Health Care Needs Among People Living with HIV: The Implication of Continuum of Care
Kusman Ibrahim,1 Laili Rahayuwati,2 Yusshy Kurnia Herliani,1 Iqbal Pramukti2 1Department of Medical and Surgical Nursing, Faculty of Nursing, Universitas Padjadjaran, Sumedang, West Java, Indonesia; 2Community Health Nursing, Faculty of Nursing, Universitas Padjadjaran, Sumedang, West Java, Indonesi...
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| Format: | Article |
| Language: | English |
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Dove Medical Press
2023-05-01
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| Series: | HIV/AIDS: Research and Palliative Care |
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| Online Access: | https://www.dovepress.com/health-care-needs-among-people-living-with-hiv-the-implication-of-cont-peer-reviewed-fulltext-article-HIV |
| _version_ | 1797822579067584512 |
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| author | Ibrahim K Rahayuwati L Herliani YK Pramukti I |
| author_facet | Ibrahim K Rahayuwati L Herliani YK Pramukti I |
| author_sort | Ibrahim K |
| collection | DOAJ |
| description | Kusman Ibrahim,1 Laili Rahayuwati,2 Yusshy Kurnia Herliani,1 Iqbal Pramukti2 1Department of Medical and Surgical Nursing, Faculty of Nursing, Universitas Padjadjaran, Sumedang, West Java, Indonesia; 2Community Health Nursing, Faculty of Nursing, Universitas Padjadjaran, Sumedang, West Java, IndonesiaCorrespondence: Kusman Ibrahim, Department of Medical and Surgical Nursing, Faculty of Nursing, Universitas Padjadjaran, Jl. Raya Bandung-Sumedang KM. 21, Jatinangor, Sumedang, West Java, 45363, Indonesia, Tel +62-81321281117, Fax +62 22-7795596, Email k.ibrahim@unpad.ac.idBackground: Human immunodeficiency virus remains a major public health problem in Indonesia. People living with HIV (PLWH) have various health problems as result from disease progression that impacts their health care needs. This study aims to explore health care needs and to test the factors associated with health care needs among people living with HIV.Methods: A cross-sectional descriptive study design was undertaken with 243 respondents completing a self-reported HIV-Health Care Need Questionnaire. Participants were recruited using the purposive sampling technique from six HIV clinics in West Java, Indonesia. The data were analyzed using descriptive and multiple logistic regression statistical techniques.Results: The majority of the subjects were diagnosed within less than 5 years and have been receiving antiretroviral therapy. Nursing care was indicated as the most needed, offered, and received care. Emergency financial assistance, legal services, insurance premiums, and nutritional intervention were perceived as gaps between needed and received. Characteristics such as age, educational background, having HIV manager, and income were significantly correlated to nutritional care (p< 0.05). Nutritional care was increased by 3.96% if PLWH having HIV manager (CI: 1.17– 13.38, p< 0.05).Conclusion: Addressing the gap between health care needs and health offered was important to ensure that care was received appropriately. Continuing assessment of health care needs can provide direction to deliver appropriate care and ensure a comprehensive continuum of care for PLWH.Keywords: continuum of care, continuity of patient care, health services, HIV testing, needs |
| first_indexed | 2024-03-13T10:10:09Z |
| format | Article |
| id | doaj.art-08e6f8c899b5411cb941d6d77c1b4a1d |
| institution | Directory Open Access Journal |
| issn | 1179-1373 |
| language | English |
| last_indexed | 2024-03-13T10:10:09Z |
| publishDate | 2023-05-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | HIV/AIDS: Research and Palliative Care |
| spelling | doaj.art-08e6f8c899b5411cb941d6d77c1b4a1d2023-05-21T16:29:55ZengDove Medical PressHIV/AIDS: Research and Palliative Care1179-13732023-05-01Volume 1523524683872Health Care Needs Among People Living with HIV: The Implication of Continuum of CareIbrahim KRahayuwati LHerliani YKPramukti IKusman Ibrahim,1 Laili Rahayuwati,2 Yusshy Kurnia Herliani,1 Iqbal Pramukti2 1Department of Medical and Surgical Nursing, Faculty of Nursing, Universitas Padjadjaran, Sumedang, West Java, Indonesia; 2Community Health Nursing, Faculty of Nursing, Universitas Padjadjaran, Sumedang, West Java, IndonesiaCorrespondence: Kusman Ibrahim, Department of Medical and Surgical Nursing, Faculty of Nursing, Universitas Padjadjaran, Jl. Raya Bandung-Sumedang KM. 21, Jatinangor, Sumedang, West Java, 45363, Indonesia, Tel +62-81321281117, Fax +62 22-7795596, Email k.ibrahim@unpad.ac.idBackground: Human immunodeficiency virus remains a major public health problem in Indonesia. People living with HIV (PLWH) have various health problems as result from disease progression that impacts their health care needs. This study aims to explore health care needs and to test the factors associated with health care needs among people living with HIV.Methods: A cross-sectional descriptive study design was undertaken with 243 respondents completing a self-reported HIV-Health Care Need Questionnaire. Participants were recruited using the purposive sampling technique from six HIV clinics in West Java, Indonesia. The data were analyzed using descriptive and multiple logistic regression statistical techniques.Results: The majority of the subjects were diagnosed within less than 5 years and have been receiving antiretroviral therapy. Nursing care was indicated as the most needed, offered, and received care. Emergency financial assistance, legal services, insurance premiums, and nutritional intervention were perceived as gaps between needed and received. Characteristics such as age, educational background, having HIV manager, and income were significantly correlated to nutritional care (p< 0.05). Nutritional care was increased by 3.96% if PLWH having HIV manager (CI: 1.17– 13.38, p< 0.05).Conclusion: Addressing the gap between health care needs and health offered was important to ensure that care was received appropriately. Continuing assessment of health care needs can provide direction to deliver appropriate care and ensure a comprehensive continuum of care for PLWH.Keywords: continuum of care, continuity of patient care, health services, HIV testing, needshttps://www.dovepress.com/health-care-needs-among-people-living-with-hiv-the-implication-of-cont-peer-reviewed-fulltext-article-HIVcontinuum of carecontinuity of patient carehealth serviceshiv testingneeds |
| spellingShingle | Ibrahim K Rahayuwati L Herliani YK Pramukti I Health Care Needs Among People Living with HIV: The Implication of Continuum of Care HIV/AIDS: Research and Palliative Care continuum of care continuity of patient care health services hiv testing needs |
| title | Health Care Needs Among People Living with HIV: The Implication of Continuum of Care |
| title_full | Health Care Needs Among People Living with HIV: The Implication of Continuum of Care |
| title_fullStr | Health Care Needs Among People Living with HIV: The Implication of Continuum of Care |
| title_full_unstemmed | Health Care Needs Among People Living with HIV: The Implication of Continuum of Care |
| title_short | Health Care Needs Among People Living with HIV: The Implication of Continuum of Care |
| title_sort | health care needs among people living with hiv the implication of continuum of care |
| topic | continuum of care continuity of patient care health services hiv testing needs |
| url | https://www.dovepress.com/health-care-needs-among-people-living-with-hiv-the-implication-of-cont-peer-reviewed-fulltext-article-HIV |
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