Assessment of HIV treatment outcome among mentally disordered patients at Amanuel Mental Specialized Hospital, Addis Ababa, Ethiopia
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Date
2015-12
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Addis Ababa University
Abstract
Assessment of HIV treatment outcome among mentally disordered patients at Amanuel Mental Specialized Hospital, Addis Ababa, Ethiopia.
Nebila Ibrahim
Addis Ababa University, 2015
Human immunodeficiency virus infection usually leads to clinical diseases that affect almost every organ system and present with a wide range of symptoms and syndromes. Accurate assessment and diagnosis of systemic as well as central nervous system impairment requires close medical and psychiatric management. Therefore, psychiatric disorders associated with HIV/AIDS should be accurately identified and treated as its impact on health is substantial. The aim of this study was to assess the HIV treatment outcome among mentally disoredred patients following their treatment at Amanuel Mental Specialized Hospital. A retrospective study was conducted from September 2010 to August 2013 among HIV positive patients (N=337). Data on socio-demographic characteristic of patients, HIV stage based on WHO classification, the type of psychiatric disorder, medication, treatment outcome, and CD4 count were collected from patients’ chart. Among the 337 study participants, 138 (40.9%) were diagnosed to have a psychiatric condition. Out of these patients, more than 70% and 90%, respectively, showed an improvement in their CD4 count and WHO class over the three years period. The adherence among the HIV infected mentally ill patients was rated to be good in 39%, fair in 47%, and poor in 67% of the patients. Compared to psychiatric patients, the adherence of non-psychiatric HIV patients to their ART medication was significantly
higher (OR = 3.06; P=0.046). Forty one percent of the study participants had opportunistic infection; of these 73.2 % were psychiatric patients. Overall, the co-occurrence of HIV and Psychiatric illness did not influence the treatment outcome. However, this does not completely exclude the attention needed to be given to these patients regarding adequate ART treatment. Therefore, further studies should be done to come up with optimum management of HIV positive patients with mental illness.
Key words: Mental illness, HIV in Ethiopia, treatment outcome and Amanuel Mental Specialized Hospital
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Mental illness; HIV in Ethiopia; treatment outcome and Amanuel Mental Specialized Hospital