Linked Life Data

7482463

Source:http://linkedlifedata.com/resource/pubmed/id/7482463

Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
26
pubmed:dateCreated
1995-12-20
pubmed:abstractText
In 1989 the Ministry of Health in Tanzania decided that all patients suspected to be HIV-infected should be counselled in order to prevent or reduce the risk of HIV-transmission and to help people cope with the disease. This article describes the introduction of a counselling service at the Regional Hospitals of Arusha and Kilimanjaro and provides an overview of our experiences during the period 1990-92. Patients at the two hospitals received pre-test, post-test and follow-up counselling. Of 1,194 persons pre-test counselled, 95% gave their informed consent to be tested 62% were HIV-positive. Data on clinical pretest assessment of the patients matched the HIV-test assessment of the patients matched the HIV-test results for those assessed to have full blown AIDS, but there was more discrepancy for patients assessed to have early signs of AIDS or to be in the terminal phase. The majority of the HIV-positive patients accepted their diagnosis when informed. The routines at the hospitals are still functional five years after the introduction of the counselling service.
pubmed:keyword
http://linkedlifedata.com/resource/pubmed/keyword/Acquired Immunodeficiency..., http://linkedlifedata.com/resource/pubmed/keyword/Africa, http://linkedlifedata.com/resource/pubmed/keyword/Africa South Of The Sahara, http://linkedlifedata.com/resource/pubmed/keyword/COUNSELING, http://linkedlifedata.com/resource/pubmed/keyword/COUNSELORS, http://linkedlifedata.com/resource/pubmed/keyword/Clinic Activities, http://linkedlifedata.com/resource/pubmed/keyword/Delivery Of Health Care, http://linkedlifedata.com/resource/pubmed/keyword/Developed Countries, http://linkedlifedata.com/resource/pubmed/keyword/Developing Countries, http://linkedlifedata.com/resource/pubmed/keyword/Diseases, http://linkedlifedata.com/resource/pubmed/keyword/Eastern Africa, http://linkedlifedata.com/resource/pubmed/keyword/English Speaking Africa, http://linkedlifedata.com/resource/pubmed/keyword/Europe, http://linkedlifedata.com/resource/pubmed/keyword/Examinations And Diagnoses, http://linkedlifedata.com/resource/pubmed/keyword/HOSPITALS, http://linkedlifedata.com/resource/pubmed/keyword/Health, http://linkedlifedata.com/resource/pubmed/keyword/Health Facilities, http://linkedlifedata.com/resource/pubmed/keyword/Hiv Infections, http://linkedlifedata.com/resource/pubmed/keyword/Hiv Serodiagnosis, http://linkedlifedata.com/resource/pubmed/keyword/Laboratory Examinations And Diagnoses, http://linkedlifedata.com/resource/pubmed/keyword/Multiregional Analysis, http://linkedlifedata.com/resource/pubmed/keyword/NORWAY, http://linkedlifedata.com/resource/pubmed/keyword/Northern Europe, http://linkedlifedata.com/resource/pubmed/keyword/Organization And Administration, http://linkedlifedata.com/resource/pubmed/keyword/Program Activities, http://linkedlifedata.com/resource/pubmed/keyword/Programs, http://linkedlifedata.com/resource/pubmed/keyword/Research Methodology, http://linkedlifedata.com/resource/pubmed/keyword/Scandinavia, http://linkedlifedata.com/resource/pubmed/keyword/Signs And Symptoms, http://linkedlifedata.com/resource/pubmed/keyword/TANZANIA, http://linkedlifedata.com/resource/pubmed/keyword/Viral Diseases
pubmed:language
nor
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:month
Oct
pubmed:issn
0029-2001
pubmed:author
pubmed:issnType
Print
pubmed:day
30
pubmed:volume
115
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
3286-8
pubmed:dateRevised
2008-7-16
pubmed:otherAbstract
PIP: The MUTAN (Tanzanian Norwegian AIDS Project) virology program has comprised research, intervention, surveillance, and education as part of the Tanzanian National AIDS Control Program. The introduction of a HIV/AIDS counseling service at the regional hospitals of Arusha and Kilimanjaro during 1990-92 is described. Patients were given pre-test, post-test, and follow-up counseling by 15 trained counselors from the hospitals. In addition, all doctors underwent a 2-day training course in counseling. A total of 1194 patients were included in the pretest counseling of whom 1133 (95%) gave informed consent to be tested. 930 persons (78%) were directed to doctors in the hospitals. 15% of the 1194 turned to counselors on their own initiative. Of 1108 persons who had test results, 684 (61.7%) were HIV positive. Out of 1133 patients who gave informed consent, 765 (360 men and 405 women) were evaluated. No symptoms were found in 17.3% of men and 35.7% of women; earlier signs of AIDS were verified in 59.3% of men and 67.7% of women; clinical symptoms of AIDS were revealed by 90.4% of men and 85.5% of women; and terminal AIDS was diagnosed in 65.5% of men and 83.3% of women. The data showed that the clinical diagnosis of mistaken early AIDS was very uncertain; however, there was a high degree of correspondence between the clinical diagnosis of manifest AIDS and the serological results. In increasing order the psychosocial reactions to the positive test results were: shock, denial, anger, relief (p .05), guilt feeling (p .05), fright/anxiety, dejection/sorrow, and acceptance. This mode of counseling became routine after 5 years in the two hospitals. About two-thirds of the HIV positive patients from the 1990-92 period died, but the counseling system allows the follow-up of HIV-positive patients and their families in devising methods for fighting the epidemic.
pubmed:meshHeading
pubmed:year
1995
pubmed:articleTitle
[Counseling and HIV-testing among hospital patients in Arusha and Kilimanjaro].
pubmed:affiliation
Senter for internasjonal helse/HEMIL-senteret Universitetet i Bergen.
pubmed:publicationType
Journal Article, English Abstract