EVALUATION OF THE QUALITY MANAGEMENT OF HIV / AIDS IN HIV MANAGEMENT UNITS IN DSCHANG HEALTH DISTRICT: CASE OF DSCHANG DISTRICT HOSPITAL

James-Francis, Onohiol

EVALUATION OF THE QUALITY MANAGEMENT OF HIV / AIDS IN HIV MANAGEMENT UNITS IN DSCHANG HEALTH DISTRICT: CASE OF DSCHANG DISTRICT HOSPITAL

Monday, 18 August 2014

Exhibit hall (Dena'ina Center)

Sanou Sobze Martin, PhD , Faculty of Sciences; University of Dschang; Cameroon, Dschang, Cameroon

Fokam Joseph, PhD , Chantal Biya International Reference Centre (CIRCB) for research on HIV/AIDS prevention and management, Yaoundé, Cameroon;, Yaoundé, Cameroon

Nkamedjie Pete Patrick Martial, MPH , Faculty of Sciences; University of Dschang; Cameroon, Dschang, Cameroon

Ngahang Kamte Landry Stéphane, BS , Faculty of Sciences; University of Dschang; Cameroon, Dschang, Cameroon

Onohiol James-Francis, MPH , Faculty of Sciences; University of Dschang; Cameroon, Dschang, Cameroon

Bita Izacar Gael, BS , Faculty of Sciences; University of Dschang; Cameroon, Dschang, Cameroon

Fotso Jimmy, BS , Faculty of Sciences; University of Dschang; Cameroon, Dschang, Cameroon

Djeunang Dongho Ghyslaine Bruna, MPH , Faculty of Sciences; University of Dschang; Cameroon, Dschang, Cameroon

Russo Gianluca, PhD , University of Rome La Sapienza, Roma, Italy

INTRODUCTION: HIV / AIDS remains a major public health challenge, with the majority of cases found in the sub-Saharan region (69% in 2011). With a seroprevalence of 5, 1%, Cameroon has an average of 56.2% management units per district where about 76,228 HIV patients eligible for antiretroviral therapy (ART) follow up their treatment. For an effective fight against HIV / AIDS, a good quality management is essential.

METHODS: A descriptive cross-sectional study was conducted from September 16 to November 29; 2013 on 308 PLHIV at the Dschang district hospital management unit. A pretested standard questionnaire was administered; data entry and analysis performed using Epi Info software, version 3.5.3.

RESULTS: The mean age of participants was 39.8 (SD = 11.4) years with female predominance (73.5%). An increase in CD4 count from 196.5 / ml at the beginning of treatment to 432.9 /ml during the last count was observed with mean treatment duration =53, 27 (SD=76.86). 1, 4 % (4/ 308) of patients suffered from tuberculosis since the beginning of treatment. 98.9 % of patients confirmed ART was free of charge. In addition to receiving advice (92.4% of patients), 24.6 % received home visits by a health personnel .71 % (219/308) said they were satisfied with their management. The percentage of patients often facing pill run out amounted to 17.7% with 12.4 %, 1.7 % and 0.6% skipping their medication1-5 times, 5-10 times and 10 times respectively during the previous month with shortage at the hospital cited as major reason for 25 % of cases.

CONCLUSIONS: Free medication and counseling for the benefit of HIV patients remain essential elements for their management. However, continuous availability of antiretroviral drugs and home follow up would be assets that will help improve management quality.