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Academic literature on the topic 'Management and treatment of HIV and AIDS (CCMT) programme'
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Journal articles on the topic "Management and treatment of HIV and AIDS (CCMT) programme"
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Firnhaber, Cynthia S., and Prue Ive. "Hepatitis B and HIV co-infection in South Africa: Just treat it!" Southern African Journal of HIV Medicine 10, no. 1 (March 23, 2009): 4. http://dx.doi.org/10.4102/sajhivmed.v10i1.998.
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There are an estimated 350 million hepatitis B carriers worldwide. The prevalence of mono-infection with hepatitis B in South Africa has been estimated at approximately 10% for the rural population and 1% in urban areas. The transmission routes of hepatitis B and HIV are similar, but hepatitis B is more efficient. Co-infection with HIV and hepatitis B is therefore not unusual. Recent studies have shown that the prevalence of HIV/HBV co-infection (using HBV surface antigen (HBsAg) as a marker for HBV) in South Africa ranges from 4.8% to 17%, depending on the population studied.The guidelines for the South African HIV Comprehensive Care, Management and Treatment (CCMT) programme do not include viral hepatitis studies. Hepatitis B serology is usually done only if serum aminotransferases are evaluated in the absence of another known cause (e.g. tuberculosis and concomitant medications). The clinical sequelae of HIV/HBV co-infection are multiple and can cause an increase in morbidity and mortality. Awareness of HBV/HIV co-infection with appropriate diagnosis and management is imperative for improved care of our HIV patients.
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Ganesh, Shayhana, Renitha Rampersad, and Nirmala Dorasamy. "A Review of Quality Management Systems in South African HIV-AIDS Programmes: A Pre-Requisite for Sustainable Health Delivery." Journal of Economics and Behavioral Studies 9, no. 1(J) (March 12, 2017): 135–40. http://dx.doi.org/10.22610/jebs.v9i1(j).1564.
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The global commitment to end HIV-AIDS is a bold one; requiring a multi-sectoral response strongly embedded within effective HIV-AIDS prevention efforts, patient advocacy and effective healthcare programme delivery. UNAIDS estimates that, of the 36.7 million individuals infected with HIV-AIDS globally, 19.1 million reside in South Africa (UNAIDS Gap report, 2016).In addition, approximately 2.1 million new HIV infections occurred in 2015 with almost 960 000 of those occurring in South Africa signalling that the rates of infections are not dropping as expected (UNAIDS Gap report, 2016). Given the unrelenting nature of this disease burden, even greater efforts are now required to turn the tide on HIV-AIDS globally, but more so in South Africa. These efforts entail more effective HIV-AIDS service delivery with combination prevention modalities, access to HIV-AIDS treatment and care, harm reduction of HIV-AIDS stigma and discrimination together with HIV-AIDS education, awareness and advocacy. Enhancing HIV-AIDS service delivery requires strong commitment with implementation of quality management systems in programme service delivery resulting in sustainable, effective and well run HIV-AIDS programmes. Quality management systems in HIV-AIDS programmes allow programmes to successfully meet their objectives thus allowing optimal patient care through effective and efficient means. To date there has been minimal implementation of quality systems in healthcare especially in South Africa. The use of health quality tools and systems in HIV-AIDS programmes locally and globally will allow for efficient and cost effective benefits for the optimal wellbeing of all those affected and infected by HIV-AIDS. This article reviews available data on the prevalence of quality management systems in HIV-AIDS healthcare and identifies gaps and smart practises towards recommendations for comprehensive global HIV-AIDS standards development.
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Ganesh, Shayhana, Renitha Rampersad, and Nirmala Dorasamy. "A Review of Quality Management Systems in South African HIV-AIDS Programmes: A Pre-Requisite for Sustainable Health Delivery." Journal of Economics and Behavioral Studies 9, no. 1 (March 12, 2017): 135. http://dx.doi.org/10.22610/jebs.v9i1.1564.
