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1
Susuman, A. Sathiya. "HIV/AIDS in Ethiopia: Health View." Journal of Asian and African Studies 52, no. 3 (March 10, 2015): 302–13. http://dx.doi.org/10.1177/0021909615570957.
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The aim of the research is to examine the HIV risk factors affecting poor health in Ethiopia by epidemiological perspectives. The Demographic and Health Survey 2011 and other secondary data were used. Ethiopian population growth has slowed dramatically or stopped due to HIV and AIDS. A logistic regression and correlation between HIV positive towards AIDS, high risk factors leading to exposure to HIV infection was adopted with selected variables. The study confirmed that the high level of HIV positivity and poor health was highly affected by socio-economic and demographic factors.
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Getahun, Solomon. "Brain Drain and Its Impact on Ethiopia's Higher Learning Institutions: Medical Establishments and the Military Academies Between 1970s and 2000." Perspectives on Global Development and Technology 5, no. 3 (2006): 257–75. http://dx.doi.org/10.1163/156915006778620052.
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AbstractAfrica is beset with problems that range from natural calamities to civil wars and epidemics such as HIV-AIDS. Ironically, countries like Ethiopia, which badly need trained manpower, continued to lose highly skilled professionals, both military and civilian, to Western Europe and the United States. Ethiopia, for instance, loses more than a third of all its students who were sent for further education to Europe and the U.S. This is in addition to those who leave the country for various reasons but refuse to return home and those educated Ethiopians who became refugees in African countries. One of the consequences of the outflow of highly educated Ethiopians is that today there are more Ethiopian professionals, including MDs, working in the U.S. than in Ethiopia. However, not all Ethiopian professionals are successful in practicing their profession. Among these professionals, highly trained military officers constituted the largest group. They end up being taxi drivers and security guards; they represent the worst case of brain drain—brain hemorrhage. My paper will examine the causes and processes of migration of highly educated Ethiopians to the U.S. and its impact on higher education, both military and civilian, and health institutions in Ethiopia—a country with the least developed higher education establishments, even by African standards, and one of the worst HIV-AIDS affected areas in the world.
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Mesfin, Yibeltal, Muche Argaw, Shegaw Geze, and Bitew Tefera. "Dual Contraceptive Use and Factor Associated with People Living with HIV/AIDS: A Systematic Review and Meta-Analysis." Infectious Diseases in Obstetrics and Gynecology 2021 (August 16, 2021): 1–8. http://dx.doi.org/10.1155/2021/5440722.
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Introduction. A dual contraceptive method is the usage of any modern contraceptive method with male or female condoms which could lower sexually transmitted diseases and unwanted pregnancy. Ethiopian standard utilization of dual contraceptive is low. The hassle is more severe for HIV/AIDS-infected people. Therefore, this review was aimed at assessing dual contraceptive utilization and factor associated with people living with HIV/AIDS in Ethiopia. Method. International databases (PubMed/MEDLINE, Hinari, Embase, African Journals Online, Scopus, and Google Scholar) and Ethiopian university repository online have been covered in this review. Microsoft Excel was used for extraction, and the Stata 14 software program was used for analysis. We detected the heterogeneity between studies using the Cochran Q statistic and I 2 test. Publication bias was assessed by funnel plot and Egger’s and Begg’s tests. Result. The overall prevalence of dual contraceptive use among people living with HIV/AIDS was 27.73% (95% CI: 20.26-35.19) in Ethiopia. Discussion with the partner (OR: 3.78, 95% CI: 3.08-4.69), HIV status disclosure to the spouse/partner (OR: 2.810, 95% CI: 2.26-3.48), postdiagnosis counseling (OR: 5.00, 95% CI: 3.71-6.75), schooling in secondary and above education (OR: 3.78, 95% CI: 2.41-5.93), partner involvement in counseling (OR: 2.76, 95% CI: 1.99-3.82), urban residence (OR: 2.84, 95% CI 2.03-3.94), and having no fertility desire (OR: 4.01, 95% CI 2.91-5.57) were significantly associated with dual contraceptive use. Conclusion. Dual contraceptive utilization among people living with HIV/AIDS was found to be low in Ethiopia. This will be a significant concern unless future intervention focuses on rural residence, involvement of the partner in postdiagnosis counseling, encouraging the people living with HIV/AIDS to disclose HIV status, and discussion with the partner. Providing counseling during the antenatal and postnatal period also enhances dual contraceptive use.
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Weldesenbet, Adisu Birhanu, Sewnet Adem Kebede, and Biruk Shalmeno Tusa. "The Effect of Poor Social Support on Depression among HIV/AIDS Patients in Ethiopia: A Systematic Review and Meta-Analysis." Depression Research and Treatment 2020 (December 8, 2020): 1–8. http://dx.doi.org/10.1155/2020/6633686.
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Background. Low- and middle-income countries of which Ethiopia is one bears the high burden of depression among human immune deficiency virus and acquired immune deficiency syndrome (HIV/AIDS) patients. Several factors have been identified as being associated with increased depression among HIV/AIDS patients including poor social support. However, studies examining the effect of poor social support on depression among HIV/AIDS patients in Ethiopia have had inconsistent findings. This systematic review and meta-analysis is therefore aimed at estimating the pooled effect of poor social support on depression among HIV/AIDS patients in Ethiopia. Methods. All relevant articles published prior to July 1, 2020, were retrieved from scientific databases: PubMed, Scopus, and Google Scholar systematically. The identified studies reporting the association of depression and poor social support among HIV patients in Ethiopia were included. I 2 tests were used to assess the heterogeneity of the studies. Subgroup analysis was done based on tools to determine how pooled estimates of depression vary across tools. The pooled estimate of association between poor social support and depression was reported. Results. The aggregated meta-analysis revealed a higher odds of depression among patients with poor social support than those who had strong social support (OR: 2.31, 95% CI: 1.69, 2.93). The pooled prevalence of depression among HIV/AIDS patients in Ethiopia was 38.93% (95%: CI: 32.01, 45.84); ( I 2 = 94.44 %, p ≤ 0.001 ). The subgroup analysis was performed based on tools, and the result showed that the highest pooled prevalence (44.42%) was among primary studies that used the Hospital Anxiety and Depression Scale (HADS) tool. Conclusions. Human immune deficiency virus and acquired immune deficiency syndrome (HIV/AIDS) patients with poor social support were more likely to develop depression. The pooled prevalence of depression among HIV/AIDS patient was high in Ethiopia. The highest prevalence of depression was observed among studies that used HADS to screen depression. Therefore, we recommend integration of mental health and psychosocial support services into the HIV/AIDS care. Prevention of HIV/AIDS-related stigma for people with HIV/AIDS is also needed to reduce the impact of poor social support.
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Kloos, Helmut, and Damen Haile Mariam. "HIV/AIDS in Ethiopia: An Overview." Northeast African Studies 7, no. 1 (2000): 13–40. http://dx.doi.org/10.1353/nas.2004.0006.
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Arya, S. C. "HIV/AIDS and leishmaniasis coinfection in Ethiopia." Canadian Medical Association Journal 173, no. 9 (October 25, 2005): 1067. http://dx.doi.org/10.1503/cmaj.1050140.
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Anema, A. "HIV/AIDS and leishmaniasis coinfection in Ethiopia." Canadian Medical Association Journal 173, no. 9 (October 25, 2005): 1070. http://dx.doi.org/10.1503/cmaj.1050167.
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Gebremichael, Delelegn Yilma, Kokeb Tesfamariam Hadush, Ermiyas Mulu Kebede, and Robel Tezera Zegeye. "Food Insecurity, Nutritional Status, and Factors Associated with Malnutrition among People Living with HIV/AIDS Attending Antiretroviral Therapy at Public Health Facilities in West Shewa Zone, Central Ethiopia." BioMed Research International 2018 (2018): 1–9. http://dx.doi.org/10.1155/2018/1913534.
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Background. In resource limited settings, HIV/AIDS patients lack access to sufficient nutritious foods, which poses challenges to the success of antiretroviral therapy. HIV/AIDS and malnutrition are still major public health problems in Ethiopia. Though measuring nutritional status is an essential part of ART program, little evidence exists on food insecurity and nutritional status of HIV/AIDS patients in Ethiopia. Hence, the study aimed to determine food insecurity and nutritional status and contextual determinants of malnutrition among HIV/AIDS patients in West Shewa Zone, Ethiopia. Methods. Institution-based cross-sectional study was conducted among HIV/ADIS patients who have been attending antiretroviral therapy at public health facilities in West Shewa Zone from April to May 2016, Ethiopia. The sample size was 512 and study participants were selected from each facilities using systematic random sampling method. Data were collected using pretested questionnaire by trained data collectors. Data were entered to Epi-Info 3.5.1 for Windows and analyzed using SPSS version 22. Logistic regression analyses were conducted to determine independent factors associated with malnutrition. Results. Prevalence of malnutrition was 23.6% (95% CI: 19.7%–27.4%) and prevalence of household food insecurity was 35.2% (95% CI: 31.1%–39.0%). Factors significantly associated with malnutrition among HIV/AIDS patients were unemployment (AOR = 3.4; 95% CI: 1.8–5.3), WHO clinical stages III/IV (AOR = 3.3; 95% CI: 1.8–6.5), CD4 count less than 350 cells/μl (AOR = 2.0; 95% CI: 1.8–4.2), tuberculosis (AOR = 2.3; 95% CI: 1.3–4.9), duration on antiretroviral therapy (AOR = 1.8; 95% CI: 1.2–2.9), and household food insecurity (AOR = 5.3; 95% CI: 2.5–8.3). Conclusions. The findings revealed high prevalence of malnutrition and household food insecurity among HIV/AIDS patients attended ART. The negative interactive effects of undernutrition, inadequate food consumption, and HIV infection demand effective cross-sectorial integrated programs and effective management of opportunistic infections like tuberculosis.
