Nghiên cứu yếu tố liên quan đến việc trì hoãn khai báo bệnh nhân nhiễm HIV và rào cản tiếp cận đến dịch vụ y tế cộng đồng _Factors related to delay disclosure of HIV patients and barrier to access to public services in LaosThe Lao People’s Democratic Republic (Lao PDR) is a landlocked country situated in Greater Mekong Subregion bordering China, Myanmar, Thailand, Cambodia and Vietnam. Population of 6.1 million (2009)Surface : 236,800 square kilometers. Lao PDR has 17 provinces, 143 districts and 10,553 villages.To study associated factors to disclosure of, HIVAIDS status, stigma and discrimination, access to care and support and treatment including other factors geographic, impression, accessibilities, knowledge HIV infection, service information, and barrier of disclosure delay. Quantitative: questionnaire 225 PLWHA Qualitative: Focus group discussion 48 PLWHAConducted in 6 provincesPurposive sampling among PLWHAData analysis processing Univariate Logistic Regression Analysis Multiple Logistic Regression Analysis
related to delay disclosure *Factors of HIV patients and barrier to access to public services in Laos By Chanhsy Phonesavanh, Somphet Vathsana & Sychareun Vanphanom Student of Master of public health • • • • The Lao People’s Democratic Republic (Lao PDR) is a land-locked country situated in Greater Mekong Sub-region bordering China, Myanmar, Thailand, Cambodia and Vietnam Population of 6.1 million (2009) Surface : 236,800 square kilometers Lao PDR has 17 provinces, 143 districts and 10,553 villages *Introduction HIV infection 15-49 yrs of age Accessing to Health Service for HIV patients Laos; 6% Vietnam; 13% Myanmar; 19% China; 3% Cambodia; 16% Vietnam Cambodia Thailand China Year No HIV patient Accessing CD4 Myanmar Thailand; 42% Laos 1990 1 N/C 2012 5260 2194 250 *Resonation Issue MDG Indicators Improvement of maternal Goal 1: Eradicate extreme 1.Prevalence of underweight and child health poverty and hunger children under five years Prevalence of stunting in children under five years Under five mortality rate Goal 4: Reduce child mortality Infant mortality rate proportion of one-year-old children immunized against Goal 5: Improve maternal health measles Maternal mortality ratio Proportion of births attended by skilled birth attendants Contraceptive prevalence rate Goal 6: Combat HIV/AIDS, malaria and other diseases Adolescent birth rate 10 Antenatal care coverage (at least one and four visits) 11 Unmet need for family planning study associated factors to disclosure of, HIV/AIDS status, stigma and *Todiscrimination, access to care and support and treatment including other factors geographic, impression, accessibilities, knowledge HIV infection, service information, and barrier of disclosure delay *Research objective *Quantitative: questionnaire 225 PLWHA *Qualitative: Focus group discussion 48 PLWHA *Conducted in provinces *Purposive sampling among PLWHA *Data analysis processing *Univariate Logistic Regression Analysis *Multiple Logistic Regression Analysis *Methodology were 225 respondents in the study Of these, 122 were female *There 76.9% of PLWHA determine HIV infection during Opportunity Infection Treatment in hospital and 84% have CD446 0.5(0.13Œ2.23) 0.388 Ethnicity Laolum Khamu-Mong 4(1.38Œ1.21) 0.001* Religious Buddhist Ghost 6.5(1.08Œ6.83) 0.042* 0.5(0.2Œ1.27) 0.147 Family economy Poor Adequate Concern about discrimination Don’t worry * P