Knowledge about vertical transmission of HIV and associated factors among women living with HIV or AIDS attending antiretroviral therapy clinic, Western Ethiopia

Background: The United Nations Program on HIV or AIDS has committed to eliminating the vertical transmission of human immunodeficiency virus. However, significant number of newborn and children are acquiring HIV every year. Therefore, the aim of this study was to assess knowledge of mother on vertical transmission of HIV and associated factors among non-pregnant women receiving antiretroviral therapy in the West Wollega, Western Ethiopia. Methods: A facility-based cross-sectional study design was used on a sample of 422 non-pregnant women attending antiretroviral therapy clinic in West Wollega from 26 February to 26 March 2019. Systematic sampling was used to select the study participants. Pretested and structured interviewer-administered questionnaires and telephone interview were used to collect the data. Multivariable logistic regression model was used to identify factors associated with the knowledge of mother on vertical transmission of HIV. Odds ratio along with 95% confidence interval were estimated to measure the strength of the association. Level of statistical significance was declared at p-value less than 0.05. Result: Out of total participants, 94.1% (95% confidence interval: (91.7%, 96.2%)) of them were knowledgeable about vertical transmission of HIV. Urban resident (adjusted odds ratio: 2.36, 95% confidence interval: (1.27, 4.39)), primary school (adjusted odds ratio: 2.94, 95% confidence interval: (1.11, 7.83)), secondary school (adjusted odds ratio: 3.39, 95% confidence interval: (1.53, 7.55)), being on antiretroviral therapy for greater than 2 years (adjusted odds ratio: 2.67, 95% confidence interval: 1.02, 6.99)), and having child living with HIV (adjusted odds ratio: 1.54, 95% confidence interval: (1.07, 3 .83)) were significantly associated with the knowledge of mother on vertical transmission of HIV. Conclusion: The study indicated that 5.9% of the women lack knowledge about vertical transmission of HIV. This knowledge associated with sociodemographic factors, such as residence, educational status, experiences of having child living with HIV, and being on antiretroviral therapy for greater than 2 years. Thus, interventions toward the elimination of new newborn HIV infections should consider these factors.

Evaluasi manajemen dan penanganan cedera muskuloskeletal di laboratorium klinik terapi fisik FIK UNY dengan model CIPP

Penelitian ini bertujuan untuk mengungkapkan evaluasi manajemen dan penanganan cedera muskuloskeletal di Laboratorium Klinik Terapi Fisik Fakultas Ilmu Keolahragaan (FIK) Universitas Negeri Yogyakarta (UNY) dilihat dari (1) context, (2) input, (3) process, dan (4) product (CIPP). Penelitian ini menggunakan desain penelitian evaluatif dengan pendekatan diskriptif kualitatif dan kuantitatif. Subjek penelitian ini yaitu manajer, masseur, pasien Klinik Terapi Fisik Klinik Terapi Fisik FIK UNY. Pengumpulan data dilakukan dengan tiga metode, yaitu kuisioner, wawancara dan observasi. Analisis data dengan melakukan pereduksian data, penyajian data, pemberian kesimpulan. Hasil penelitian evaluasi manajemen di Laboratorium Klinik Terapi Fisik FIK UNY adalah sebagai berikut, (1) dalam hal context, keberadaan klinik telah sesuai dengan kebutuhan masyarakat dan bertujuan untuk memberikan pelayanan kepada masyarakat sebagai bentuk pengabdian lembaga kepada masyarakat. 2) Dalam hal input, manajemen dalam kategori sangat baik (51%). 3) Dalam hal process, di Laboratorium Klinik Terapi Fisik FIK UNY memiliki program dalam kategori baik (64%). 4) Dalam hal product, hasil layanan masuk dalam kategori sangat baik. Rekomendasi untuk pihak FIK UNY dan manajemen selaku pengelola adalah perlunya perbaikan pada tempat tunggu pasien yang diperluas dan sarana prasarana secara berkala dilakukan pengececkan.Management evaluation and treatment of muskuloskeletal injury physical therapy clinic FIK UNY with CIPP model Abstract: The research was purposed 1) know the evaluation of management and treatment of musculoskeletal injury in Phisical Therapy Clinic FIK UNY seen from the context, 2) know the evaluation of management and treatment of musculoskeletal injury in Phisical Therapy Clinic FIK UNY seen from the input, 3) know the evaluation of management and treatment of musculoskeletal injury in Phisical Therapy Clinic FIK UNY seen from the process, 4) know the evaluation of management and treatment of musculoskeletal injury in Phisical Therapy Clinic FIK UNY seen from the product. This research using evaluative design with qualitative and quantitative descriptive approach. The subject of this research is manager patients of Physical Therapy Clinic FIK UNY, masseur patients of Physical Therapy Clinic FIK UNY, and patients of Physical Therapy Clinic FIK UNY. Data collection technique is done by three methods, namely questionnaire, interview and observation. Data analysis includes data reduction, data presentation, conclusion drawing. The results of the management evaluation of the Physical Therapy Clinic of FIK UNY are as follows, 1) In term of the context, the operation of Physical Theapy Clinic FIK UNY has been in accordance with the needs of the community and aims to provide services to the community as a form of community service, 2) In term of the input, the management of the input is in a very good category (51%)., 3) The management of the process is in a good category (64%). 4) The product management is in a very good. Recommendations for the FIK UNY and management as managers are the need for improvements to the expanded patient waiting area and periodic checks on infrastructure facilities.