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Witte, Kim, Befekadu Girma, and Aklu Girgre. "Addressing Underlying Mechanisms to HIV/AIDS Preventive Behaviors in Ethiopia." International Quarterly of Community Health Education 21, no. 2 (July 2002): 163–76. http://dx.doi.org/10.2190/qlkp-py9c-mpyv-fxty.
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The gap between knowledge/attitudes and practices/behavior is well-documented, and frequently referred to as the KAP-Gap (i.e., Knowledge-Attitudes-Practices—Gap). Utilizing a national urban youth sample in Ethiopia, this study attempts to explain the KAP-Gap. Four key health communication variables outlined by the Extended Parallel Process Model (EPPM)—perceived susceptibility, severity, self-efficacy, and response efficacy—were offered and tested as the underlying mechanisms to behavior change that bridge the gap between knowledge/attitudes and actual practices. The results revealed data consistent with the theory in that perceived susceptibility, self-efficacy, and response efficacy, were the only significant predictors of condom use among urban youth utilizing logistic regression techniques. Practical implications for HIV/AIDS prevention campaigns for Ethiopia's urban youth are offered.
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Gezahegn, Dawit, Gudina Egata, Tesfaye Gobena, and Berhanu Abebaw. "Predictors of stunting among pediatric children living with HIV/AIDS, Eastern Ethiopia." International Journal of Public Health Science (IJPHS) 9, no. 2 (June 1, 2020): 82. http://dx.doi.org/10.11591/ijphs.v9i2.20422.
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Globally, there were about 3.4 million pediatric children (<15 years of age) who were living with HIV/AIDS. Ethiopia has one of the highest rates of malnutrition in Sub-Saharan Africa. As of 2013, there were about 160,000 pediatric children living with HIV/AIDS in Ethiopia. Even though undernutrition makes it difficult to combat HIV/AIDS, there is paucity of information on the magnitude of stunting and its predictors among seropositive pediatric children in low-income countries like Ethiopia. Institution based quantitative cross sectional study design was employed on 414 randomly selected pediatric (5-15 years) children living with HIV/AIDS in Harari Region and Dire Dawa City Administration Public Hospitals, Eastern Ethiopia. Pretested interviewer administered questionnaire and patient card review was held to collect data. Data were entered through Epi-data and exported to SPSS for analysis. The WHO Anthros plus software was used to calculate the anthropometric indices. Bivariate and Multivariable analysis along with 95%CI were done to identify predictors of stunting. Level of statistical significance was declared at P-value <0.05. The prevalence of stunting was found to be 30.9% (95%CI: 26.0-36.0%). Rural residence [AOR=4.0, (95%CI: 2.22, 7.17)], family monthly income of ≤500 ETB [AOR=5.79, (95%CI: 2.82, 11.60)], being anemic [AOR=3.17, (95% CI: 2.13, 4.93)] and the presence of diarrhea [AOR=6.21, 95% (CI: 3.39, 9.24)] were predictors of stunting. Thus, collaborative measures should be undertaken (to decrease frequent infections and to improve the economic status) to combat chronic malnutrition during HIV/AIDS treatment.
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Mekonen, Tesfa, Habte Belete, and Wubalem Fekadu. "Depressive symptoms among people with HIV/AIDS in Northwest Ethiopia: comparative study." BMJ Open 11, no. 7 (July 2021): e048931. http://dx.doi.org/10.1136/bmjopen-2021-048931.
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ObjectivesThe objective of this study was to compare depressive symptoms among people with HIV/AIDS and the general population sample. We also assessed the factors associated with depressive symptoms.DesignA comparative cross-sectional study was conducted.SettingsAntiretroviral therapy clinics in three primary healthcare facilities and semi-urban area in Northwest Ethiopia.ParticipantsA total of 1115 participants (558 people with HIV/AIDS and 557 comparison group) aged 18 years and above were recruited. A total of 1026 participants (530 people with HIV/AIDS and 496 comparison group) completed the interview. We excluded people with known HIV-positive status from the comparison group.Outcome measurePatient Health Questionnaire (PHQ-9) was used to assess depressive symptoms. The proportion of depressive symptoms was compared between samples of the general population and people with HIV/AIDS using χ2 statistics. Multivariable logistic regression analysis was done to examine the associated factors.ResultsThe overall prevalence of depressive symptoms was 13.3% (11.2%–15.4%). The prevalence was significantly higher in people with HIV/AIDS compared with the community sample (16.6% vs 12.3%), p=0.001. The difference was also significant in the multivariable logistic regression (OR 1.7). For the overall sample, depressive symptoms were significantly associated with older age, being single, divorced/widowed marital status, and poor social support.ConclusionsDepressive symptoms were higher in people with HIV/AIDS compared with the general population. It is necessary to include mental healthcare and screening for depression in routine HIV/AIDS care.
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Mekonnen, Mekdes, Tsigereda Behailu, and Negash Wakgari. "Knowledge, Attitude, and Practice regarding HIV/AIDS among People with Disability in Hawassa City, Southern Ethiopia." Advances in Public Health 2018 (2018): 1–7. http://dx.doi.org/10.1155/2018/9649610.
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Background. People with disabilities are vulnerable group to be infected with HIV/AIDS and are challenged to utilize HIV/AIDS services. Hence, this study assessed knowledge, attitude, and practice about HIV/AIDS among disabled people in Hawassa city. Methods. A community-based cross-sectional study was conducted among 250 disabled people. All disabled people residing in Hawassa city during the study period were included. Pretested and structured questionnaire was used for data collection. Logistic regression analyses were used to identify the associated factors. Results. A high percentage (197 (79.8%)) of disabled people were knowledgeable about HIV/AIDS. Similarly, 190 (76%) of the respondents had a favorable attitude towards HIV/AIDS. In addition, being married (AOR = 2.20; 95% CI: 1.14, 4.27) and being employed (AOR = 2.85; 95% CI: 1.19, 6.81) were positively associated with knowledge about HIV/AIDS. Moreover, being a male (AOR = 2.83; 95% CI: 1.61, 2.90) and being married (AOR = 2.13; 95% CI: 2.25, 3.26) were also positively associated with having a favorable attitude towards HIV/AIDS. Conclusions. Significant numbers of disabled people were knowledgeable and had a favorable attitude towards HIV/AIDS.
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Anema, A. "Treating HIV/AIDS and leishmaniasis coinfection in Ethiopia." Canadian Medical Association Journal 172, no. 11 (May 24, 2005): 1434–35. http://dx.doi.org/10.1503/cmaj.050511.
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Gebremedhin, Ketema Bizuwork, and Tadesse Bedada Haye. "Factors Associated with Anemia among People Living with HIV/AIDS Taking ART in Ethiopia." Advances in Hematology 2019 (March 3, 2019): 1–8. http://dx.doi.org/10.1155/2019/9614205.
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Background. Globally, anemia, among people living with HIV/AIDS, is a major public health problem. It has a significant effect on the progression of HIV/AIDS to advanced stages and there are a number of factors that often affect anemia. However, there is little insight regarding factors affecting anemia among HIV/AIDS patients in developing countries, including Ethiopia. Objective. This study aimed at investigating factors affecting anemia among people living with HIV/AIDS taking ART drug at Tikur Anbessa Specialized Hospital, Addis Ababa, Ethiopia. Methods. A hospital based cross-sectional study design was used to assess factors affecting anemia among people living with HIV/AIDS. Structured checklist was used to gather information from charts of patients selected by simple random sampling method. We analyzed the data to identify factors associated with anemia among people with HIV/AIDS using logistic regression models. Results. A total of 301 selected charts were reviewed. The median age was 38 ± 10.38. The majority (62.5%) of the patients were taking ZDV-containing ART drug (ZDV/3TC/NVP). The overall anemia prevalence was 34.6%, while about 5%, 15.6%, and 14% of the patients had severe, moderate, and mild prevalence of anemia, respectively. Factors that were found to affect anemia among these patients include gender (OR = 2.26 [95% CI: 1.22, 4.16]), occupation (OR: 0.57 [95%CI: 0.35, 0.92]), WBC count (OR = 2.30 [95% CI: 1.29, 4.09]), platelet count (OR = 2.89 [95% CI: 0.99, 8.41]), nutritional status (OR = 2.05 [95% CI: 0.69, 6.02]), and WHO clinical stage of HIV/AIDS (OR = 3.69 [95% CI: 1.86, 7.31]). Conclusions. About one in three patients was found to be anemic. Intervention aimed at diagnosing and treating anemia among people living with HIV/AIDS should be considered.
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Bilal, Arebu Issa, Bruck Messele, Dawit Teshome, Zelalem Tilahun, and Teferi Gedif Fenta. "Concomitant use of medicinal plants with antiretroviral drugs among HIV/AIDS patients in Ethiopia: A cross-sectional study." Ethiopian Pharmaceutical Journal 35, no. 1 (April 29, 2020): 59–66. http://dx.doi.org/10.4314/epj.v35i1.6.
