Geographical Distribution of HIV-patients with Respect to HIV-treatment Units in Cameroon: A Cross-sectional Study

André Pascal Goura; Benjamin Azike Chukuwchindun; Martin Ndinakie Yakum; Joliette Azakoh Nguefack; Paméla Ekeme Lonbe; Jérôme Ateudjieu

doi:doi:10.11648/j.ijhpebs.20190501.18

Geographical Distribution of HIV-patients with Respect to HIV-treatment Units in Cameroon: A Cross-sectional Study

André Pascal Goura, Benjamin Azike Chukuwchindun, Martin Ndinakie Yakum, Joliette Azakoh Nguefack, Paméla Ekeme Lonbe, Jérôme Ateudjieu

Published in International Journal of HIV/AIDS Prevention, Education and Behavioural Science (Volume 5, Issue 1)

Received: 20 March 2019 Accepted: 25 April 2019 Published: 20 May 2019

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Abstract

The treatment of HIV-patients is a key component to HIV/aids control strategies. Since 2007, Cameroon is treating HIV-patients for free within decentralized treatment units created in functional health districts. This study aimed to map the geographical distribution of HIV-patients with respect to that of treatment units in Cameroon. We conducted a cross-sectional study in which functional health districts with HIV-treatment units were exhaustively sampled to map the local access to antiretroviral care in the Cameroon West region. Patients from these units were randomly selected and recruited during their monthly period of receiving antiretroviral drugs. Four hundred and seventy-two patients were included. The mean age of participants was 42 (± 10) years with a sex ratio male/female of 1/3. Fourteen units were distributed in 09 health districts (45% coverage) and 11/20 districts had no Treatment unit. Sixty two percent (294/472) of participants resided in the health district of their screening and 65% (308/472) were follow up in the health district of residence. Nine of ten patients resided in their treatment health region. Less than 10% of patients travel from health districts with no HIV-treatment unit. Close to 1/5 (74/382) patient migrated from local health district with treatment unit to another local health district for follow up. Second line treatment was not available except in one public and one private treatment unit. The distribution of HIV-treatment units is strongly linked to the geographical distribution of HIV-patients across health districts. We therefore believe that the creation of treatment units in health districts still lacking them can significantly increase screening and treatment of patients in this region.

Published in	International Journal of HIV/AIDS Prevention, Education and Behavioural Science (Volume 5, Issue 1)
DOI	10.11648/j.ijhpebs.20190501.18
Page(s)	59-67
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2019. Published by Science Publishing Group

Keywords

Distribution, Residence, HIV-treatment Unit, Health District, West-Cameroon

References

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APA Style

André Pascal Goura, Benjamin Azike Chukuwchindun, Martin Ndinakie Yakum, Joliette Azakoh Nguefack, Paméla Ekeme Lonbe, et al. (2019). Geographical Distribution of HIV-patients with Respect to HIV-treatment Units in Cameroon: A Cross-sectional Study. International Journal of HIV/AIDS Prevention, Education and Behavioural Science, 5(1), 59-67. https://doi.org/10.11648/j.ijhpebs.20190501.18

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ACS Style

André Pascal Goura; Benjamin Azike Chukuwchindun; Martin Ndinakie Yakum; Joliette Azakoh Nguefack; Paméla Ekeme Lonbe, et al. Geographical Distribution of HIV-patients with Respect to HIV-treatment Units in Cameroon: A Cross-sectional Study. Int. J. HIV/AIDS Prev. Educ. Behav. Sci. 2019, 5(1), 59-67. doi: 10.11648/j.ijhpebs.20190501.18

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AMA Style

André Pascal Goura, Benjamin Azike Chukuwchindun, Martin Ndinakie Yakum, Joliette Azakoh Nguefack, Paméla Ekeme Lonbe, et al. Geographical Distribution of HIV-patients with Respect to HIV-treatment Units in Cameroon: A Cross-sectional Study. Int J HIV/AIDS Prev Educ Behav Sci. 2019;5(1):59-67. doi: 10.11648/j.ijhpebs.20190501.18

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@article{10.11648/j.ijhpebs.20190501.18,
  author = {André Pascal Goura and Benjamin Azike Chukuwchindun and Martin Ndinakie Yakum and Joliette Azakoh Nguefack and Paméla Ekeme Lonbe and Jérôme Ateudjieu},
  title = {Geographical Distribution of HIV-patients with Respect to HIV-treatment Units in Cameroon: A Cross-sectional Study},
  journal = {International Journal of HIV/AIDS Prevention, Education and Behavioural Science},
  volume = {5},
  number = {1},
  pages = {59-67},
  doi = {10.11648/j.ijhpebs.20190501.18},
  url = {https://doi.org/10.11648/j.ijhpebs.20190501.18},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijhpebs.20190501.18},
  abstract = {The treatment of HIV-patients is a key component to HIV/aids control strategies. Since 2007, Cameroon is treating HIV-patients for free within decentralized treatment units created in functional health districts. This study aimed to map the geographical distribution of HIV-patients with respect to that of treatment units in Cameroon. We conducted a cross-sectional study in which functional health districts with HIV-treatment units were exhaustively sampled to map the local access to antiretroviral care in the Cameroon West region. Patients from these units were randomly selected and recruited during their monthly period of receiving antiretroviral drugs. Four hundred and seventy-two patients were included. The mean age of participants was 42 (± 10) years with a sex ratio male/female of 1/3. Fourteen units were distributed in 09 health districts (45% coverage) and 11/20 districts had no Treatment unit. Sixty two percent (294/472) of participants resided in the health district of their screening and 65% (308/472) were follow up in the health district of residence. Nine of ten patients resided in their treatment health region. Less than 10% of patients travel from health districts with no HIV-treatment unit. Close to 1/5 (74/382) patient migrated from local health district with treatment unit to another local health district for follow up. Second line treatment was not available except in one public and one private treatment unit. The distribution of HIV-treatment units is strongly linked to the geographical distribution of HIV-patients across health districts. We therefore believe that the creation of treatment units in health districts still lacking them can significantly increase screening and treatment of patients in this region.},
 year = {2019}
}