Behaviour and Socioeconomic Factors of Undocumented Migrants Missing Antiretroviral Therapy Clinic Appointments in Limpopo Province

Background: Global migration is increasingly driven by socioeconomic and political unrest, raising a potentially challenging burden for healthcare systems. A significant group of non-South African citizens present in the country are undocumented migrants and have not restricted access to healthcare services. Objectives: This study explored the behaviour and socioeconomic factors of undocumented migrants missing Antiretroviral Therapy clinic appointments. Methods: A qualitative cross-sectional approach was used. Semi-structured interviews, observations, and document analysis of 17 undocumented migrants, who missed more than four appointments in the first 12 months since antiretroviral therapy initiation, were conducted. Thematic analysis and coding categorised the findings into themes. Reliability and validity were ensured through intercoder agreement, audio recording, triangulation, bracketing, and member checking. Results: The finding revealed that registering to more than one healthcare facility, self-transfer to another facility, and job hunting resulted in clients missing their scheduled appointments. Conclusion: The conclusion drawn from this study is that the Electronic Patient Management System must improve to control the number of clients missing clinic appointments.

Epilogue

The book you’ve been reading can only be a vignette, a brief description of an evolving field; life goes on. Most happily, so too has Nancy’s life. Her kidney transplant was in May 2016, and she was able to come back quickly to her old job as full-time office manager at a thriving physical therapy clinic where she’s highly esteemed by both staff and patients. She told me,...

Impact of Dietetic Intervention on Metabolic Syndrome Patients Attending Diet Therapy Clinic: A prospective, Single-Arm Intervention Study

INTRODUCTION: The prevalence of metabolic syndrome (MetS) is rising globally. Dietetic intervention, as part of a multidisciplinary team approach, is increasingly being recommended for the effective management of patients with MetS. This study was designed to assess the impact of a dietetic intervention on MetS characteristics of patients attending the Diet Therapy Clinic at Tema General Hospital, Ghana. METHODOLOGY: A prospective pre-post single-arm intervention study was conducted among 168 participants who had been diagnosed with MetS and were referred to the Diet Therapy Clinic for dietetic intervention. Data on body mass index (BMI), waist circumference (WC), fasting blood glucose (FBG), high-density lipoprotein (HDL), serum triglyceride (TG), and blood pressure (BP) were collected at baseline and after three months of receiving a dietetic intervention. RESULTS: The MetS measures (BMI, WC, FBG, HDL and TG) of the patients improved at the end of the three months period (32.9 kg/m2 vs 31.7 kg/m2, p = 0.001; 101.2 cm vs 98.9 cm, p = 0.001; 11.0 mmol/L vs 7.7 mmol/L, p = 0.001; 1.1 mmol/L vs 1.2 mmol/L, p = 0.001; 2.0 mmol/L vs 1.9 mmol/L, p = 0.001 respectively). There were improvements in the mean systolic and diastolic BP values recorded after the three months (153 mmHg vs 131 mmHg, p = 0.001 and 98 mmHg vs 85 mmHg, p = 0.001 respectively). CONCLUSION: Dietetic intervention was found to have improved the MetS characteristics of patients.