Please wait, while we are loading the content...
Please wait, while we are loading the content...
| Content Provider | World Health Organization (WHO)-Global Index Medicus |
|---|---|
| Author | Harvey, K. M. Carrington, D. Duncan, J. Jackson, S. Manning, D. Hirschorn, L. Figueroa, J. P. |
| Spatial Coverage | Jamaica |
| Description | Country affiliation: Jamaica Responsible library: BR1.1 Author Affiliation: Harvey, KM ( Ministry of Health. National AIDS Programme. Kingston. JM); Carrington, D ( Ministry of Health. National AIDS Programme. Kingston. JM); Duncan, J ( Ministry of Health. National AIDS Programme. Kingston. JM); Jackson, S ( Ministry of Health. National AIDS Programme. Kingston. JM); Manning, D ( Ministry of Health. National AIDS Programme. Kingston. JM); Hirschorn, L ( Ministry of Health. National AIDS Programme. Kingston. JM); Figueroa, JP ( Ministry of Health. National AIDS Programme. Kingston. JM) |
| Abstract | BACKGROUND AND PURPOSE: Highly active antiretroviral therapy (HAART) has improved morbidity and mortality and quality of life, revitalized communities and transformed the perception of HIV/AIDS from being a 'death sentence' to a chronic illness. Strict and sustained adherence to medication is essential long-term viral suppression. In April 2005, an Adherence Support Programme was introduced to Jamaica's HIV Programme, whereby Persons Living with HIV/ AIDS (PLWHA) who had achieved high levels of adherence were trained to provide support to other PLWHA in order to increase their adherence to HAART regimens. METHODS: A cross-sectional survey of 116 individuals with advanced HIV and on HAART was performed in June and July 2006. RESULTS: Many participants were unemployed, poor persons with limited education. Based on self-report of seven-day adherence, 54.8% of persons were 95-100% adherent, 37.5% were 80-94% adherent and 7.7% were < 80% adherent. Having interacted with an adherence counsellor was not associated with adherence levels. Factors associated with nonadherence were: being away from home (38%), sleeping through dose-time (37%), forgetfulness (37%) and running out of pills (31%). Having no food (26.9%), not wanting to be seen taking medication (20%) and intolerable side effects (18.8%) were also reasons given. Only 44% of persons used aids to remind them of dose times. CONCLUSION: Adherence in this study group is low and may have worsened since 2005. More emphasis must be placed on preparing adults to start HAART. The use of pillboxes and other reminders such as alarm clocks and cell phones must be reinforced.(ANTECEDENTES Y PROPÓSITO: La terapia antiretroviral altamente activa (TARAA) ha producido un marcado mejoramiento en relación con la morbilidad y la mortalidad así como la calidad de la vida. Asimismo, ha revitalizado las comunidades y transformado la percepción del VIH/SIDA, de una 'sentencia de muerte' a una enfermedad crónica. La adhesión estricta y sostenida a la medicación es esencial para una supresión viral a largo plazo. En abril de 2005, se introdujo un Programa de Apoyo a la Adhesión como parte del Programa de VIH de Jamaica, mediante el cual personas que viven con VIH/SIDA (PVCVS) y que han alcanzado altos niveles de adhesión, fueron entrenadas con el fin de ayudar a otras PVCVS a aumentar su adhesión a los regimenes de TARAA. MÉTODOS: En junio y julio de 2006 se llevó a cabo un estudio transversal de 116 individuos con VIH avanzado y bajo TARAA. RESULTADOS: Muchos participantes eran personas desempleadas y pobres, con un nivel de educación limitado. Según un auto-reporte de adhesión por 7 días, 54.8% de las personas mostraron una adhesión de 95-100%, 37.5% presentaban una adhesión de 80-94% y 7.7% tenían una adhesión de < 80%. El haber interactuado con un consejero de adhesión no guardaba relación con los niveles de adhesión. Los factores asociados con la adhesión fueron el estar fuera de casa (38%), pasar durmiendo la hora de la dosis (37%), olvido (37%), y el quedarse sin tabletas (31%). No tener alimentos (26.9%), no querer ser visto tomando medicamentos (20%) y efectos colaterales intolerables (18.8%) fueron también razones dadas. Sólo el 44% de las personas usaban ayudas para recordarles las horas de las dosis. CONCLUSIÓN: La adhesión en este grupo de estudio es baja y puede haber empeorado desde el 2005. Hay que hacer más énfasis en preparar a los adultos para que comiencen con TARAA. El uso de cajas de tabletas y otros medios recordatorios tales como despertadores y celulares tiene que ser reforzado.) |
