it raises awareness among community members about HIV and AIDS and reduces stigma thus preventing the spread of HIV and gets rid of myths and misconceptions about HIV and AIDS [3]. CHBC also helps communities understand issues of HIV and AIDS and makes it easier to provide support by tapping all possible community resources and helping to bring the community together to combat HIV and AIDS and advocate for more services [3].…”

Section: Introductionmentioning

confidence: 99%

“…Other positive effects of CHBC are that it raises awareness among community members about HIV and AIDS and reduces stigma thus preventing the spread of HIV and gets rid of myths and misconceptions about HIV and AIDS [3]. CHBC also helps communities understand issues of HIV and AIDS and makes it easier to provide support by tapping all possible community resources and helping to bring the community together to combat HIV and AIDS and advocate for more services [3]. However, HIV and AIDS infected members of the family can find themselves facing a lot of challenges including stigma and discrimination within the home [6].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Stigma and Discrimination against People Living with HIV and AIDS in Malawi

Pindani¹,

Nkondo²,

Maluwa³

et al. 2014

WJA

Self Cite

View full text Add to dashboard Cite

A study was conducted to explore stigma and discrimination among people living with HIV and AIDS who were on home based care in the Lilongwe district of Malawi. The study design was descriptive through sectional and utilized qualitative data collection and analysis method. Fifteen people living with HIV and AIDS, aged between 15 and 60 years were purposively sampled from three organizations, which were: Light House, National Association for people living with HIV and AIDS in Malawi and Lilongwe Diocese. Qualitative data were collected using an open ended interview guide during in-depth face to face interviews with the participants. The data were analysed using ATLAS. ti 5.0. Results show that all the participants were facing stigma and discrimination because they were living with HIV and AIDS. Distant relatives were the main source of stigma and discrimination followed by friends and church members. Most participants indicated that they felt they were discriminated because HIV infection is associated with bad behaviours such as prostitution or promiscuity. However some of them complained that they contracted the virus from their married partners and hence they did not deserve to be stigmatized or discriminated against. Results show that there is a need for creation of awareness among community members on the transmission of HIV and the need for home based care for the chronically ill people living with HIV and AIDS.

show abstract

Perception of People Living with HIV and AIDS Regarding Home Based Care in Malawi

Cited by 10 publications

References 9 publications

The Role Of Client Feedback, Non-referral, And Facility Supervision On Client Satisfaction With Antiretroviral Services In Abuja, 2015

The Role Of Client Feedback, Non-referral, And Facility Supervision On Client Satisfaction With Antiretroviral Services In Abuja, 2015

Pattern of home-based care in human immunodeficiency virus-infected patients attending adult antiretroviral therapy clinic of Jos University Teaching Hospital, Nigeria: A review from September, 2008 to December, 2013

Stigma and Discrimination against People Living with HIV and AIDS in Malawi

Contact Info

Product

Resources

About