Admission Trends in a Rural South African Hospital During the Early Years of the HIV Epidemic

Floyd, Katherine; Reid, Rachelle; Wilkinson, David; Gilks, Charles F.

doi:10.1001/jama.282.11.1087

Cited by 48 publications

(30 citation statements)

References 24 publications

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“…Even though tuberculosis was a frequent opportunistic infection in our patients, as reported elsewhere, 6,7,12 it was not associated with a high fatality rate. In fact, through subsidized programs, treatment of tuberculosis is accessible to the majority of the population.…”

Section: Discussionsupporting

confidence: 59%

“…The relatively young age of the affected population and the absence of sex influence are also in accordance with the epidemiologic picture of HIV/AIDS in Cameroon and in Saharan Africa. [5][6][7] The young age of patients with HIV in clinical settings has already been described in Cameroon by Atangana et al 4 in a previous study in Yaounde. However, the great number of students affected is a matter of concern.…”

Section: Discussionmentioning

confidence: 72%

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HIV/AIDS Occurrence in the Main University Teaching Hospital in Cameroon

Kengne

Kaze

Dzudie

et al. 2007

Journal of the International Association of Physicians in AIDS

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Section: Discussionsupporting

confidence: 59%

Section: Discussionmentioning

confidence: 72%

HIV/AIDS Occurrence in the Main University Teaching Hospital in Cameroon

Kengne

Kaze

Dzudie

et al. 2007

Journal of the International Association of Physicians in AIDS

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“…Both these conditions have been reported as a frequent cause for admission in both developing as well as developed country settings (Floyd et al, 1999;Fortgang et al, 1995). Chemoprophylaxis with Trimethoprim-Sulfamethoxazole (TMP-SMX) has been shown to be effective in the prevention of PCP and toxoplasmosis and has also been shown to decrease mortality, morbidity and hospital admissions (Mermin et al, 2004).…”

Section: Hiv-related Morbidity Among Patients 367mentioning

confidence: 99%

Trends in HIV-related morbidity among patients admitted to a South Indian tertiary hospital between 1997 and 2003

et al. 2006

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This paper describes trends in HIV-related morbidity among people living with HIV/AIDS (PLWHA) admitted to a tertiary hospital in Chennai, South India, between 1997 and 2003. Patients comprised HIV-infected men, women and children who had been admitted at least once to YR Gaitonde Centre for AIDS Research and Education (YRGCARE). A non-parametric trends analysis was conducted to observe trends in clinical and demographic parameters and diagnoses at admission over the seven-year period. Among clinical and demographic parameters, we identified a significantly increasing time trend in the use of antiretroviral therapy (p<0.001) and a significant decrease in the mean hemoglobin level (p=0.01). Among diagnoses at admission, we identified a decreasing time trend for admissions due to pulmonary tuberculosis (p<0.001) and increasing trends for admissions due to extra pulmonary tuberculosis (p<0.01), toxoplasmosis (p<0.01), Pneumocystis carinii pneumonia (p=0.02) and anemia (p<0.001). The results indicate a changing pattern among the clinical conditions requiring admission. With increasing proportions of patients initiating highly active antiretroviral therapy (HAART), it is probable that adverse events due to HAART will account for larger proportions of admissions in the years to come, as is being seen in the industrialized countries.

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“…The evidence shows that the HIV epidemic has caused a substantial increase in demand for TB services, straining the capacity of public services (Floyd et al 1999). The extent of the epidemic and the weaker capacity of the public sector suggest that the public sector cannot effectively control the TB epidemic without drawing on the private sector.…”

Section: Introductionmentioning

confidence: 99%

The motivations for participation in public–private partnerships for the provision of tuberculosis treatment in South Africa

Sinanovic

Kumaranayake

2010

Global Public Health

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There is increasing interest in public-private partnerships (PPPs) generally, and more specifically for the provision of tuberculosis (TB) treatment, yet little is known about the motivations for such partnerships and the nature of the incentives that are required to achieve a desirable outcome of the partnerships. Using the new institutional economics approach, this study examines the motivations for participation in existing and potential models of PPPs for the provision of TB treatment in South Africa. Fourteen semi-structured interviews were conducted with private providers and government officials. Both current and potential private partners were interviewed. The study found that private providers in existing and potential partnerships appear to have both financial and non-financial motivations for participation in partnership for the provision of TB. For a partnership to be successful, in addition to sufficient motivation, the level of competition between private providers, regulatory framework, and social and political awareness becomes increasingly important.

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Admission Trends in a Rural South African Hospital During the Early Years of the HIV Epidemic

Abstract: The HIV/AIDS epidemic has had an important impact on demand for adult tuberculosis and general medical care in a rural South African district hospital. If this impact is shown to extend to other rural South African areas, response strategies are urgently needed.

Cited by 48 publications

References 24 publications

HIV/AIDS Occurrence in the Main University Teaching Hospital in Cameroon

HIV/AIDS Occurrence in the Main University Teaching Hospital in Cameroon

Trends in HIV-related morbidity among patients admitted to a South Indian tertiary hospital between 1997 and 2003

The motivations for participation in public–private partnerships for the provision of tuberculosis treatment in South Africa

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