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In spite of an increase in the health service coverage of the country, studies reported that significant proportion of the Ethiopian population still relies on traditional medicine, particularly on the herbal aspect, for their healthcare. The aim of the present study was to determine the extent of the concomitant use of herbal medicines with modern antiretroviral medicines and identify the commonly used herbs among patients with human immunodeficiency virus/acquired immunodeficiency syndrome (HIV/AIDS) in Ethiopia. A cross-sectional study was conducted from May to June, 2017 among HIV/AIDS patients in five hospitals selected from four regions and one city Administration (Addis Ababa). A total of 768 HIV/AIDS patients were successfully interviewed and included in the analysis. Most 480 (62.5%) of them were on tenofovir-disoproxil fumarate (TDF) plus lamivudine (3TC)and efavirenz (EFV) regimen. Two hundred nineteen (28.5%) patients reported that they had used herbal medicines to treat their illness; of these 145 (66.2%) used herbal products along with modern medicine. Of those who reported to have used herbal medicine with modern medicine, 53 (40.8%) claimed that they took the herbal medicines for the treatment of HIV/AIDS, while 51(39.2%) used for treating co-morbid diseases. Only 33 (15.0%) of those who used herbal medicines along with modern drugs discussed the issue either with their physicians or pharmacists. A total of 31 plant species were reported to be used for the treatment as well as alleviation of symptoms associated with the disease. The most commonly cited herbal medicines that have been used by HIV/AIDS patients to treat their comorbid diseases were Moringa stenopetala (Baker f.) Cufod. (Moringaceae) (35.6%) followed by Ocimum lamiifolium Hochst. (Lamiaceae) (18.0%), Zheneria scabra Sond. (Cucurbitaceae) (7.2%), Allium sativum L. (Alliaceae) (5.7%), and Ruta chalapensis L. (Rutaceae) (5.7%). The study revealed that close to one-third of HIV/AIDS patients interviewed reported use of herbal medicine and almost two-thirds of them did so concomitantly with modern medicine. Only small percentage of the patients who used herbal medicines along with modern drugs disclose the use either to their treating physicians or to counselling pharmacists. Practitioners involved in antiretroviral therapy (ART) clinics, therefore, need to inquire information related to the use of herbal medicines and accordingly advise the patients.
Keywords: HIV/AIDS, medicinal plant, cross-sectional study, concomitant use, Ethiopia
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Hladik, W. "HIV/AIDS in Ethiopia: where is the epidemic heading?" Sexually Transmitted Infections 82, suppl_1 (April 1, 2006): i32—i35. http://dx.doi.org/10.1136/sti.2005.016592.
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Sharew, Guadie, and Muluken Azage. "Predictors of HIV/AIDS Related Ocular Manifestations among HIV/AIDS Patients in Felege Hiwot Referral Hospital, Northwest Ethiopia." Journal of Ophthalmology 2015 (2015): 1–7. http://dx.doi.org/10.1155/2015/965627.
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Background. Ocular manifestations in people living with HIV/AIDS are varied and affect almost all the structures of eye leading to visual impairment or blindness. Therefore, the aim of this study was to identify the predictors of HIV related ocular manifestation among ART clinic clients.Methods. Institution based cross-sectional study was employed among ART clients at Felege Hiwot referral hospital, northwest Ethiopia. The study was conducted from 1 January 2013 to 30 January 2013. A total of 369 systematically and randomly selected clients were included in the study. Data were collected using structured questionnaires and ophthalmologic clinical examination. Data were entered and analyzed using SPSS version 16.0. Binary and multivariable logistic regression analyses were computed to identify independent predictors of HIV related ocular manifestation.Results. Twenty-five percent (25.7%) of HIV patients had ocular manifestations. The three most frequent signs were Squamoid Conjuctival growth (26.9%), ophthalmic herpes zoster (22.1%), and Bacterial Conjuctivitis (17.2%). History of eye problem, CD4count, and visual acuity of the eye were the predictors of HIV related ocular manifestation.Conclusion. In this study, a higher proportion of ocular manifestations were detected in HIV/AIDS patients. Visual acuity and CD4counts were the independent predictors of ocular manifestations. This finding gives an insight for policy makers and concerned body to integrate ophthalmic examination in ART clinics to improve the health condition of HIV/ADIS patients.
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Feleke, Daniel Getacher, Angesom Gebreweld, and Gashaw Zewde. "Toxoplasmosis in Pregnant Women and HIV/AIDS Patients in Ethiopia: A Systematic Review and Meta-Analysis." Journal of Parasitology Research 2019 (October 1, 2019): 1–8. http://dx.doi.org/10.1155/2019/4670397.
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Background. Although Toxoplasma gondii infection in immune-competent individuals is usually asymptomatic or causes a mild flu-like illness, it may become severe and can occasionally be fatal in immune-compromised people, such as AIDS patients or pregnant women. Method. Electronic English databases (Pubmed, Google Scholar, Science Direct, and Scopus), parasitology congresses, and theses of Ethiopian medical universities, were systematically searched (published or unpublished data). Full-length articles and abstracts were collected using keywords such as Toxoplasma gondii, Toxoplasmosis, pregnant women, HIV/AIDS, and Ethiopia. Results. Analysis of seroprevalence estimates was pooled using a random effects meta-analysis. Seventeen studies were included in the present systematic review and meta-analysis. One of these studies reported seroprevalence of T. gondii in HIV/AIDS patients and pregnant women. In this review, a total of 4,030 individuals were included and analyzed. The pooled prevalence of T. gondii in this review was 81.00% (95% CI = 69.10–89.78). Sub-group analysis showed that 2,557 pregnant women were evaluated. In pregnant women, the pooled sero-prevalence was 71.2 (95% CI = [51.9%, 87.1%]. In HIV/AIDS patients, 1,473 individuals were evaluated and the pooled seroprevalence was 88.45 (95% CI = 80.87%–94.31%). Conclusion. This systematic review and meta-analysis identified a high seroprevalence of Toxoplasma infection of 81% among immunocompromised patients. Scaling up prevention and control methods mainly strengthening educational efforts are necessary to avoid reactivation and to stop the spread of T. gondii infection.
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Fekadu, Sintayehu, Kefyalew Taye, Wondu Teshome, and Solomon Asnake. "Prevalence of parasitic infections in HIV-positive patients in southern Ethiopia: A cross-sectional study." Journal of Infection in Developing Countries 7, no. 11 (November 15, 2013): 868–72. http://dx.doi.org/10.3855/jidc.2906.
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Introduction: Intestinal parasitic infectionsare a major public health burden in tropical countries. Although all HIV/AIDS patients are susceptible to parasitic infections, those having lower immune status are at greater risk. The aim of this study was to determine the prevalence of intestinal parasitic infections in patients living with HIV/AIDS. Methodology: This was a facility-based cross-sectional study. A total of 343 consecutively sampled HIV/AIDS patients from the HIV care clinic of Hawassa University Referral Hospital were included. Subjects were interviewed for demographic variables and diarrheal symptoms using structured questionnaires. Stool examinations and CD4 cells counts were also performed. Results: The prevalence of intestinal parasitic infection was 47.8% among HIV/AIDS patients; single helminthic infection prevalence (22.7%) was higher than that the prevalence of protozoal infections (14.6%). About 54% of study participants had chronic diarrhea while 3.4% had acute diarrhea. The prevalence of intestinal parasites in patients with chronic diarrhea was significantly higher than in acute diarrhea (p <0.05). Non-opportunistic intestinal parasite infections such as Ascaris lumbricoides, Taenia spp., and hookworm were commonlyfound, regardless of immunestatus or diarrheal symptoms. Opportunistic and non-opportunistic intestinal parasitic infection were more frequent in patients with a CD4 count of <200/mm3 (OR=9.5; 95% CI: 4.64-19.47) when compared with patients with CD4 counts of >=500 cells/mm3. Conclusions: Intestinal parasitic infections should be suspected in HIV/AIDS-infected patients with advanced disease presenting with chronic diarrhea. Patients with low CD4 counts should be examined critically for intestinal parasites, regardless of diarrheal status.
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Bitew, Huluagresh, Gashaw Andargie, Agitu Tadesse, Amsalu Belete, Wubalem Fekadu, and Tesfa Mekonen. "Suicidal Ideation, Attempt, and Determining Factors among HIV/AIDS Patients, Ethiopia." Depression Research and Treatment 2016 (2016): 1–6. http://dx.doi.org/10.1155/2016/8913160.
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Background. Suicide is a serious cause of mortality worldwide and is considered as a psychiatric emergency. Suicide is more frequent in peoples living with HIV/AIDS than in general population.Objective. To assess the proportion and determining factors of suicidal ideation and attempt among peoples living with HIV/AIDS in Ethiopia.Methods. Institutional based cross-sectional study was conducted from May to June 2015 by selecting 393 participants using systematic random sampling technique. Suicide manual of Composite International Diagnostic Interview (CIDI) was used to collect data. Logistic regression was carried out and odds ratio with 95% confidence intervals was computed.Results. The proportion of suicidal ideation and attempt was 33.6% and 20.1%, respectively. Female sex (AOR = 2.6, 95%CI: 1.27–5.22), marital status (AOR = 13.5, 95%CI: 4.69–39.13), depression (AOR = 17.0, 95%CI: 8.76–33.26), CD4 level (AOR = 2.57, 95%CI: 1.34–4.90), and presence of opportunistic infection (AOR = 5.23, 95%CI: 2.51–10.88) were associated with suicidal ideation, whereas marital status (AOR = 8.44, 95%CI: 3.117–22.84), perceived HIV stigma (AOR = 2.9, 95%CI: 1.45–5.99), opportunistic infection (AOR = 2.37, 95%CI: 1.18–4.76), and poor social support (AOR = 2.9, 95%CI: 1.58–5.41) were significantly associated with suicidal attempt.Conclusion. Suicidal ideation and attempt were high among HIV positive patients. Therefore early screening, treatment, and referral of suicidal patients are necessary in HIV clinics.
