STUDY OF SOCIOECONOMIC IMPACT AFTER ONE YEAR OF ANTIRETROVIRAL THERAPY IN HIV INFECTED PATIENTS IN A TERTIARY CARE CENTRE IN NORTH BENGAL
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2017, Vol 6, Issue 86
Abstract
BACKGROUND Although data regarding socioeconomic impact post-ART is available in India, the educational aspect has not been well studied. In this article, we studied overall impact of ART in newly diagnosed HIV patients with reference to monthly income, number of working days and school dropout and literacy rate on a short-term basis in a tertiary care centre in North Bengal. MATERIALS AND METHODS It is an observational study. One hundred and twenty patients were followed for one year after initiating ART. Data Collection and Categorisation were done according to the statistical software application such as mean comparison, one way ANOVA, using the statistical software IBM-SPSS (ver.19. Chicago inc.) assuming the significance at 95% of CI. RESULTS The school dropout rate at baseline was 22 (32.8%) in 67 school children in the study. After 6 months, dropout rate was 13 cases (19.4%) and after 12 months was only 4 (6%) (p< 0.05). Working days in a month of 101 patients at baseline was 47 (46.5%) cases in the < 10 days category while 39 (38.6%) cases were in 10 – 20 days working category and 15 (14.9%, n = 101) in the > 20 days category. But after 6 months of ART, working capability of the study population increased so that 16 (15.8%) cases had <10 days in a month, 54 (53.5%) cases had 10 – 20 days in a month, and rest (30.7%) had > 20 working days in a month. After 12 months of ART, it further increased to 12 (11.9%), 27 (26.7%) and 62 (61.4%) respectively (p< 0.05). ART also increased the monthly income of 71 patients in study group so that after 6 months, people in low income category reduced from 30 (40.25%) to 6 (8.45 %,) while income in the high-income group increased from 7 (9.85%) to 14 (19.71%) (p< 0.05). ART improved overall socioeconomic outcome in patients with HIV/AIDS. CONCLUSION ART has significant socioeconomic outcome in patients receiving therapy and proper therapy improves the social and financial status of the patient uplifting his overall productivity in the society.
Authors and Affiliations
Bapi Lal Bala, Biswadev Basu Majumdar, Apu Adhikary, Swati Pal, Saikat Datta, Achintya Narayan Ray, Debasis Chakrabarti
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