| File Format | HTM / HTML |
| ISSN | 00433144 |
| e-ISSN | 23095830 |
| Journal | West Indian Medical Journal |
| Issue Number | 3 |
| Volume Number | 57 |
| Language | English |
| Publisher | University Of The West Indies |
| Publisher Place | Jamaica |
| Access Restriction | Open |
| Subject Keyword | Discipline Medicine Adolescent Anti-hiv Agents Therapeutic Use Hiv Infections Drug Therapy Medication Adherence Antiretroviral Therapy, Highly Active Cross-sectional Studies Epidemiology Jamaica Questionnaires Risk Factors Comparative Study Research Support, Non-u.s. Gov't |
| Content Type | Text |
| Resource Type | Article |
| Subject | Medicine |
National Digital Library of India (NDLI) is a virtual repository of learning resources which is not just a repository with search/browse facilities but provides a host of services for the learner community. It is sponsored and mentored by Ministry of Education, Government of India, through its National Mission on Education through Information and Communication Technology (NMEICT). Filtered and federated searching is employed to facilitate focused searching so that learners can find the right resource with least effort and in minimum time. NDLI provides user group-specific services such as Examination Preparatory for School and College students and job aspirants. Services for Researchers and general learners are also provided. NDLI is designed to hold content of any language and provides interface support for 10 most widely used Indian languages. It is built to provide support for all academic levels including researchers and life-long learners, all disciplines, all popular forms of access devices and differently-abled learners. It is designed to enable people to learn and prepare from best practices from all over the world and to facilitate researchers to perform inter-linked exploration from multiple sources. It is developed, operated and maintained from Indian Institute of Technology Kharagpur.
Learn more about this project from here.
NDLI is a conglomeration of freely available or institutionally contributed or donated or publisher managed contents. Almost all these contents are hosted and accessed from respective sources. The responsibility for authenticity, relevance, completeness, accuracy, reliability and suitability of these contents rests with the respective organization and NDLI has no responsibility or liability for these. Every effort is made to keep the NDLI portal up and running smoothly unless there are some unavoidable technical issues.
Ministry of Education, through its National Mission on Education through Information and Communication Technology (NMEICT), has sponsored and funded the National Digital Library of India (NDLI) project.
| Sl. | Authority | Responsibilities | Communication Details |
|---|---|---|---|
| 1 | Ministry of Education (GoI), Department of Higher Education |
Sanctioning Authority | https://www.education.gov.in/ict-initiatives |
| 2 | Indian Institute of Technology Kharagpur | Host Institute of the Project: The host institute of the project is responsible for providing infrastructure support and hosting the project | https://www.iitkgp.ac.in |
| 3 | National Digital Library of India Office, Indian Institute of Technology Kharagpur | The administrative and infrastructural headquarters of the project | Dr. B. Sutradhar bsutra@ndl.gov.in |
| 4 | Project PI / Joint PI | Principal Investigator and Joint Principal Investigators of the project |
Dr. B. Sutradhar bsutra@ndl.gov.in Prof. Saswat Chakrabarti will be added soon |
| 5 | Website/Portal (Helpdesk) | Queries regarding NDLI and its services | support@ndl.gov.in |
| 6 | Contents and Copyright Issues | Queries related to content curation and copyright issues | content@ndl.gov.in |
| 7 | National Digital Library of India Club (NDLI Club) | Queries related to NDLI Club formation, support, user awareness program, seminar/symposium, collaboration, social media, promotion, and outreach | clubsupport@ndl.gov.in |
| 8 | Digital Preservation Centre (DPC) | Assistance with digitizing and archiving copyright-free printed books | dpc@ndl.gov.in |
| 9 | IDR Setup or Support | Queries related to establishment and support of Institutional Digital Repository (IDR) and IDR workshops | idr@ndl.gov.in |
|
Loading...
|