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Negese, Digsu, Kefyalew Addis, Akilew Awoke, Zelalem Birhanu, Dagnachew Muluye, Sisay Yifru, and Berihun Megabiaw. "HIV-Positive Status Disclosure and Associated Factors among Children in North Gondar, Northwest Ethiopia." ISRN AIDS 2012 (December 13, 2012): 1–7. http://dx.doi.org/10.5402/2012/485720.
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Introduction. Clinical reports have indicated positive outcomes associated with disclosure of HIV-positive status in children. This study assessed the level and associated factors of HIV-positive status disclosure to HIV-infected children in northwest Ethiopia. Methods. Institution-based cross-sectional study was conducted among HIV-positive children from March to April 2012. Data were collected using a structured questionnaire by face-to-face interview technique. Bivariate and multivariate analyses were performed. Results. Of the 428 children, 169 (39.5%) were disclosed their HIV-positive status. The mean age of HIV-positive status disclosure was at 10.7 (±2.3) years. Having a nonbiological parent (, 95% CI: 1.22, 14.04), child’s age older than 10 years (, 95% CI: 4.5, 15.53), and death of a family member (, 95% CI: 1.16, 3.6) were significantly and independently associated with disclosure of HIV-positive status to infected children. Conclusions. The rate of disclosure of HIV-positive status to infected children still remains low in North Gondar. Hence, it is important to target children living with their biological parents and having young parents and children younger than 10 years. The guideline for disclosure of children with HIV/AIDS should be established in an Ethiopian context.
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Aylie, Nigusie Shifera, Lelisa Sena Dadi, Eshetu Alemayehu, and Mengistu Ayenew Mekonn. "Determinants of Fertility Desire among Women Living with HIV in the Childbearing Age Attending Antiretroviral Therapy Clinic at Jimma University Medical Center, Southwest Ethiopia: A Facility-Based Case-Control Study." International Journal of Reproductive Medicine 2020 (August 12, 2020): 1–10. http://dx.doi.org/10.1155/2020/6504567.
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Background. High fertility and aspiration to have more children are a normal phenomenon in many developing countries including Ethiopia. The desire of people living with HIV/AIDS (PLWHA) to have children can have significant public health implications. Despite the growing number of women living with HIV/AIDS, the issues of fertility and childbearing intention have not been widely studied in Ethiopia. Objective. To identify determinants of fertility desire among women living with HIV in the childbearing age attending antiretroviral therapy clinic at Jimma University Medical Center, Southwest Ethiopia. Methods. A facility-based case-control study was conducted in March 2019. Cases were women living with HIV who had fertility desire, and controls were those who had not. Data was collected using a face-to-face interview using a pretested questionnaire. The data was entered into EpiData 3.1 and exported to SPSS Version 24 for analysis. Bivariate and multivariable logistic regression analyses were used to identify candidate and independent determinants of fertility desire, respectively. Independent determinants associated with fertility desire were assessed using AORs with their corresponding 95% CIs at P value < 0.05 cutoff point. Results. Three hundred forty-four (115 cases and 229 controls) were included into the study with a 100% response rate. Age categories 15-24 (AOR: 4.1; 95% CI: 2.0, 8.4) and 25-34 (AOR: 2.3; 95% CI: 1.3, 4.2) years, not using family planning (AOR: 2.3; 95% CI: 1.4, 4.0), and having a sexual partner (AOR: 1.9; 95% CI: 1.1, 3.2) were independent predictors of fertility desire. Conclusions. Age of women, family planning, and sexual partner were found to be the independent predictors of fertility desire among women living with HIV/AIDS. Policymakers and health care providers who are working on an ART clinic should try to consider the effects of these factors for women living with HIV while developing HIV/AIDS interventions and discussing on sexual and reproductive health issues with their clients, respectively.
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Aynalem, Yared Asmare, Wondimeneh Shibabaw Shiferaw, and Zeleke Woldiye. "Prevalence of Anemia and Its Associated Factors in Antiretroviral-Treated HIV/AIDS-Positive Adults from 2013 to 2018 at Debre Berhan Referral Hospital, Ethiopia." Advances in Hematology 2020 (March 11, 2020): 1–7. http://dx.doi.org/10.1155/2020/2513578.
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Introduction. Anemia was defined as a hemoglobin level of less than or equal to 13.9 g/dl for male and less than or equal to 12.2 g/dl for female adults. It is one of the most common hematological abnormalities in people living with human immunodeficiency virus/acquired immunodeficiency syndrome (HIV/AIDS) and is a determining factor for disease progression and death. Among the countries in sub-Saharan Africa, Ethiopia is one of the most affected nations by HIV. Therefore, this study aimed to assess the prevalence of anemia and its associated factors among HIV-positive adults that had received antiretroviral treatment (ART) at Debre Berhan Referral Hospital. Methods. An institution-based, descriptive, cross-sectional study was conducted involving 263 adults with HIV/AIDS that had undergone ART at Debre Berhan Referral Hospital, Ethiopia. Data were collected from patient charts using systematic sampling with a pretested data extraction tool and entered using EpiData 3.1. Variables having a p value ≤0.25 in the bivariate were fitted to a multivariable regression model with a 95% confidence interval. p values ≤0.05 were considered statistically significant in the multivariate analysis. Results. Among the 263 HIV-positive patients, 237 (90.11%) were included in the final analysis. The overall prevalence of anemia was 26.2%. Factors that were significantly associated with anemia were past opportunistic infections, patients being in WHO clinical stage III and IV, and a BMI <18.5. Conversely, those patients who took anti-TB medication were less likely to have anemia. Conclusion. Our study shows that the severity of anemia among HIV/AIDS patients that had undergone ART is lower than most studies conducted in Ethiopia. We also found that opportunistic infection, WHO clinical staging, anti-TB treatment, and low BMI were significantly associated with anemia. Therefore, routine screening of patient nutritional status and opportunistic infections may be useful in predicting and controlling anemia in HIV/AIDS patients.
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Sahile, Zekariyas, Mulugeta Mekuria, and Abenezer Yared. "Comprehensive HIV/AIDS Knowledge and Sexual Behavior among University Students in Ambo, Central Ethiopia: Implication to Improve Intervention." Journal of Sexually Transmitted Diseases 2015 (June 9, 2015): 1–6. http://dx.doi.org/10.1155/2015/890202.
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Background. Ethiopia has one of the lowest HIV prevalence rates in East Africa, but there are still more than one million people estimated to be living with HIV in Ethiopia. This study was aimed at assessing the comprehensive HIV/AIDS knowledge and sexual behavior among university students. Methodology. A cross-sectional comparative study was done with quantitative and qualitative data collection with a stratified sampling technique. The quantitative data were edited, coded, entered, and analyzed using SPSS software version 20. Result. Both comprehensive knowledge of HIV/AIDS transmission and prevention method were higher in the intervention group (75.8% and 48.5%) than comparative group (68.6% and 42.5%) which had a significant difference (P<0.05). Life time sexual intercourse was higher in the intervention group (40.8%) as compared to the comparative group (34.6%). But sexual condom utilization in the past 12 months was higher in the intervention group (73.2%) as compared to the comparative group (56.9%) which had a significant difference (P<0.05). Similarly, history of sexual transmitted disease report was higher in the comparative group (6.3%) as compared to the intervention (4.6%). Among sexual experience respondents in the last 12 months, 32% of them in the intervention and 35.5% of them in the comparative group have had multiple sexual partners. Conclusion. The intervention group had higher comprehensive knowledge of HIV/AIDS and condom utilization. But a higher percentage of students were engaged in risky sexual behavior. Therefore, emphasis should be given on designing different strategy to reduce risky sexual behavior and increase comprehensive HIV/AIDS knowledge.
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Tedla, Weldegebrial Hayelom, Alemseged Aregay, Kidanu Gebremariam, Mulugeta Woldu Abrha, and Haftom Gebrehiwot Weldearegay. "Reducing Undernutrition through Counseling on Diversified Food Intake among Adult People Living with HIV on HAART, Northern Ethiopia." Journal of Nutrition and Metabolism 2020 (May 1, 2020): 1–10. http://dx.doi.org/10.1155/2020/9858619.
