dc.contributor.author | Ooga, Oghera W | |
dc.date.accessioned | 2016-04-21T11:28:50Z | |
dc.date.available | 2016-04-21T11:28:50Z | |
dc.date.issued | 2015 | |
dc.identifier.uri | http://hdl.handle.net/11295/94603 | |
dc.description.abstract | HIV-AIDS remains a major public health issue in Kenya with a prevalence of 5.3% and
contributing to 29% of annual mortality. Despite marked improvement in the provision for care
and treatment a search for improvement of the current care and treatment programs will lead to
better health outcomes.
Purpose: Various factors influence the prognosis of HIV disease however minimal research
has been conducted to determine how the information gathered on enrollment influence the
illness prognosis. The early identification of how this information can inform disease prognosis
will aid in improving management strategies and increase quality of life of the HIV infected.
The aim of this research was to determine how the collected information influence times to
HAART eligibility and determine factors that influence this duration.
Materials and methods: The study was a retrospective cohort study that was carried out in the
Bondo sub county hospital CCC. Primary data was collected from patient treatment files, in the
period beginning January 2013 to December 2014 in to the data collection forms then entered
into Microsoft excel, cleaned and transferred to Stata 13 for survival analysis.
Results: In the study period 2015 patients were enrolled and 164 (female=93, male =71)
satisfied the inclusion and exclusion criteria. The medium survival time was 65days. The WHO
stage of enrollment (p-value <0.0000) and age of enrollment (p-value 0.006) were found to be
the major determinants of the time to HAART eligibility.
Discussion: The WHO stages of enrollment and age of enrollment were strongly associated
with HIV prognosis and this could be attributed to level of immune status which is affected by
both this factors.
Conclusion: Age of enrollment and WHO stage of enrollment were the main variables
captured in MOH 257 that inform on HIV-HAART naïve disease progression to HAART
eligibility.
Recommendation: This study needs to be done in a prospective study incorporating time
dependent covariates so as to give a clear picture of the other covariates not picked in this
study | en_US |
dc.language.iso | en | en_US |
dc.subject | GBV determinants of survival of HIV-haart naive patients | en_US |
dc.title | GBV determinants of survival of HIV-haart naive patients to haart initiation at bondo sub-county hospital: a two year retrospective cohort study. | en_US |
dc.type | Thesis | en_US |
dc.description.department | a
Department of Psychiatry, University of Nairobi, ; bDepartment of Mental Health, School of Medicine,
Moi University, Eldoret, Kenya | |