Risk management and success in projects are highly intertwined-better approaches to project risk management tend to increase chances of project success in terms of achieving scope & quality, schedule and cost targets. The process of responding to risk factors during a project's life cycle is a crucial aspect of risk management referred to as risk response strategies, in this paper. The current research explores the status of risk response strategies applied in the software development projects in India. India provides a young IT-savvy English-speaking population, which is also cost effective. Other than the workforce, the environment for implementation of software projects in India is different from the matured economies. Risk management process is a commonly discussed theme, though its implementation in practice has a huge scope for improvement in India. The paper talks about four fundamental treatments to risk response-Avoidance, Transference, Mitigation and Acceptance (ATMA). From a primary data of 302 project managers, the paper attempts to address the risk response factors that lead to successful achievement of project scope & quality, schedule and cost targets, by using a series of regressions followed with Seemingly Unrelated Regression Equations (SURE) modelling. Mitigation emerged as the most significant risk response strategy to achieve project targets. Acceptance, transference, and avoidance of risk were mostly manifested in the forms of transparency in communication across stakeholders, careful study of the nature of risks and close coordination between project team, customers/end-users and top management.
Context:Depression is the most prevalent psychiatric condition seen in human immunodeficiency virus (HIV)-positive individuals. Various biological, sociocultural, and economic factors make women more vulnerable to HIV and acquired immune deficiency syndrome (AIDS). Depression affects medication adherence and immunity against HIV thus contribute significantly to disease progression.Aims:The aim is to assess the prevalence, sociodemographic, and clinical correlates of depression among women living with HIV/AIDS.Settings and Design:Antiretroviral therapy (ART) centre attached to government medical college hospital in North Karnataka and cross-sectional design.Materials and Methods:This study was conducted among of 145 women living with HIV/AIDS, depression was assessed using Beck Depression Inventory, and social support was assessed using Lubben Social Network Scale and quality of life (QoL) using the World Health Organization QoL BREF scale. Statistical Analysis Used:Data were analyzed using Statistical Package for the Social Sciences version 20.0. Chi-square test with P value less than 0.05 was taken as statistically significant.Results:Among 145 HIV-positive women, 50 (34.5%) were depressed. Depression was statistically significant in women from rural background. Significant association between depression and risk of social isolation was observed. Scores of all domains of QoL, that is, physical, psychological, social, and environmental were reducing with increase in the severity of depression indicating that QoL was decreasing with increase in severity of depression. Among the four domains, social domain was the most affected.Conclusions:Depression among women living with HIV/AIDS which is underdiagnosed and undertreated. Depression negatively impacts adherence and immunity leading rapid progression of the infection. Therefore, early diagnosis and treatment of depression are essential.
BACKGROUND Women bear the brunt of disastrous effects of HIV/AIDS as they are the major caregivers and in return they get very less support and care. Depression is the commonest psychiatric condition seen in HIV positive patients and it is affected by many socio demographic correlates like age, gender, socioeconomic status, area of residence and Anti-Retroviral Treatment (ART) medications. Social support is an important factor against stigma and depression. As the wide availability of ART has increased the survival among the HIV positive persons, it becomes essential to focus on the Quality of Life (QoL) of the sufferer. The objectives of this study were 1. to assess depression, social support and QoL in HIV positive women 2. to study the association of depression with social support and QoL among HIV positive women attending ART centre attached to tertiary care centre in South India. MATERIALS AND METHODS This cross-sectional study constituted of 145 HIV positive women; depression was assessed using BDI (Beck Depression Inventory), social support was assessed using Lubben social network scale and QoL was assessed using World Health Organization-Quality of Life BREF scale. Data was analysed using Statistical Package for the Social Sciences (SPSS) software version 22. Chi-square test, Independent t test and ANOVA were used appropriately. p value <0.05 was considered as statistically significant. RESULTS Depression was found to be present in 34.5% of subjects. No statistical significance was found between depression and sociodemographic variables except for area of residence. Significant association between depression and risk of isolation was observed among HIV positive women. Significant mean difference was observed for all the domains of QoL with Severity of Depression.
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