Perceived quality of life among Visceral Leishmaniasis and HIV coinfected migrant male-workers in Northwest Ethiopia: a qualitative studyReport as inadecuate




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BMC Public Health

, 17:204

Infectious Disease epidemiology

Abstract

BackgroundThere 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.

MethodsTwenty 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.

ResultParticipants 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.

ConclusionChallenges 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.

KeywordsQuality of life Qualitative study Visceral Leishmaniasis HIV coinfection AbbreviationsARTAntiretroviral therapy

ARVAntiretroviral

HIVHuman immunodeficiency virus

HRQoLHealth related quality of life

IDIsIn depth interviews

PIPrincipal Investigator

PLHAPeople living with HIV-AIDS

QoLQuality of life

SSGStibogluconate

VLVisceral Leishmaniasis

WHOWorld Health Organization





Author: Mekuriaw Alemayehu - Mamo Wubshet - Nebiyu Mesfin - Abebaw Gebayehu

Source: https://link.springer.com/



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