Full textAbstract:
The global commitment to end HIV-AIDS is a bold one; requiring a multi-sectoral response strongly embedded within effective HIV-AIDS prevention efforts, patient advocacy and effective healthcare programme delivery. UNAIDS estimates that, of the 36.7 million individuals infected with HIV-AIDS globally, 19.1 million reside in South Africa (UNAIDS Gap report, 2016).In addition, approximately 2.1 million new HIV infections occurred in 2015 with almost 960 000 of those occurring in South Africa signalling that the rates of infections are not dropping as expected (UNAIDS Gap report, 2016). Given the unrelenting nature of this disease burden, even greater efforts are now required to turn the tide on HIV-AIDS globally, but more so in South Africa. These efforts entail more effective HIV-AIDS service delivery with combination prevention modalities, access to HIV-AIDS treatment and care, harm reduction of HIV-AIDS stigma and discrimination together with HIV-AIDS education, awareness and advocacy. Enhancing HIV-AIDS service delivery requires strong commitment with implementation of quality management systems in programme service delivery resulting in sustainable, effective and well run HIV-AIDS programmes. Quality management systems in HIV-AIDS programmes allow programmes to successfully meet their objectives thus allowing optimal patient care through effective and efficient means. To date there has been minimal implementation of quality systems in healthcare especially in South Africa. The use of health quality tools and systems in HIV-AIDS programmes locally and globally will allow for efficient and cost effective benefits for the optimal wellbeing of all those affected and infected by HIV-AIDS. This article reviews available data on the prevalence of quality management systems in HIV-AIDS healthcare and identifies gaps and smart practises towards recommendations for comprehensive global HIV-AIDS standards development.
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Magoro, Mmbangiseni, Muhammad Hoque, and Hendry van der Heever. "ART patients’ satisfaction level regarding comprehensive HIV and AIDS care management and antiretroviral treatment programme in pretoria." Southern African Journal of Epidemiology and Infection 27, no. 2 (January 2012): 71–75. http://dx.doi.org/10.1080/10158782.2012.11441488.
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Leone, Massimo, Fausto Ciccacci, Stefano Orlando, Sandro Petrolati, Giovanni Guidotti, Noorjehan Abdul Majid, Victor Tamba Tolno, et al. "Pandemics and Burden of Stroke and Epilepsy in Sub-Saharan Africa: Experience from a Longstanding Health Programme." International Journal of Environmental Research and Public Health 18, no. 5 (March 9, 2021): 2766. http://dx.doi.org/10.3390/ijerph18052766.
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Eighty percent of people with stroke live in low- to middle-income nations, particularly in sub-Saharan Africa (SSA) where stroke has increased by more than 100% in the last decades. More than one-third of all epilepsy−related deaths occur in SSA. HIV infection is a risk factor for neurological disorders, including stroke and epilepsy. The vast majority of the 38 million people living with HIV/AIDS are in SSA, and the burden of neurological disorders in SSA parallels that of HIV/AIDS. Local healthcare systems are weak. Many standalone HIV health centres have become a platform with combined treatment for both HIV and noncommunicable diseases (NCDs), as advised by the United Nations. The COVID-19 pandemic is overwhelming the fragile health systems in SSA, and it is feared it will provoke an upsurge of excess deaths due to the disruption of care for chronic diseases such as HIV, TB, hypertension, diabetes, and cerebrovascular disorders. Disease Relief through Excellent and Advanced Means (DREAM) is a health programme active since 2002 to prevent and treat HIV/AIDS and related disorders in 10 SSA countries. DREAM is scaling up management of NCDs, including neurologic disorders such as stroke and epilepsy. We described challenges and solutions to address disruption and excess deaths from these diseases during the ongoing COVID-19 pandemic.
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Saha, Shubhankar, and Priti Kumar Roy. "A Comparative Study Between Two Systems with and Without Awareness in Controlling HIV/AIDS." International Journal of Applied Mathematics and Computer Science 27, no. 2 (June 27, 2017): 337–50. http://dx.doi.org/10.1515/amcs-2017-0024.
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AbstractIt has always been a priority for all nations to reduce new HIV infections by implementing a comprehensive HIV prevention programme at a sufficient scale. Recently, the ‘HIV counselling & testing’ (HCT) campaign is gaining public attention, where HIV patients are identified through screening and immediately sent under a course of antiretroviral treatment (ART), neglecting the time extent they have been infected. In this article, we study a nonlinear mathematical model for the transmission dynamics of HIV/AIDS system receiving drug treatment along with effective awareness programs through media. Here, we consider two different circumstances: when treatment is only effective and when both treatment and awareness are included. The model is analyzed qualitatively using the stability theory of differential equations. The global stabilities of the equilibria under certain conditions are determined in terms of the model reproduction number. The effects of changes in some key epidemiological parameters are investigated. Projections are made to predict the long term dynamics of the disease. The epidemiological implications of such projections on public health planning and management are discussed. These studies show that the aware populations were less vulnerable to HIV infection than the unaware population.
