Alemayehu Mekuriaw, Wubshet Mamo, Mesfin Nebiyu, Gebayehu Abebaw
Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Northwest Ethiopia, P. O. Box - 196, Gondar, Ethiopia.
Department of Public Health, St. Paul's Hospital Millennium Medical College, Addis Ababa, Ethiopia.
BMC Public Health. 2017 Feb 16;17(1):204. doi: 10.1186/s12889-017-4132-z.
There is paucity of data on quality of life as a dimension of treatment outcome among Visceral Leishmaniasis and HIV coinfected patients. This study sought to explore perceived quality of life among Visceral Leishmaniasis and HIV coinfected male migrant workers in Northwest Ethiopia.
Twenty Visceral Leishmaniasis and HIV coinfected study participants took part in the in-depth interviews at Visceral Leishmaniasis and HIV treatment centers. Ten participants were on antiretroviral treatment (ART) and the remaining 10 have not yet started ART. All interviews were recorded, transcribed and translated for analysis. Data were analyzed by qualitative content analysis using Open Code software version 3.4.
Participants reported on four aspects of quality of life: liveability of the environment, utility of life, life ability of a person and appreciation of life. Respondents living environment, therapeutic side effects of Visceral Leishmaniasis drugs, poverty and stigma negatively affected their quality of life. On the contrary, good treatment response and financial security were reported to positively affect their quality of life.
Challenges related to the living environment, financial limitations and sub-optimal response of Visceral Leishmaniasis drug and relapse of Visceral Leishmaniasis disease are factors most negatively affecting the quality of life of Visceral Leishmaniasis and HIV coinfected patients. Micro-financing and other socio-economical support programs should be launched to assist the unemployed males migrating to Visceral Leishmaniasis endemic and relatively higher HIV prevalent areas to work as daily laborers. HIV prevention programs in HIV positive-living counseling programs should target such high risk migrant workers in the endemic areas.
关于内脏利什曼病和艾滋病毒合并感染患者治疗结果维度中的生活质量数据匮乏。本研究旨在探索埃塞俄比亚西北部内脏利什曼病和艾滋病毒合并感染的男性农民工的感知生活质量。
20名内脏利什曼病和艾滋病毒合并感染的研究参与者在内脏利什曼病和艾滋病毒治疗中心参加了深入访谈。10名参与者正在接受抗逆转录病毒治疗（ART），其余10名尚未开始ART。所有访谈均进行记录、转录和翻译以供分析。使用Open Code软件3.4版本通过定性内容分析对数据进行分析。
参与者报告了生活质量的四个方面：环境宜居性、生活效用、个人生活能力和对生活的欣赏。受访者的生活环境、内脏利什曼病药物的治疗副作用、贫困和耻辱感对他们的生活质量产生了负面影响。相反，良好的治疗反应和经济保障据报告对他们的生活质量产生了积极影响。
与生活环境、经济限制、内脏利什曼病药物反应欠佳以及内脏利什曼病复发相关的挑战是最严重负面影响内脏利什曼病和艾滋病毒合并感染患者生活质量的因素。应启动小额融资和其他社会经济支持项目，以帮助迁移到内脏利什曼病流行且艾滋病毒患病率相对较高地区的失业男性作为日工工作。艾滋病毒阳性生活咨询项目中的艾滋病毒预防项目应针对这些流行地区的高风险农民工。