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Background. HIV/AIDS and malnutrition are interrelated and exacerbate one another in a vicious cycle. As HIV infection progresses it causes catabolic state and increases susceptibility to other infections, leading to progressive aggravation of undernutrition. However, data are lacking in Ethiopia on determinants of undernutrition among people living with HIV on antiretroviral therapy. Therefore, this study aimed to assess determinants of undernutrition among adult HIV/AIDS patients in Northern Ethiopia. Method. Facility-based unmatched case-control study was conducted among 324 randomly selected people living with HIV on antiretroviral therapy (ART). A structured and pretested interviewer questionnaire was used to collect data, while digital Seca weight and Seca measuring rod were used to measure weight and height, respectively. Logistic regression was used to identify independent factors of undernutrition, and p value <0.05 was declared for statistical significance. All statistical analyses were performed using SPSS 21™. Result. This study revealed that people of younger age and those on ART (AOR = 0.29 (95% CI: 0.10, 0.84)) had low risk of being undernourished. However, average individual monthly income (AOR = 2.61 (95% CI: 1.48, 4.61)), not receiving nutritional counseling during visits (AOR = 2.5 (95% CI: 1.52–3.89)), and low diet diversity (AOR = 10.55 (95% CI: 4.17, 26.73)) had higher odds of undernutrition among people living with HIV/AIDS. Conclusion. Age of patients, average monthly income, nutritional counseling during visits, and diet diversity were the independent factors of undernutrition. Counseling on well-timed and sufficient consumption of nutritious foods, economic strengthening, and livelihood activities is important. Future longitudinal study is necessary to elucidate the problem of undernutrition among people living with HIV/AIDS.
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Lemoh, Chris N., Samia Baho, Jeffrey Grierson, Margaret Hellard, Alan Street, and Beverley-Ann Biggs. "African Australians living with HIV: a case series from Victoria." Sexual Health 7, no. 2 (2010): 142. http://dx.doi.org/10.1071/sh09120.
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Background: This research aimed to describe the characteristics of African-born Victorians living with HIV, identify associations with delayed HIV diagnosis and describe their response to combination antiretroviral therapy (cART). Methods: A case series of African-born adults living with HIV in Victoria was conducted. Data was collected in interviews and reviews of case notes. Associations with delayed HIV diagnosis (CD4 below 200 cells µL–1 at diagnosis and/or AIDS within 3 months of HIV diagnosis) were explored using univariate regression. AIDS-defining illnesses and response to cART were described. Results: Fourteen males and six females were included. Ten were born in the Horn of Africa (nine in Ethiopia). Sixteen had sexual exposure (12 heterosexual; four male-to-male sex). Seven reported acquiring HIV in Australia. Median CD4 count at diagnosis was 145 cells µL–1. Ten had delayed HIV diagnosis, of whom eight were born in the Horn of Africa. Delayed HIV diagnosis was associated with birth in the Horn of Africa (odds ratio: 11.56). Nine had a diagnosis of AIDS, including three cases of tuberculosis, three of Pneumocystis jiroveci pneumonia and two of cerebral toxoplasmosis. Eighteen had received cART, of which 16 achieved virological suppression and 15 achieved a CD4 count above 200 cells µL–1. Clinical failure and virological failure occurred in seven and five cases, respectively. Conclusions: HIV prevention strategies for Victoria’s African communities should address HIV exposure in Australia. Ethiopian-born Victorians with HIV appear to be at particular risk of delayed diagnosis. Response to cART in this series was comparable to that observed in other industrialised countries.
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Berhanu, Zena. "Holy Water as an Intervention for HIV/AIDS in Ethiopia." Journal of HIV/AIDS & Social Services 9, no. 3 (August 31, 2010): 240–60. http://dx.doi.org/10.1080/15381501.2010.502802.
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Kebede, Getahun, Alemayehu Kumsa, Ararso Tafese, Solomon Abdissa, Hardeep Rai Sharma, and Amit Arora. "HIV/AIDS prevention practices among military personnel in Northwest Ethiopia." AIDS Care 31, no. 11 (February 27, 2019): 1384–88. http://dx.doi.org/10.1080/09540121.2019.1587362.
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Aga, Fekadu, Jari Kylmä, and Merja Nikkonen. "Sociocultural factors influencing HIV/AIDS caregiving in Addis Ababa, Ethiopia." Nursing & Health Sciences 11, no. 3 (September 2009): 244–51. http://dx.doi.org/10.1111/j.1442-2018.2009.00448.x.
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Bisetegn, Habtye, and Hussien Ebrahim. "The prevalence of thrombocytopenia and leucopenia among people living with HIV/AIDS in Ethiopia: A systematic review and meta-analysis." PLOS ONE 16, no. 9 (September 20, 2021): e0257630. http://dx.doi.org/10.1371/journal.pone.0257630.
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Introduction Thrombocytopenia and leucopenia are frequently encountered hematological disorders among people living with HIV/AIDS. This systematic review and meta-analysis were aimed to indicate the national prevalence of thrombocytopenia and leucopenia among HIV/AIDS patients. Methods This systematic review and meta-analysis was conducted following the preferred reporting items for systematic review and meta-analysis (PRISMA) guidelines. A systematic search was conducted from February 01, 2021 to April 02, 2021 using electronic databases Google Scholar, PubMed, Web of Sciences, Google, EMBASE, SCOPUS and ResearchGate. The quality of the included studies was assessed using Newcastle—Ottawa Quality Assessment Scale (NOS) adapted for cross-sectional studies. Data analysis was done using STATA version 14 using metan commands. Random effect meta-analysis was used to estimate the pooled prevalence of thrombocytopenia and leucopenia among people living with HIV/AIDS in Ethiopia. Result Of the 349 initially searched articles, 90 were assessed for eligibility and only 13 articles published from 2014 to 2020 were included in the final meta-analysis. A total of 3854 participants were involved in the included studies. The pooled prevalence of thrombocytopenia was 9.69% (95%CI; 7.40–11.97%). Significant heterogeneity was observed with I2 value of 84.7%. Thrombocytopenia was 11.91% and 5.95% prevalent among HAART naive and HAART exposed HIV/AIDS patients, respectively. The pooled prevalence of leucopenia among HIV/AIDS patients was 17.31% (95%CI: 12.37–22.25%). Conclusion This study showed a high prevalence of thrombocytopenia and leucopenia among people living with HIV/AIDS, indicating the necessity of regular screening of HIV seropositive patients for different hematological parameters and providing treatment.
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Salih, Mohammed Hassen, Gizachew Assefa Tessema, Endeshaw Admassu Cherkos, Abebaw Jember Ferede, and Degefaye Zelalem Anlay. "Stigma towards People Living on HIV/AIDS and Associated Factors among Nurses’ Working in Amhara Region Referral Hospitals, Northwest Ethiopia: A Cross-Sectional Study." Advances in Nursing 2017 (March 19, 2017): 1–7. http://dx.doi.org/10.1155/2017/6792735.
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Introduction. HIV/AIDS-related stigma occurs in the world towards people living with HIV/AIDS in a different form. Stigma among nurses in health care setting is one of the main challenges towards the prevention and management of HIV/AIDS in developing countries. It is one of the main reasons keeping patients from seeking health care service. Therefore assessing the magnitude of stigma and associated factors towards people living on HIV/AIDS among nurses is of paramount importance for the quality of nursing care as well as service utilization. Methods. An institutional based cross-sectional study was conducted in March 2013. Pretested and structured questionnaire via self-administration was used in the tool of HIV/AIDS Stigma Instrument-Nurse (HASI-N). Data were entered using EPI info version 3.5.3 and transferred to SPSS version 20 for further analysis. Descriptive statistics were conducted to summarize the sample characteristics. A backward stepwise logistic regression model was fitted and adjusted odds ratio with 95% confidence interval was calculated to identify associated factors. Results. A total of 386 nurses participated yielding a response rate of 97.2%. Nearly two-thirds (64.5%) of them have shown stigma towards people living with HIV/AIDS in the health institution. Qualification level of diploma or certificate, lack of training, experiences of <06 years, low HIV patient caseload seen in the last six months, and the absence of guidelines/protocols about HIV/AIDS in their health institution were associated factors for stigma. Conclusions. The findings of this research showed high magnitude of stigma towards people living with HIV/AIDS among nurses. For stigma to be decreased nurses need to update their knowledge through training and experience sharing with senior staff. And it is crucial that the Ethiopian Ministry of Health, Amhara Regional Health Bureau, and the two hospitals work for decreasing stigma by creating educational development, ensuring accessibility of guidelines about HIV/AIDS, and providing access to training.
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Wondmieneh, Adam, Getnet Gedefaw, Birhan Alemnew, Addisu Getie, Melaku Bimerew, and Asmamaw Demis. "Intestinal parasitic infections and associated factors among people living with HIV/AIDS in Ethiopia: A systematic review and meta-analysis." PLOS ONE 15, no. 12 (December 31, 2020): e0244887. http://dx.doi.org/10.1371/journal.pone.0244887.
