Constance Enongene-Kome, Ngouakam Hermann, Thomas Egbe Obinchemti, Nsagha Dickson Shey
Department of Public Health and Hygiene, Faculty of Health Sciences, University of Buea, Buea, Cameroon.
Department of Gynecology and Obstetrics, Faculty of Health Sciences, University of Buea, Buea, Cameroon.
Pan Afr Med J. 2019 May 16;33:32. doi: 10.11604/pamj.2019.33.32.17174. eCollection 2019.
Antiretroviral therapy (ART) is vital for people living with HIV (PLWHIV) and a substantial number of HIV/AIDS patients still face stigmatization from family and other members of the community. Stigma could lead to poor retention in HIV care and consequently result in decreased chances of survival and increased risk of HIV transmission. The aim of this study was to determine the retention of patients in HIV care and community participation in the retention of patients in HIV care at the Muyuka Health District, South-West Region, Cameroon.
This was an analytic cross-sectional retrospective study where 385 hospital records of people living with HIV (PLWHIV) enrolled in HIV care were reviewed, and we administered 348 questionnaires to community members. Data were collected and analysed using bivariate analysis and chi-square test. The Susan Rifkin's scoring method was used to measure community participation. Statistical significance was set at P-value < 0.05.
A total number of 112(29.1%) of people living with HIV (PLWHIV) enrolled in HIV care were retained in HIV care against 273(70.9%), who were lost to follow-up over a two year and four months period. Patients on a Zidovudine containing ART regimen were about 7 times more likely to be lost to follow-up (OR 6.92; 95% CI 1.80-26.60, P-value = 0.005). The overall community participation in the retention of adults in HIV care in the Muyuka Health District was low; mean resource allocation score = 2.43, mean leadership score = 1.0; mean organization factor score = 1.30; but the mean needs assessment score was good (4.0).
retention of patients enrolled in HIV care, and the community participation in the retention were low. Collaborations between health care structures and community initiatives should be resourced to foster continuum of care for people living with HIV (PLWHIV).
抗逆转录病毒疗法（ART）对艾滋病毒感染者（PLWHIV）至关重要，然而仍有相当数量的艾滋病毒/艾滋病患者面临来自家庭和社区其他成员的污名化。污名化可能导致艾滋病毒护理的留存率低，从而导致生存机会降低和艾滋病毒传播风险增加。本研究的目的是确定喀麦隆西南地区穆尤卡卫生区艾滋病毒护理患者的留存率以及社区参与艾滋病毒护理患者留存的情况。
这是一项分析性横断面回顾性研究，回顾了385份登记接受艾滋病毒护理的艾滋病毒感染者（PLWHIV）的医院记录，并向社区成员发放了348份问卷。使用双变量分析和卡方检验收集和分析数据。采用苏珊·里夫金的评分方法来衡量社区参与度。统计学显著性设定为P值<0.05。
在登记接受艾滋病毒护理的艾滋病毒感染者（PLWHIV）中，共有112人（29.1%）在两年零四个月的时间里仍留在艾滋病毒护理中，而273人（70.9%）失访。接受含齐多夫定抗逆转录病毒治疗方案的患者失访可能性高出约7倍（比值比6.92；95%置信区间1.80 - 26.60，P值 = 0.005）。穆尤卡卫生区社区对艾滋病毒护理中成人留存的总体参与度较低；平均资源分配得分 = 2.43，平均领导得分 = 1.0；平均组织因素得分 = 1.30；但平均需求评估得分良好（4.0）。
登记接受艾滋病毒护理的患者留存率以及社区对留存的参与度较低。应提供资源以促进卫生保健机构与社区倡议之间的合作，为艾滋病毒感染者（PLWHIV）提供持续护理。
