TRENDS IN HIV TREATMENT OUTCOMES AMONG ADULT INFECTED PATIENTS AT THE NYLON HEALTH DISTRICT, DOUALA
Abstract
The main aim of antiretroviral therapy is to avert morbidity and mortality associated with the human immune deficiency virus (HIV). In December 2016, the Ministry of Public Health in Cameroon, in partnership with WHO, revised its HIV guidelines to adopt a test and treatment strategy, broadening the eligibility for antiretroviral therapy (ART) to encompass all individuals living with HIV, irrespective of their CD4+ cell count, and recommending that ART commence within two weeks following an HIV diagnosis; this strategy has been operational in Cameroon since 2016. Gaining insights into patient profile trends and pinpointing predictors of negative outcomes are essential in enhancing the efficacy of HIV care and treatment programs.
The objective is to assess the trends in HIV treatment results among adult patients infected at the Nylon Health District in Douala within the framework of universal testing and treatment. A retrospective review of medical records involved 429 individuals who began ART between January 1, 2017, and December 31, 2017, at the Nylon District Hospital and CMA Soboum Health Center. Socio-demographic data, clinical traits, and HIV treatment results were collected using data extraction forms. Data analysis will utilize MS Excel and IBM SPSS Version 25.0, with findings presented through graphs and charts.
After four years, the adherence rate stood at 37.1%, retention rate at 53.4%, and the viral load suppression rate reached 96.3%. Participants older than 50 were significantly more likely, by a factor of 2, to demonstrate optimal ART adherence compared to younger individuals. Married participants were roughly twice as likely to remain in care after 48 months when compared to those in a concubine relationship.
Similarly, clients with a primary education level were approximately three times more likely to stay in care than those with informal education. Individuals living with HIV who engaged in care at WHO clinical stage III were three times more likely to continue care compared to those starting ART at disease stage IV.
The adherence rate and retention rate were low. The rate of viral load was high . Again age showed a significant association with adherence. Marital status, level of education, and WHO clinical stage showed a significant association with retention in care.
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| Project Details | |
| Department | Public Health |
| Project ID | PH0010 |
| Price | Cameroonian: 5000 Frs |
| International: $15 | |
| No of pages | 65 |
| Methodology | Descriptive |
| Reference | yes |
| Format | MS word & PDF |
| Chapters | 1-5 |
| Extra Content | table of content, questionnaire |
This is a premium project material, to get the complete research project make payment of 5,000FRS (for Cameroonian base clients) and $15 for international base clients. See details on payment page
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TRENDS IN HIV TREATMENT OUTCOMES AMONG ADULT INFECTED PATIENTS AT THE NYLON HEALTH DISTRICT, DOUALA
| Project Details | |
| Department | Public Health |
| Project ID | PH0010 |
| Price | Cameroonian: 5000 Frs |
| International: $15 | |
| No of pages | 65 |
| Methodology | Descriptive |
| Reference | yes |
| Format | MS word & PDF |
| Chapters | 1-5 |
| Extra Content | table of content, questionnaire |
Abstract
The main aim of antiretroviral therapy is to avert morbidity and mortality associated with the human immune deficiency virus (HIV). In December 2016, the Ministry of Public Health in Cameroon, in partnership with WHO, revised its HIV guidelines to adopt a test and treatment strategy, broadening the eligibility for antiretroviral therapy (ART) to encompass all individuals living with HIV, irrespective of their CD4+ cell count, and recommending that ART commence within two weeks following an HIV diagnosis; this strategy has been operational in Cameroon since 2016. Gaining insights into patient profile trends and pinpointing predictors of negative outcomes are essential in enhancing the efficacy of HIV care and treatment programs.
The objective is to assess the trends in HIV treatment results among adult patients infected at the Nylon Health District in Douala within the framework of universal testing and treatment. A retrospective review of medical records involved 429 individuals who began ART between January 1, 2017, and December 31, 2017, at the Nylon District Hospital and CMA Soboum Health Center. Socio-demographic data, clinical traits, and HIV treatment results were collected using data extraction forms. Data analysis will utilize MS Excel and IBM SPSS Version 25.0, with findings presented through graphs and charts.
After four years, the adherence rate stood at 37.1%, retention rate at 53.4%, and the viral load suppression rate reached 96.3%. Participants older than 50 were significantly more likely, by a factor of 2, to demonstrate optimal ART adherence compared to younger individuals. Married participants were roughly twice as likely to remain in care after 48 months when compared to those in a concubine relationship.
Similarly, clients with a primary education level were approximately three times more likely to stay in care than those with informal education. Individuals living with HIV who engaged in care at WHO clinical stage III were three times more likely to continue care compared to those starting ART at disease stage IV.
The adherence rate and retention rate were low. The rate of viral load was high . Again age showed a significant association with adherence. Marital status, level of education, and WHO clinical stage showed a significant association with retention in care.
Check out: Public Health Project Topics with Materials
This is a premium project material, to get the complete research project make payment of 5,000FRS (for Cameroonian base clients) and $15 for international base clients. See details on payment page
NB: It’s advisable to contact us before making any form of payment
Our Fair use policy
Using our service is LEGAL and IS NOT prohibited by any university/college policies. For more details click here
We’ve been providing support to students, helping them make the most out of their academics, since 2014. The custom academic work that we provide is a powerful tool that will facilitate and boost your coursework, grades, and examination results. Professionalism is at the core of our dealings with clients.
For more project materials and info!
Contact us here
OR
Click on the WhatsApp Button at the bottom left