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Background Intestinal parasitic infections are major public health problems throughout the world, particularly in people living with HIV/AIDS. People living with HIV/AIDS are vulnerable groups for a variety of diseases, hence they are easily affected by opportunistic and non-opportunistic intestinal parasites due to the weakening of their immunity. Therefore, this study aimed to estimate the pooled prevalence and factors associated with intestinal parasitic infections among people living with HIV/AIDS in Ethiopia. Methods Articles were identified through search engines in the online electronic databases PubMed/MEDLINE, EMBASE, HINARI, CINAHL, Cochrane Library, Google Scholar, and reference lists of previous studies following the PRISMA Protocol. Studies conducted between 2003 and 2020 with English language were included in this study. This review included papers with having high-quality NOS scores. Meta-analysis was computed using STATA version 11 software. Heterogeneity was assessed using the Cochrane Q-test and I2 test statistics. Subgroup and sensitivity analysis was employed with evidence of heterogeneity. Publication bias was determined using the funnel plot and Egger’s regression test statistic. Results This study included a total of twenty-two cross-sectional studies with 5,833 study participants. The mean age of the study participants was 35 years old. The pooled prevalence of intestinal parasitic infection among people living with HIV/AIDS in Ethiopia was 39.15% (95%CI: 32.34, 45.95). The pooled prevalence of intestinal parasitic infections among people living with HIV/AIDS who had taking ART and who had not to start ART was found to be 28.27% (95%CI 22.47, 34.06) and 41.63% (95%CI: 28.75, 54.52) respectively. Unavailability of latrine (AOR: 4.87, (95% CI: 2.39, 9.92)), CD4+ T cell count <200cells/μl ((AOR: 3.53, (95%CI: 1.98, 6.27)), and having a history of diarrhea (AOR: 4.79 (95%CI: 1.53, 14.99) were factors significantly associated with intestinal parasitic infections. Conclusion In this study, the overall pooled prevalence of intestinal parasitic infections among HIV/AIDS patients in Ethiopia was relatively high. CD4+ T-cell count <200cells/μl, unavailability of a latrine, and history of diarrhea were significantly associated with intestinal parasitic infections. Therefore, the policymakers and health care professionals could give special attention to the presence of latrines, early detection and treatment of intestinal parasitic infections, and early initiation of ART drugs.
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Fekadu, Sintayehu, Wondu Teshome, and Getnet Alemu. "Prevalence and determinants of Tuberculosis among HIV infected patients in south Ethiopia." Journal of Infection in Developing Countries 9, no. 08 (August 29, 2015): 898–904. http://dx.doi.org/10.3855/jidc.5667.
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Introduction: Tuberculosis (TB) is a chronic infectious disease that has represented a major health problem over the centuries. The human immune deficiency virus (HIV)/AIDS has substantially altered the epidemiology of TB by increasing the risk of reactivating latent TB, increasing chance of TB infection once exposed to tubercle bacilli (re-infection) and by increasing the risk of rapid progression soon after infection. Methodology: This study employs a retrospective review analysis of patient medical records. A total of 499 HIV/AIDS patient cards were reviewed and variables were recorded. Frequencies and odds ratio were calculated to determine prevalence and associated risk factors respectively. Results: A total of 499 HIV/AIDS positive patient cards were reviewed. Ninety one (18.2%) of the study participants were found to have tuberculosis of which 20 (22%), 58 (64%) and 13 (14%) were smear positive, smear negative and extra-pulmonary tuberculosis cases, respectively. In multivariate logistic regression being female (AOR=0.39; 95% CI:0.20-0.77), WHO clinical stage 3 (AOR=5.66; 95%CI:1.79-17.94); WHO clinical stage 4 (AOR=7.89;95%CI:2.01-30.96); and functional status being ambulatory (AOR=2.22; 95%CI:1.06-4.64) were independently associated with tuberculosis-HIV co-infection with p value <0.05. Conclusion: Prevalence of tuberculosis was high. Among tuberculosis positive cases, the proportion of smear negative cases was also high which requires strengthening of TB diagnostic techniques. Tuberculosis was associated with some social demographic characteristics and clinical variables.
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Basha, Elyas Admasu, Behailu Tariku Derseh, Yohannes Gebre Egziabher Haile, and Gedion Tafere. "Factors Affecting Psychological Distress among People Living with HIV/AIDS at Selected Hospitals of North Shewa Zone, Amhara Region, Ethiopia." AIDS Research and Treatment 2019 (July 22, 2019): 1–8. http://dx.doi.org/10.1155/2019/8329483.
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Background. The new advances for the treatment of HIV infection using Highly Active Antiretroviral Therapy (HAART) have dramatically improved disease prognosis. However, they are living longer with a chronic condition that increases the risk for psychiatric and psychosocial problems. Various studies have linked HIV/AIDS with a number of psychological problems, depression being the most common. Moreover, studies have found that chronically ill people are at increased risk of psychological problems. Thus, this study aimed at assessing the level of psychological distress and its associated factors among people living with HIV/AIDS in selected Hospitals of North Sowa Zone of Amhara region, Ethiopia, 2017. Method. Institution based cross-sectional study design with systematic random sampling method was used. Data was collected by structured interviewer-based Amharic version questionnaire. A total of 422 people living with HIV/AIDS were involved in the study from 1 to 30 May 2017. Data analysis was done with the help of a computer program (SPSS version 16.0). Binary logistic regression analysis was used for bivariate and multivariate analysis. The strength of the association was presented by odds ratio with a 95% confidence interval. Result. The prevalence of psychological distress was 7.8% (95% CI: 5.25%, 10.39%). Being female (AOR = 3.02; 95% CI: 1.16, 7.82), illiterates (AOR = 3.91; 95% CI: 1.31, 6.45), participants who currently use alcohol (AOR = 2.70; 95% CI: 1.23, 5.88), respondents whose CD4 count is less than 500 cells/μl (AOR = 2.28; 95% CI: 1.02, 5.11), and participants who are considered stigmatized (AOR = 2.41; 95% CI: 1.11, 5.22) were positively associated with psychological distress. Conclusion. The prevalence of psychological distress was low as compared to other studies conducted in Ethiopia. This may affect the quality of life of people living with HIV/AIDS and their families. Being female, illiteracy, alcohol use, and having lower CD4 count and perceived stigma increased the odds of psychological distress. Thus, concerned stakeholders should collaborate on the integration of HIV/AIDs treatment and mental health services.
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Abdisa, Eba, Tizita Tolesa, and Muktar Abadiga. "Prevalence of Depressive Symptoms and Its Associated Factors among People Living with HIV Attending Public Hospitals of Nekemte Town, Western Ethiopia, 2021." Behavioural Neurology 2021 (July 1, 2021): 1–7. http://dx.doi.org/10.1155/2021/8854791.
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Background. Depressive symptoms are the most common mental illness among people living with HIV/AIDS. Depressive symptoms impact negatively on the course of HIV infection and can lead to suicide and increased risk of mortality when it is a severe form. Although depressive symptoms are common among HIV/AIDS patients, only a few studies have been conducted in Ethiopia and no study, particularly at Nekemte town public hospitals. Therefore, this study was aimed at assessing the prevalence and risk factors for depressive symptoms among people living with HIV/AIDS attending Nekemte town public hospitals, Western Ethiopia. Methods. An institution-based cross-sectional study design was conducted on 425 HIV/AIDS patients at Nekemte town public hospitals, from March 30 to May 30, 2019. Data were collected through interviews and patient document reviews. The nine-item Patient Health Questionnaire (PHQ-9) was used to collect information concerning depressive symptoms and was defined by a PHQ-9 score ≥ 5 . HIV stigma and discrimination scales were used to measure stigma. Social support was described by a sum score of the Oslo3 social support scale (OSS-3). The collected data was entered into EpiData Windows version 4.1 and then exported to Statistical Package for the Social Sciences (SPSS) Windows version 24.0 for analysis. All variables found to be significant at the bivariable level ( p value < 0.25) were entered into a multivariable logistic regression model. p values of <0.05 and 95% confidence level were used to determine statistical significance. Results. Out of the total of 384 study participants who participated in the study, 165 (42.96%) had depressive symptoms. Self-reported sleeping problems ( AOR = 7.04 , 95% CI: 3.23, 15.33), CD4 level of <200 ( AOR = 5.45 , 95% CI: 2.06, 14.42), poor social support ( AOR = 2.79 , 95% CI: 1.17, 6.67), and perceived stigma ( AOR = 9.11 , 95% CI: 1.17, 17.33) were significantly associated with depressive symptoms among HIV/AIDS patients at Nekemte town public hospitals. Conclusion. The level of depressive symptoms among HIV/AIDS patients in this study was high. Self-reported sleeping problems, CD4 level, social support, and perceived stigma were found to be significantly associated with depressive symptoms among HIV patients. Health care professionals should have to strengthen the linkage of mental health with antiretroviral therapy (ART) clinic to early detect and treat depressive symptoms.
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T. Gemeda, Tarekegn, Abineh U. Gandile, and Demisse S. Bikamo. "HIV/AIDS Knowledge, Attitude and Practice among Dilla University Students, Ethiopia." African Journal of Reproductive Health 21, no. 3 (September 30, 2017): 49–61. http://dx.doi.org/10.29063/ajrh2017/v21i3.4.
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Converse, Paul Jerome. "Dual Infection: The Challenge of HIV/AIDS and Tuberculosis in Ethiopia." Northeast African Studies 7, no. 1 (2000): 147–65. http://dx.doi.org/10.1353/nas.2004.0002.
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Tadele, Getnet, Asrat Ayalew, and Michael Loevinsohn. "(Re) building Livelihoods of Communities Confronting HIV and AIDS in Ethiopia." Eastern Africa Social Science Research Review 32, no. 1 (2016): 63–91. http://dx.doi.org/10.1353/eas.2016.0000.
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Tesfaye, Gezahegn, Yadeta Dessie, Yemane Berhane, Nega Assefa, Agumasie Semahegn, Chelsey R. Canavan, and Wafaie W. Fawzi. "HIV/AIDS awareness and testing practices among adolescents in eastern Ethiopia." Tropical Medicine & International Health 25, no. 1 (November 21, 2019): 111–18. http://dx.doi.org/10.1111/tmi.13337.
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Beyene, Hunachew, and Dejene Hailu. "Assessment of knowledge, attitude and practice regarding water, sanitation and hygiene for people living with HIV/AIDS." Journal of Water, Sanitation and Hygiene for Development 3, no. 1 (March 1, 2013): 81–85. http://dx.doi.org/10.2166/washdev.2013.022.
