HIV and/or AIDS-related deaths and modifiable risk factors: a descriptive study of medical admissions at Oshakati Intermediate Hospital in Northern Namibia
Afr. j. prim. health care fam. med. (Online)
; 7(1): 1-7, 2015. tab
Article
in English
| AIM
| ID: biblio-1257807
Responsible library:
CG1.1
ABSTRACT
Background:
High rates of HIV infection have decreased life expectancy in many African countries. Regardless of worldwide efforts to escalate treatment; care and prevention strategies; the number of deaths due to AIDS-related disorders is still high. Local healthcare workers suspect that there are modifiable factors in the care of HIV and/or AIDS patients which can be identified and improved.Aim:
To describe the HIV and/or AIDS-related causes of adult mortality and identify modifiable factors amongst patients admitted to Oshakati Intermediate Hospital; northern Namibia.Methods:
Data was extracted retrospectively and coded using the modified CoDe protocol for AIDS. Modifiable factors relating to the patient; health system or clinical care were identified using a standardised data collection tool.Results:
A total of 177 HIV and/or AIDS patients were identified; 94 (53.1%) were male and 120 (68%) had a CD4 count of less than 200 cells/mL. The common HIV-related causes of death were tuberculosis (25.9%); renal failure (15.8%); Pneumocystis jirovecii pneumonia (11.3%); cryptococcal meningitis (9%); HIV wasting syndrome (7.9%) and AIDS-defining malignancy (7.9%). The analysis revealed 281 modifiable factors; patient-related factors were the most common (153 [54.4%]); followed by health system factors (97 [34.5%]) and healthcare personnel factors (31 [11%]).Conclusion:
Our findings have highlighted the challenges in overall HIV and/or AIDS inpatient care and surrounding primary care facilities. The identification of specific modifiable factors can be used to reduce mortality by providing training as well as rational monitoring; planning and resource allocation
Full text:
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Index:
AIM (Africa)
Main subject:
Patient Admission
/
HIV Infections
/
Risk Factors
/
Cause of Death
/
Acquired Immunodeficiency Syndrome
/
Namibia
Type of study:
Etiology study
/
Practice guideline
/
Prognostic study
/
Risk factors
Country/Region as subject:
Africa
Language:
English
Journal:
Afr. j. prim. health care fam. med. (Online)
Year:
2015
Type:
Article
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