FACTORS THAT INFLUENCES OF PEOPLE LIVING WITH HIV / AIDS (PLWHA) IN VCT DIVISION OF GENERAL HOSPITAL WALUYO JATI KRAKSAAN DISTRICT PROBOLINGGO

2017-11-15

en

Conference or Workshop Item

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HIV / AIDS have a some symptoms that impair the system immune. HIV / AIDS became an international problem with morbidity and mortality are still high. Based on from the Ditjen PP & PL, Kemenkes RI, 2014 reported 15 534 new HIV cases and 1,700 new AIDS cases. The discovery of ARV (anti-retroviral) encourage a revolution in the care of people living with HIV in the developed world. Although antiretroviral treatment can reduce the risk of death, but the death of people living with HIV still persist. This study aims to analyze and explain the effect of treatment on survival. Quantitative research methods to design a retrospective cohort study, a sample of 209 people living with HIV who received antiretroviral treatment in 2013 and 2015 in hospitals Waluyo Jati, Probolinggo, East Java. Secondary Treatment,Adherence, Stage,Age,Sex, Occupation,Education,Mariage status, Opportunistic Infection,CD4 collection using medical record in poly VCT, univariate analysis using frequency distribution, bivariate with log rank, kamplan meier, multivariate cox regression. The results showed that the variables associated with survival of ODHA treatment, adherence to treatment, clinical stage, opportunistic infection and CD4 cell count, adherence is the dominant factor with HR4,638,95% CI 1.267 to 3.908, p value 0,000, R² 9.6 %, average days obedient 900 days; disobedient 599 days, treatment combinations and no combination HR2,225,95% CI 1.267 to 3.908, the p value 0,005, R² 31.2%, the mean survival day combination of 712 days, not 869 days combinations; HR0,463 CD4 count, 95% CI 0.152 to 1.390, the p value 0,170, ² 8.6%, the average CD4> 350 as many as 932 days, CD4 <350 794 days. Conclusion ODHA dutifully taking the drughad a fivefold higher risk for long survival with a contribution of 10%. Keywords : Survival Of People Living With HIV, CD4, Aderence, Treatment