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A cross-sectional study was conducted to assess the water, sanitation, and hygiene status and the knowledge, attitude and practice of home-based care clients of People Living with HIV/AIDS (PLWHA) regarding water, sanitation and hygiene (WSH). Interviews and observation of WSH facilities were carried out on 331 randomly selected PLWHA in Hawassa City, Southern Ethiopia. Though the latrine coverage was high, 43% use latrines not easily accessible, 31% use contaminated latrines and 73.4% of the latrines lacked hand-washing facilities. Thirty-four per cent did not have a reliable source of water and 196 (59%) of the households stored water at home for more than one day. Women were more likely to practice personal hygiene as compared to their men counterparts. Although a good level of knowledge and favourable attitudes about WSH related health problems were observed, two-thirds of the participants believed that diarrhoeal infection is not preventable. HIV/AIDS and WSH programmes need to be integrated for better intervention activities in Ethiopia.
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Oluma, Adugna, Muktar Abadiga, Getu Mosisa, Werku Etafa, and Ginenus Fekadu. "Food Insecurity among People Living with HIV/AIDS on ART Follower at Public Hospitals of Western Ethiopia." International Journal of Food Science 2020 (August 1, 2020): 1–10. http://dx.doi.org/10.1155/2020/8825453.
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Background. Food insecurity and HIV/AIDS are intertwined in a vicious cycle through nutritional, mental health, and behavioral pathways. Food insecurity is a potentially important barrier to the success of antiretroviral treatment, increased hospitalizations, and higher morbidity among HIV-infected individuals in resource-poor settings particularly in sub-Saharan Africa including Ethiopia. Therefore, the purpose of this study was to assess the prevalence of food insecurity among people living with HIV/AIDS on follow up at public hospitals of western Ethiopia. Methods. An institutional-based cross-sectional study design was conducted on a sample of 428 among people living with HIV/AIDS on follow up at public hospitals of western Ethiopia. A systematic random sampling technique was used to include all participants. Data was collected using interviewer-administered structured questionnaires. The data were entered into Epi data version 3.1 and then exported into Statistical Package for the Social Sciences window version 21 for analysis. Descriptive and inferential statistics were employed. Bivariable logistic and multivariable logistic analyses were used with AOR at CI 95% and p<0.05 were used. Result. The finding of the study revealed that the majority of the respondents 221(53.1%) were female. The mean age of the respondents was 32.92±7.304 years and 197 (47.4%) of the study participants were between 30 to 39 years’ age group. The level of food insecurity among PLWHA receiving ART therapy was 68.8% which was partitioned as mild (23.32%), moderate (29.09%), and severe (16.35%) food in secured. Being single [AOR=3.5071.377,8.934], illiterate [AOR=5.2341.747,15.686], cigarette smoking [AOR=3.5772.104,6.081], presence of anemia (AOR=2.6501.563,4.493], and inadequate dietary diversity [AOR=2.8701.088,7.569] were predictors of food insecurity. Conclusion. The prevalence of food insecurity was high. Educational status, marital status, cigarette smoking, presence of anemia, opportunistic infection, and inadequate dietary diversity were the major significant factors affecting food insecurity. We recommended a national health policy maker to integrate food and nutrition interventions as part of a package of care, treatment, and support services for people living with HIV and ART follower patients.
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Yideg Yitbarek, Getachew, Andualem Mossie Ayana, Moyeta Bariso Gare, and Gashaw Garedew Woldeamanuel. "Prevalence of Cognitive Impairment and Its Predictors among HIV/AIDS Patients on Antiretroviral Therapy in Jimma University Medical Center, Southwest Ethiopia." Psychiatry Journal 2019 (March 13, 2019): 1–7. http://dx.doi.org/10.1155/2019/8306823.
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Background. Cognitive impairment among human immunodeficiency virus (HIV) infected patients can lead to treatment nonadherence, faster progression of the illness, disability, and bed ridden state if we fail to detect it early. However, there is scarcity of previous published studies in Ethiopia on the assessment of cognitive impairment among HIV-positive patients. Hence, this study aimed to determine the prevalence and associated factors of cognitive impairment among HIV-positive patients receiving antiretroviral therapy (ART) at Jimma University Medical Center, Ethiopia. Methods. Hospital-based cross-sectional study was conducted among 328 HIV-positive patients attending Jimma University Medical Center, Ethiopia. Data were collected from a face-to-face interview and review of medical records using semistructured questionnaire. Validated International HIV Dementia Scale (IHDS) was used to screen for cognitive impairment. Data was analyzed using SPSS version 20. Results. A total of 328 (191 females and 137 males) HIV-positive patients were included in the study with a response rate of 97.04%. The prevalence of cognitive impairment among HIV-positive patients was 35.7%. Factors significantly associated with cognitive impairment were age group of 41−64 years (adjusted odds ratio [AOR] = 3.1, 95% confidence interval [CI] (1.3, 7.4)], plasma HIV-1 RNA load between 1.7log10 and 3log10 copies/ml [AOR = 2.2, 95% CI (1.1,4.3)] and ≥ 3log10 copies/ml [AOR = 7.5, 95% CI (2.6, 21.5)], khat chewing [AOR = 4.4, 95% CI (2.3, 8.3)], and clinical stage III of the disease [AOR = 5.6, 95% CI (1.7, 19.2)]. Conclusion. Despite the use of ART, the burden of cognitive impairment among HIV patients was high. Older age, khat chewing, advanced stage of the disease, and higher viral load were the independent factors associated with cognitive impairment. Thus, continuous screening of cognitive impairment, identification of the possible risk factors, and proper management strategy should be designed.
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Zegeye, Elias Asfaw, Josue Mbonigaba, and Sylvia Blanche Kaye. "Economic costs of patients attending the Prevention of Mother-to-Child Transmission of HIV/AIDS (PMTCT) services in Ethiopia : urban-rural setting." Acta Universitatis Danubius. Oeconomica 12, no. 4 (2016): 191–207. http://dx.doi.org/10.51415/10321/2974.
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Economic analyses of patients’ costs are pertinent to improve effective healthcare services including the prevention of mother-to-child HIV/AIDS transmission (PMTCT). This study assessed the direct and non-direct medical costs borne by pregnant women attending PMTCT services in urban (high-HIV prevalence) and rural (low-HIV prevalence) settings, in Ethiopia. Patient-level direct medical costs and direct non-medical data were collected from HIV-positive pregnant women in six regions. The cost estimation was classified as direct medical (service fee, drugs and laboratory) and direct non-medical (food, transportation and accommodation). The mean direct medical expense per patient per year was Ethiopian birr (ETB) 746 (US$ 38) in the urban settings, as compared to ETB 368 (US$ 19) in the rural settings. On average, a pregnant woman from urban and rural catchments incurred direct non-medical costs of ETB 6,435 (US$ 327) and ETB 2,154 (US$ 110) per year, respectively. On average, non-medical costs of friend/relative/guardian were ETB 2,595 (US$ 132) and ETB 2,919 (US$ 148.39) in the urban and rural settings, respectively. Although the PMTCT service is provided free of charge, HIV-positive pregnant women and infant pairs still face a substantial amount of out-of-pocket spending due to direct medical and non-medical costs.
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Gedefie, Alemu, Aderaw Adamu, Ermiyas Alemayehu, Yeshimebet Kassa, and Melaku Ashagrie Belete. "Hepatitis C Virus Infection among HIV-Infected Patients Attending Dessie Referral Hospital, Northeastern Ethiopia." International Journal of Microbiology 2021 (January 22, 2021): 1–7. http://dx.doi.org/10.1155/2021/6675851.
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Objective. Hepatitis C Virus (HCV) and Human Immunodeficiency Virus (HIV) coinfection increases the incidence of end-stage liver disease which is more severe in immune-compromised HIV-infected patients than HCV infection alone. The aim of this study was to assess HCV infection and the associated risk factors among HIV/AIDS patients attending Dessie Referral Hospital, Northeastern Ethiopia. Methods. A hospital-based cross-sectional study was conducted among 249 HIV-infected adults selected by a systematic random sampling technique from January to March 2018. A structured questionnaire was used to collect sociodemographic and risk factor data. Moreover, the blood specimen was collected and tested for CD4 count and anti-HCV antibody detection according to standard operating procedures. The data obtained were entered into SPSS version 20, and descriptive statistics, bivariate and multivariate logistic regression analyses were performed. APvalue ≤0.05 with a corresponding 95% confidence interval was considered as statistically significant. Result. Of a total of 249 HIV-infected study subjects, 120 (48.2%) were male and 129 (51.8%) were females, while the mean (±SD) age and CD4+ cells/mm3 were 39.10 (±11.507) years and 316.08 + 290.607 cells/mm3, respectively. Anti-HCV antibody was detected in 13 (5.2%) patients with higher prevalence rate found in malesP=0.078and elders >50 years of ageP=0.013than their counterparts. Age group of >50 years of age (AOR = 9.070, 95% CI: 1.578, 52.117,P=0.013), longer duration of HIV treatment (AOR = 5.490, 95% CI: 1.341, 34.458,P=0.041), WHO clinical stage III/IV (AOR = 12.768, 95% CI: 2.293, 71.106,P=0.004), previous history of hospitalization (AOR = 10.234, 95% CI: 2.049, 51.118,P=0.005), tooth extraction (AOR = 6.016, 95% CI: 1.137, 36.837,P=0.048), and liver disease (AOR = 11.398, 95% CI: 1.275, 101.930,P=0.029) were statistically significant predictors of HCV infection. Conclusion. The prevalence of HCV infection is still higher and causes concern. Therefore, screening of these high-risk groups should be critical to reduce mortality and to improve clinical outcomes.