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Glencross, Deborah K., George Janossy, Lindi M. Coetzee, Denise Lawrie, Hazel M. Aggett, Lesley E. Scott, Ian Sanne, James A. McIntyre, and Wendy Stevens. "Large-scale affordable Panleucogated CD4+testing with proactive internal and external quality assessment: In support of the South African national comprehensive care, treatment and management programme for HIV and AIDS." Cytometry Part B: Clinical Cytometry 74B, S1 (2008): S40—S51. http://dx.doi.org/10.1002/cyto.b.20384.
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Assefa, Yibeltal, Abiyou Kiflie, Betru Tekle, Damen Haile Mariam, Marie Laga, and Wim Van Damme. "Effectiveness and Acceptability of Delivery of Antiretroviral Treatment in Health Centres by Health Officers and Nurses in Ethiopia." Journal of Health Services Research & Policy 17, no. 1 (January 2012): 24–29. http://dx.doi.org/10.1258/jhsrp.2011.010135.
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Objective The World Health Organization (WHO) recommends shifting tasks from physicians to lower cadres for the delivery of antiretroviral treatment (ART) for countries short of physicians. Our objective was to evaluate the effectiveness and acceptability of ART delivery by health officers and nurses in Ethiopia. Methods A retrospective cohort study to evaluate outcomes of ART services in 25 health centresstaffed with health officers and/or nurses and 30 hospitals staffed with physicians in 2009. Median CD4-cell counts, mortality, loss to follow-up and retention were the primary outcomes. Interviews and focus group discussions were conducted with people living with HIV/AIDS, AIDS programme managers and health care providers to identify the types and acceptability of the tasks conducted by the health officers, nurses and community health workers. Results Health officers and nurses were providing ART, including ART prescription, for non-severe cases. The management of severe cases was exclusively the task of physicians. Community health workers were involved in adherence counselling and defaulter tracing. The baseline median CD4-cell counts per micro-liter of blood were 117 (interquartiles [IQ] 64,188) and 119 (IQ 67,190) at health centres and hospitals respectively. After 24 months on ART, the median CD4-cell counts per micro-literof blood increased to 321 (IQ 242, 414) and 301 (IQ 217, 411) at health centres and hospitals respectively. Retention in care was higher in health centres (76%, 95% confidence interval [CI] [73%-79%]) than hospitals (67%, 95% CI [66%-68%]). This difference is mainly due to the higher loss to follow-up rate in hospitals (25% versus 13%). Mortality was higher in health centres than hospitals (11% versus 8%), but the difference is not statistically significant. Service delivery by non-physicians was accepted by patients, health care providers and programme managers. However, the absence of a regulatory framework for task shifting, the lack of extra remuneration for the additional roles assumed by nurses and health officers, and the high cost for training and mentorship were identified as weaknesses. Conclusion ART delivery in health centres, based on health officers and nurses is feasible, effective and acceptable in Ethiopia. However, issues related to regulation, remuneration and cost need to be addressed for the sustainable implementation of these delivery models.
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Jayawardena, KAS, C. Sarukkali, AKSB De Alwis, S. Samaraweera, D. Waidyaratne, S. Nawaratne, R. Perera, et al. "Patient Characteristics Associated with Non-Adherence to Anti Tuberculosis Treatment in Sri Lanka." SAARC Journal of Tuberculosis, Lung Diseases and HIV/AIDS 9, no. 2 (April 23, 2013): 19–25. http://dx.doi.org/10.3126/saarctb.v9i2.7974.
