Prevention with positive project at Waieng Pa Pao hospital Chiang Rai Province

Abstract

This project aims to study the prevention with positives (PwP) services implemented in ARV clinics of Wiang Pa Pao hospital and the outcome of the 6 PwP strategies on HIV positive patients. Data was collected using the designed risk screening and monitoring forms. Data analysis was performed by A Computer Access Program developed under the PwP project of Burau of AIDS, TB and STIs, Department of Disease Control and Thailand MOPH-U.S. CDC Collaboration.

It was found that, the PwP services were implemented as one-stop service, with clear service flow and monitoring process. Of the HIV+ patients receiving the services, 60% were male, 40% were female, mean age was 37 years, mean HIV infection duration was 47 years and all were on ARV. Of these patients, 90% received PwP intervention covering all 6 PwP strategies, 95% receiving it from nurses. Of those that received intervention, 10.2% have unprotected sex at baseline and the number decreased to 3.9 post intervention. Ninety eight percent (N= 51) received STI screening, 1 was VDRL positive and complete the treatment course. Ninety eight percent (N=50) disclose HIV status to partners. Of the partners who had HIV test (N= 51), 60% were HIV positive and 40% were HIV negative. Of patients on ARV, 99.4% had adherence ≥ 95%. Of all the patients receiving PwP service, 98.8 were not on any family planning method and 3 patients had unplanned pregnancy.

These results, hence , indicate that the system must be clearly and patient care team have to Intergrade the job as the routine.