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A STUDY ON HEALTH SEEKING BEHAVIOUR OF PEOPLE ATTENDING ART CENTRE
1. J R- III, Community Medicine,
2. Lecturer(Statistics), Community Medicine,
3. Lecturer, Community Medicine,
4. Assistant Professor, Community Medicine,
5. Associate Professor, Community Medicine,
6. Prof. & Head, Department of Community Medicine,
M.L.N. Medical College , Allahabad, U.P.
Dr. Richa Mishra1, Dr M.A.Khan2, Dr. Shama Shaikh3, Dr. K.Parveen4, Dr. M.A.Hassan5, Dr. (Mrs.) S. Dwivedi,6
Introduction
• The health seeking behaviour of people living with HIV/AIDS is affected by various stigma and discrimination which discourage them from seeking care.
• Better understanding of these and other barriers to health-seeking behavior could increase the use of services.
• Therefore it is important to study the health seeking behaviour of people living with HIV/AIDS.
Aims & objectives
• To study the health seeking behaviour of people attending ART Centre.
Material and Methods This study was conducted at ART Centre (Antiretroviral Treatment
Centre), Swaroop Rani Nehru Hospital, M.L.N. Medical College, Allahabad.
STUDY DESIGN:
Cross sectional study.
SAMPLING METHOD:• Purposive sampling,• Two days (Wednesday and Friday) were randomly selected. • 4-5 patients were interviewed randomly on every Wednesday
and Friday during the twelve months study period in 2009-2010.• Total 450 patients were interviewed.
Material and Methods contd…
STUDY SUBJECTS:
The patients coming to ART Centre were study subjects.
EXCLUSION CRITERIA:
The patients who were ≤ 10 years.
The patients who were not willing to participate in the study.
STATISTICAL ANALYSIS:
The data collected was analyzed using statistical software, SPSS Ver. 16.
Table 1: Socio-demographic Profile
Socio demographic profile Male Female Total
Age (21-40 years) 34.7% 45.4% 80.1%
BackgroundRuralUrban
39.1%9.1%
43.1%8.7%
82.2%17.8%
Literacy StatusIlliterateLiterate
11.1%37.1%
33.6%18.2%
44.7%55.3%
Initial employment status:EmployedUnemployed/housewife
47.1%1.1%
14.9%36.9%
62%38%
Marital StatusMarriedWidow/widower
39.8%4.2%
19.1%32.2%
58.9%36.4%
Fig : Distribution of patients attending ART Centre based on their literacy status
Male Female0.00%
10.00%
20.00%
30.00%
40.00%
50.00%
60.00%
70.00%
80.00%
23%
77%
65%
35% Illiterate
Literate
Fig : Distribution of patients attending ART Centre based on their initial employment status
Male Female0
10
20
30
40
50
60
70
80
90
100
Employed
Unemployed
97.7%
2.3%
71.3%
28.7%
Fig : Distribution of patients attending ART Centre according to their socioeconomic status (B.G. Prasad
Socio economic classification, I-V)
I II III
IV V68.3%
15.9%
10.8%
3%2%
Fig : Distribution of patients attending ART Centre based on their marital status
Single Married Divorced/Separated Widow/Widower0
5
10
15
20
25
30
35
40
Male
Female
3.3%
39.8%
19.1%
0.9% 0.5%
32.2%
4.2%
First consulting place/person
Illiterate Literate Total
No % No % No %
Government hospital
145 32.2 156 34.7 301 66.9
Private hospital 38 8.4 81 18.0 119 26.4
Non-registered medical practitioner
11 2.4 7 1.6 18 4.0
Others 7 1.6 5 1.1 12 2.7
Total 201 44.6 249 55.4 450 100.0
Table 2: Distribution of patients based on their choices of first consulting place/person and their literacy status
χ2=12.2, df=3, P<0.05
First consulting place/person
Socio-economic status I, II, III
Socio-economic status IV,V Total
No % No % No %
Government hospital
24 5.5 277 61.5 301 67.0
Private hospital 46 10.2 73 16.2 119 26.4
Non-registered medical practitioner
0 0.0 18 4.0 18 4.0
Others 2 0.4 10 2.2 12 2.6
Total 72 16.1 378 83.9 450 100.0
Table 3: Distribution of patients based on their choices of first consulting place/person and their socio- economic status
χ2= 42.1, df=1, p<0.001
Place of HIV TestTotal
No %
Govt. hospital 347 77.1
Private hospital 103 22.9
Total 450 100.0
Table 4 : Distribution of patients based on their place of HIV Test
Fig : Distribution of patients based on their referral to ART Centre
ICTC (Govt.Hospital)
Private doctors
Non-registered medical practitioner
Others
16 %
72.2%
3.1%8.7%
Fig : Distribution of patients attending ART Centre according to drug intake
77.30%
22.70%
Taking drugsNot taking drugs
Fig : Distribution of patients attending ART Centre, based on their visit to second health facility
4
1.84.7
89.6
Govt.Hospital
Private clinic
Traditional health healers/spiritualist
Not visiting any other place
Reason TotalNo %
Treatment/Cure 11 23.4Consultation 22 46.8Treatment & consultation 14 29.8Counseling 0 0.0Prayers 0 0.0Total 47 100.0
Table 5: Distribution of patients according to their reasons for visiting the second health facility:
Conclusion
• It was found that majority of the patients attending the ART Centre were from rural background and belonged to low socio economic status.
• Majority preferred Government health facility for HIV Testing and seeking treatment.
• Majority of the patients were taking drugs from ART Centre and were relieved of their symptoms.
• Those who sought a second health facility were very few in number and majority of them had gone there for consultation.
THANKS