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Introduction: Sri Lanka had achieved a significant improvement in the tuberculosis control including a reduction of the default rate since introduction of the DOTS strategy to the National TB control Programme in 1997. Patients’ adherence to anti TB treatment may be measured using either process oriented or outcome oriented definitions. Default rate is an outcome oriented definition that may be used as an indicator of poor patient adherence to anti TB treatment. One of the main obstacles in achieving the best tuberculosis (TB) control is that patients do not complete full course of anti TB treatment. A prospective cohort study was carried out with the objective to identify patient characteristics that associate with defaulting anti tuberculosis treatment. Methodology: This was a prospective cohort study of new smear positive pulmonary tuberculosis patients registered for treatment between 1.6.2008 and 31.8.2008 in seven districts in Sri Lanka. Data on the patient characteristics and the plan of management were collected at the beginning of the treatment using a pre tested structured questionnaire. During the follow up and at the end of the treatment, results of sputum microscopy and the treatment outcome were recorded. The patients who interrupted treatment for 2 months or more (defaulters) during the course of treatment were again investigated in the field. In the statistical analysis, patient characteristics of the defaulters were compared with the characteristics of patients who were cured. Results: There were 22 defaulters giving a default rate of 4.59%. Being a male, poor educational background, having a casual job, regular smoking, and regular alcohol use were significantly associated with defaulting treatment (p < 0.05). Sinhalese had lower default rate than other ethnic groups. At the field investigation, 43% of the defaulters were found not living in the addresses given to the treatment providers. Field investigators have further reported that financial reasons, substance abuse, feeling well, and lack of family support also as causes of defaulting treatment. Conclusion: Identification of risk factors by careful patient interview, early home visit, and monitoring of patient behaviour early in the course of treatment will help to predict whether adherence is likely to be a problem. So that, the treatment provider will be able to arrange a flexible and patient centered approach to ensure maximum adherence. SAARC Journal of Tuberculosis, Lung Diseases & HIV/AIDS; 2012; IX(2) 19-25 DOI: http://dx.doi.org/10.3126/saarctb.v9i2.7974
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Kotzé, J. E., and T. McDonald. "An information system to manage the rollout of the antiretroviral treatment programme in the Free State." Curationis 33, no. 2 (September 28, 2010). http://dx.doi.org/10.4102/curationis.v33i2.1100.
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The Acquired Immune Deficiency Syndrome epidemic, caused by the Human Immunodeficiency Virus, is a global crisis which threatens development gains, economies, and societies. Within sub-Saharan Africa, where the epidemic began the earliest and the HIV prevalence is the highest, African countries have death rates not seen before. In South Africa the epidemic has a devastating impact which creates profound suffering on individuals and their families, and the impact on the socio-economic level is of great concern. The eradication of HIV/AIDS represents one of humanity’s greatest challenges, which requires co-operation and comprehensive collaboration between many different role players. In this endeavour clinical information plays a major role. To combat the effect of the disease, the Free State Department of Health started with the provisioning of antiretroviral therapy in the public health sector. The objective of this paper was to address the challenges they faced in order to develop and implement an information system to manage the rollout of antiretroviral treatment effectively. They started with a paper-based system to collect vital information. It was followed by a palm computer project that was initiated to electronically capture the data collected by the paper-based system. This system was then replaced by a comprehensive Hospital and Clinic Information System which was acquired and customised for the antiretroviral data collection process. Research partners developed a standalone antiretroviral data warehouse for collecting information associated with the monitoring and evaluation of the Free State antiretroviral and HIV/ AIDS treatment programme. The data warehouse successfully produced several management information reports to the antiretroviral management team. A need was identified to design a comprehensive antiretroviral data warehouse that will integrate data from several operational sources which are all associated with HIV/AIDS.
Dissertations / Theses on the topic "Management and treatment of HIV and AIDS (CCMT) programme"
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Magoro, Mmbangiseni Terrance. "An assessment of the experiences of patients on the comprehensive HIV and AIDS care management and treatment programme in Tshwane, Gauteng." Thesis, University of Limpopo (Medunsa Campus), 2009. http://hdl.handle.net/10386/250.
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Thesis (MPH)--University of Limpopo, 2009.Background In order to provide an assessment of experiences of patients on the Comprehensive HIV and AIDS Care Management and Treatment (CCMT) programme it is essential to ascertain how accessible the CCMT programme is, moreover, is it is critical to determine the level of quality and the extent in which patients are satisfied with service provided. The study investigated and described the experiences of patients on the Comprehensive HIV and AIDS Care Management and Treatment (CCMT) programme. Purpose The purpose of the research was addressed within a quantitative approach applying descriptive designs. A self-administered questionnaire was used to collect the data that fit the objectives of the research. In this study the population applied to patients who lives in the vicinity of Tshwane District, Pretoria West and Kalafong Hospitals; Method Systematic random sampling consisted of 402 patients on the CCMT programme in three hospitals namely Tshwane District, Pretoria West and Kalafong Hospitals. Eligible participants were those who were 18 years and older and have been on the CCMT programme for 6 months or longer. Data was captured on Microsoft Excel 2007 and descriptive statistics was analysed with Stata 10. Results In this study 415 interviews were secured in all three hospitals, A total of 415 questionnaires were distributed in all three hospitals where a response of 97% was obtained, which compares favorably with the experience of other researchers. Conclusion The study reveals that the CCMT programme in Tshwane District, Pretoria West, and Kalafong hospitals is being implemented in accordance with what has been prescribed in the operational plan for the comprehensive HIV and AIDS Care, Management and Treatment for South Africa as it is accessible, of good quality with patients that are generally satisfied with service provided. Key terms: HIV and AIDS, health care, accessibility, quality, management, guidelines.
