HIV and/or AIDS-related deaths and modifiable risk factors : a descriptive study of medical admissions at Oshakati Intermediate Hospital in Northern Namibia

Mgori, N. K.

HIV and/or AIDS-related deaths and modifiable risk factors : a descriptive study of medical admissions at Oshakati Intermediate Hospital in Northern Namibia

dc.contributor.advisor	Mash, Robert	en_ZA
dc.contributor.author	Mgori, N. K.	en_ZA
dc.date.accessioned	2016-08-08T13:34:20Z
dc.date.available	2016-08-08T13:34:20Z
dc.date.issued	2015-12-09
dc.description	CITATION: Mgori, N. K. & Mash, R. 2015. HIV and/or AIDS-related deaths and modifiable risk factors : a descriptive study of medical admissions at Oshakati Intermediate Hospital in Northern Namibia. African Journal of Primary Health Care and Family Medicine, 7(1):1-7, doi:10.4102/phcfm.v7i1.883.
dc.description	The original publication is available at http://www.phcfm.org
dc.description.abstract	Introduction: High rates of HIV infection have decreased life expectancy in many African countries. Regardless of worldwide efforts to escalate treatment, care and prevention strategies, the number of deaths due to AIDS related disorders is still high. Local health care workers at Oshakati state hospital in Namibia suspect that there are modifiable factors in the care of HIV/AIDS patients, which can be identified and improved upon. Objective: To describe the HIV/AIDS related causes of adult mortality and identify modifiable factors amongst patients admitted to Oshakati hospital. Methods: Data was extracted retrospectively and coded using the modified CoDe protocol for AIDS. Modifiable factors relating to the patient, health system or clinical care were identified using a standardised data collection tool. Results: A total of 177 HIV/AIDS patients were identified, 94 (53.1%) were male and 120 (68%) had CD4 count less than 200 cells/ml. The common HIV related death were tuberculosis (25.9%), renal failure (15.8%), Pneumocystis jirovecii pneumonia (11.3%), Cryptococcal meningitis (9%), HIV wasting syndrome (7.9%) and AIDS defining malignancy (7.9%). The analysis revealed 281 modifiable factors; patient related factors were the commonest 153 (54.4%), followed by health system factors 97 (34.5%) and health care personnel factors 31 (11%). Conclusion: Findings have highlighted the challenges in overall HIV/AIDS inpatient care and surrounding primary care facilities. The identification of specific modifiable factors can be used to reduce mortality by providing training as well as rational monitoring, planning and resource allocation.	en_ZA
dc.description.uri	http://www.phcfm.org/index.php/phcfm/article/view/883
dc.description.version	Publisher's version
dc.format.extent	7 pages
dc.identifier.citation	Mgori, N. K. & Mash, R. 2015. HIV and/or AIDS-related deaths and modifiable risk factors : a descriptive study of medical admissions at Oshakati Intermediate Hospital in Northern Namibia. African Journal of Primary Health Care and Family Medicine, 7(1):1-7, doi:10.4102/phcfm.v7i1.883
dc.identifier.issn	2071-2936 (online)
dc.identifier.issn	2071-2928 (print)
dc.identifier.other	doi:10.4102/phcfm.v7i1.883
dc.identifier.uri	http://hdl.handle.net/10019.1/99334
dc.language.iso	en_ZA	en_ZA
dc.publisher	AOSIS Publishing
dc.rights.holder	Authors retain copyright
dc.subject	HIV-positive persons -- Health risk assessment -- Oshakati (Namibia)	en_ZA
dc.subject	HIV-positive persons -- Mortality -- Oshakati (Namibia)	en_ZA
dc.subject	AIDS (Disease) -- Risk factors -- Oshakati (Namibia)	en_ZA
dc.subject	HIV (Viruses) -- Risk factors -- Oshakati (Namibia)	en_ZA
dc.title	HIV and/or AIDS-related deaths and modifiable risk factors : a descriptive study of medical admissions at Oshakati Intermediate Hospital in Northern Namibia	en_ZA
dc.type	Article	en_ZA