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Yilma, Temesgen Aferu, Gebremedhin Beedemariam Gebretekle, and Teferi Gedif Fenta. "Patient Satisfaction with HIV/AIDS Services in Health Centers of East Shoa Zone, Oromia, Ethiopia: A Cross-Sectional Study." Health Services Insights 14 (January 2021): 117863292110031. http://dx.doi.org/10.1177/11786329211003106.
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Human Immunodeficiency Virus/Acquired Immune Deficiency Syndrome (HIV/AIDS) is a major public health, social, and economic problem in Ethiopia. Even though the government is working to scale up Anti-Retroviral Therapy (ART) services, patient loss to follow-up and ensuring adherence to ART regimens remain major challenges of the ART program in the country; little has also been done on the assessment of patient satisfaction on different HIV/AIDS service dimensions. This study aimed at assessing patient satisfaction with HIV/AIDS services in health centers of East Shoa Zone, Oromia region, Ethiopia. The study employed a cross-sectional survey between February and May 2017. Data was collected through exit interviews using five-point Likert scale-based questions and analyzed using Statistical Package for Social Sciences (SPSS) version 20. The overall mean patient satisfaction score was 3.16 (SD = 0.87) on a 1 to 5 scale. Availability of anti-Tuberculosis (anti TB) drugs in pharmacy was an item with the highest mean satisfaction score (4.18 ± 0.61) while waiting time to get pharmacy service was ranked least by the patients (mean score of 1.92, SD = 0.81). Merchants and students were more likely to be satisfied compared to other occupational groups. Overall, there was a wider gap in the study facilities concerning patient satisfaction and, therefore, health facility managers, Zonal and Woreda health offices, and Oromia Region Health Bureau should work in collaboration with other stakeholders to improve patient satisfaction with items for which the satisfaction score was low.
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Belachew, Sewunet Admasu, Adeladlew Kassie Netere, Amanual Getnet Mersha, Sileshi Ayele Abebe, Abebe Basazn Mekuria, and Daniel Asafw Erku. "Comprehensive Knowledge and Uptake of Cervical Cancer Screening Is Low Among Women Living With HIV/AIDS: The Case of Northwestern Ethiopia." Journal of Global Oncology 4, Supplement 1 (March 2018): 8s. http://dx.doi.org/10.1200/jgo.18.10000.
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Abstract 1 Purpose In Ethiopia, cervical cancer is the second most common type of cancer in women, and is approximately 8 times more common in HIV-infected women; however, data on the knowledge of HIV-infected women of cervical cancer and the acceptability of screening is scarce in Ethiopia. The current study aimed to assess the level of knowledge of cervical cancer and the uptake of screening among HIV-infected women in Gondar in northwestern Ethiopia. Methods A cross-sectional, questionnaire-based survey was conducted in 302 HIV-infected women who attended the outpatient clinic of the University of Gondar referral and teaching hospital from March 1, 2017, to March 30, 2017. Descriptive statistics and univariable and multivariable logistic regression analyses were also performed to examine factors that are associated with the uptake of cervical cancer screening service. Results Overall, only 64 respondents (21.2%) were knowledgeable about cervical cancer and screening, and only 71 respondents (23.5%) underwent screening in their lifetimes. Age between 21 years and 29 years (adjusted odds ratio [AOR], 2.78; 95% CI, 1.71 to 7.29), perceived susceptibility to the development of cervical cancer (AOR, 2.85; 95% CI, 1.89 to 6.16), and comprehensive knowledge of cervical cancer (AOR, 3.02; 95% CI, 2.31 to 7.15) were found to be strong predictors of cervical cancer screening service uptake. Conclusion Knowledge and uptake of cervical cancer screening among HIV-infected women was found to be poor. Taking into consideration the heightened importance of comprehensive knowledge for increasing the number of participants in cervical cancer screening services, different stakeholders working on cancer and HIV/AIDS should provide a customized health promotion intervention for, and create awareness among, HIV-infected women, as well as improve the accessibility of cervical cancer screening services in rural areas. AUTHORS' DISCLOSURES OF POTENTIAL CONFLICTS OF INTEREST No COIs from the authors.
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Endalamaw, Demeke, Anteneh Amsalu, Sirak Biset, Feleke Mekonnen, Melashu Balew, and Setegn Eshetie. "Extended-Spectrum β-Lactamases-Producing Enterobacteria and Antimicrobial Resistance Pattern among HIV/AIDS Patients in the University of Gondar Specialized Hospital, Ethiopia." Recent Advances in Biology and Medicine 6 (2020): 1. http://dx.doi.org/10.18639/rabm.2020.964046.
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There is growing evidence indicating that drug-resistant bacteria notably Extended spectrum β-lactamases producing Enterobacteria are greatly implicated in immunocompromised groups namely HIV-infected patients. Little is known about the burden of ESPL-E in places where HIV infection is rampant. Therefore, the study was aimed to assess the prevalence, antimicrobial resistance pattern of ESPL-E among HIV/AIDS patients. A cross-sectional study was conducted among HIV/AIDS patients seeking Antiretroviral Treatment (ART) service at the University of Gondar Hospital from February–May, 2017. The pretested and -structured questionnaire was used to collect data on sociodemographic and clinicalrelated factors. Clean catch midstream urine samples were collected and cultured in line with standard procedures. The drug susceptibility testing was performed by Kirby Bauer disc diffusion method. Extended-spectrum β-lactamase (ESBL) detection was performed using a doubledisc synergy test and combined disc methods. Data entry and analysis were performed using SPSS version 20. Among a total of 387 HIV/AIDS patients, 42 (10.9%) Enterobacteria uropathogens were identified. Among these isolates, nine (21.4%) were ESBL producers. The highest prevalence of ESBL production was Escherichia coli (44.4%) followed by Klebsiella pneumoniae (22.2%) and Enterobacter spp. (22.2%). Higher drug resistance rates were observed among ESBL-producing isolates compared to ESBL-nonproducing isolates. Amox-clavulanic (100%), ampicillin (95%), cotrimoxazole (74%), cefotaxime (88.9%), and ceftazidime (88.9%) had high resistance rates to Extended spectrum β-lactamases producing Enterobacteria. The overall prevalence of multidrug resistance of all isolates was 92.9%, and all the ESBL isolates were multidrug resistant. Therefore, antimicrobial stewardship programs needed to be promoted for the rational use of drugs especially in the management of HIV/AIDS patients.
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Gurmu, Eshetu, and Dula Etana. "HIV/AIDS knowledge and stigma among women of reproductive age in Ethiopia." African Journal of AIDS Research 14, no. 3 (July 3, 2015): 191–99. http://dx.doi.org/10.2989/16085906.2015.1051066.
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Susuman, A. S. "SP3-6 Adolescent sexual behaviour and HIV/AIDS in Ethiopia: epidemiological perspectives." Journal of Epidemiology & Community Health 65, Suppl 1 (August 1, 2011): A410. http://dx.doi.org/10.1136/jech.2011.142976o.6.
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Beyene Gebrezgiabher, Berhe, Teklehaymanot Huluf Abraha, Etsay Hailu, Hailay Siyum, Getachew Mebrahtu, Berihu Gidey, Mebrahtu Abay, Solomon Hintsa, and Teklit Angesom. "Depression among Adult HIV/AIDS Patients Attending ART Clinics at Aksum Town, Aksum, Ethiopia: A Cross-Sectional Study." Depression Research and Treatment 2019 (February 3, 2019): 1–8. http://dx.doi.org/10.1155/2019/3250431.
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Background. Depression is consistently associated with increased risk of Human Immunodeficiency Virus infection and poor antiretroviral treatment adherence. Though many factors have been reported as determinant factors of depression, site-specific evidence is needed to identify factors associated with depression among adults on antiretroviral treatment. Methods. An institution based cross-sectional study was carried out from March to May 2015 among 411 adults HIV/AIDS patients on ART clinic follow-up. Participants were selected using systematic random sampling techniques. Data were collected using chart review and interviewer- administered techniques. Both bivariable and multivariable logistic regressions were used to compute the statistical test associations by SPSS version-20. Variables with p value < 0.05 were considered as statistically significant. Results. Four hundred eleven patients with a mean age ± Standard Deviation of 36.1±9.2 years and with a total response rate of 97.6% were enrolled in the study. The prevalence of depression was 14.6% (95% CI, 10.90-18.2). Factors independently associated with depression were nonadherence to ART, eating two meals per day or less, having side effect of ART medication, being in the WHO Stage II or above of HIV/AIDS, and living alone with AOR (95% CI) of 3.3 (1.436, 7.759), 2.8 (1.382, 5.794), 4.7 (1.317, 16.514), 2.8 (0.142, 0.786), and 2.4 (1.097, 5.429), respectively. Conclusion. Though the magnitude of depression was found relatively low, it was commonly observed as a mental health problem among adult patients with HIV/AIDS on ART. Programs on counseling and close follow-up of adherence to ART, drug side effects, and nutrition should be strengthened. Health facilities should link adult patients with HIV/AIDS who live alone to governmental and nongovernmental social supporter organizations.