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Cassim, Naseem. "Developing a laboratory based CCMT programme status reporting system in the Ekurhuleni Health District." Diss., 2013. http://hdl.handle.net/10500/13676.
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The purpose of this study was to develop a laboratory based Comprehensive Care, Management and Treatment of HIV and AIDS (CCMT) programme status reporting system using a methodological research study design. Quantitative data was collected using a request form and qualitative data was collected using structured questionnaires. For the study 1190 eligible CD4 samples were received, of which 1004 (84%) had a valid CCMT programme status. Overall 32% of the CD4 samples had a pre-ART status (n=383) and 52% had an ART status (n=621). The remaining 16% of CD4 samples (n=186) did not have a valid CCMT programme status. A pre-ART register was generated and assessed using a structured questionnaire. Based on the study findings a recommendation has been made to adopt the two-tick design for all NHLS request forms where programmatic data is collected. Additionally the CCMT programme status reporting system is recommended for rollout to other health districtsHealth Studies
M.A. (Public Health with specialisation in Medical Informatics)
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Ganesh, Shayhana. "Management of an HIV/AIDS wellness programme : a case study of the HIV Your life programme." Thesis, 2017. http://hdl.handle.net/10321/2529.
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Submitted in fulfilment of the requirements for the Degree of Doctor in Public Management, Durban Universit of Technology, 2017.HIV-AIDS has infected more than 37 million individuals globally and has resulted in approximately 35 million HIV-AIDS related deaths globally since its discovery 35 years ago. HIV-AIDS remains a global and local health crisis as, despite innovative and accessible HIV-AIDS prevention efforts, the disease continues to spread. UNAIDS estimated over 2 milliion new HIV-AIDS infections with 700 000 of these infections occurring in young African women in 2015, revealing that the burden of HIV-AIDS is far from over (UNAIDS, 2016). As more individuals become infected with HIV-AIDS, more infected individuals are living longer, productive lives due to the international rollout and scale-up of life-saving antiretroviral (ARV) therapy aimed at halting disease progression. In 16 years, the world has initiated over 16 million HIV-infected individuals onto ARV programmes across the world aimed at preserving first line drug effectiveness of treatment, less resistance and lower mortality and morbidity rates( UNAIDS, 2016). This number is set to double as countries across the globe take bold steps to provide ARV treatment for all, based on latest WHO guideline changes. The initiative of ARV roll out for all HIV-positive individuals globally, brings with it the challenges and complexities of infrastructure support, resource allocation, uninterrupted drug supply, global access and clinical training requirements for HIV-AIDS programmes across the globe. Quality management systems with monitoring and evaluation frameworks in particular play a pivotal role in planning, allocating and utilising resources for optimal health benefits.This research study reviews available data on the prevalence of quality management systems in HIV-AIDS healthcare and identifies gaps and smart practises towards recommendations for comprehensive global HIV-AIDS standards development. This research study aims to propose a conceptual monitoring and evaluation framework derived from quality management systems for management of HIV-AIDS private sector programmes that can be used in both public and private healthcare sectors through analysis of current conceptual frameworks in the HIV-AIDS healthcare and the HIV-AIDS programmes within the South African context of HIV-AIDS healthcare provision.
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Books on the topic "Management and treatment of HIV and AIDS (CCMT) programme"
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Zimbabwe. Office of the Comptroller and Auditor-General. Report of the Comptroller and Auditor-General on the management of HIV care and treatment programme by the Ministry of Health and Child Welfare: Presented to Parliament of Zimbabwe. Harare, Zimbabwe: Ministry of Health and Child Welfare, 2011.
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