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TY - JOUR
T1 - Geographical Distribution of HIV-patients with Respect to HIV-treatment Units in Cameroon: A Cross-sectional Study
AU - André Pascal Goura
AU - Benjamin Azike Chukuwchindun
AU - Martin Ndinakie Yakum
AU - Joliette Azakoh Nguefack
AU - Paméla Ekeme Lonbe
AU - Jérôme Ateudjieu
Y1 - 2019/05/20
PY - 2019
N1 - https://doi.org/10.11648/j.ijhpebs.20190501.18
DO - 10.11648/j.ijhpebs.20190501.18
T2 - International Journal of HIV/AIDS Prevention, Education and Behavioural Science
JF - International Journal of HIV/AIDS Prevention, Education and Behavioural Science
JO - International Journal of HIV/AIDS Prevention, Education and Behavioural Science
SP - 59
EP - 67
PB - Science Publishing Group
SN - 2575-5765
UR - https://doi.org/10.11648/j.ijhpebs.20190501.18
AB - The treatment of HIV-patients is a key component to HIV/aids control strategies. Since 2007, Cameroon is treating HIV-patients for free within decentralized treatment units created in functional health districts. This study aimed to map the geographical distribution of HIV-patients with respect to that of treatment units in Cameroon. We conducted a cross-sectional study in which functional health districts with HIV-treatment units were exhaustively sampled to map the local access to antiretroviral care in the Cameroon West region. Patients from these units were randomly selected and recruited during their monthly period of receiving antiretroviral drugs. Four hundred and seventy-two patients were included. The mean age of participants was 42 (± 10) years with a sex ratio male/female of 1/3. Fourteen units were distributed in 09 health districts (45% coverage) and 11/20 districts had no Treatment unit. Sixty two percent (294/472) of participants resided in the health district of their screening and 65% (308/472) were follow up in the health district of residence. Nine of ten patients resided in their treatment health region. Less than 10% of patients travel from health districts with no HIV-treatment unit. Close to 1/5 (74/382) patient migrated from local health district with treatment unit to another local health district for follow up. Second line treatment was not available except in one public and one private treatment unit. The distribution of HIV-treatment units is strongly linked to the geographical distribution of HIV-patients across health districts. We therefore believe that the creation of treatment units in health districts still lacking them can significantly increase screening and treatment of patients in this region.
VL - 5
IS - 1
ER -

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Author Information

André Pascal Goura

Meilleur Accès aux Soins de Santé, Yaoundé, Cameroon
Benjamin Azike Chukuwchindun

Meilleur Accès aux Soins de Santé, Kousseri, Cameroon
Martin Ndinakie Yakum

Meilleur Accès aux Soins de Santé, Yaoundé, Cameroon
Joliette Azakoh Nguefack

Meilleur Accès aux Soins de Santé, Douala, Cameroon
Paméla Ekeme Lonbe

Department of Law and Political Sciences, University of Dschang, Dschang, Cameroon
Jérôme Ateudjieu

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APA Style

André Pascal Goura, Benjamin Azike Chukuwchindun, Martin Ndinakie Yakum, Joliette Azakoh Nguefack, Paméla Ekeme Lonbe, et al. (2019). Geographical Distribution of HIV-patients with Respect to HIV-treatment Units in Cameroon: A Cross-sectional Study. International Journal of HIV/AIDS Prevention, Education and Behavioural Science, 5(1), 59-67. https://doi.org/10.11648/j.ijhpebs.20190501.18

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ACS Style

André Pascal Goura; Benjamin Azike Chukuwchindun; Martin Ndinakie Yakum; Joliette Azakoh Nguefack; Paméla Ekeme Lonbe, et al. Geographical Distribution of HIV-patients with Respect to HIV-treatment Units in Cameroon: A Cross-sectional Study. Int. J. HIV/AIDS Prev. Educ. Behav. Sci. 2019, 5(1), 59-67. doi: 10.11648/j.ijhpebs.20190501.18

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AMA Style

André Pascal Goura, Benjamin Azike Chukuwchindun, Martin Ndinakie Yakum, Joliette Azakoh Nguefack, Paméla Ekeme Lonbe, et al. Geographical Distribution of HIV-patients with Respect to HIV-treatment Units in Cameroon: A Cross-sectional Study. Int J HIV/AIDS Prev Educ Behav Sci. 2019;5(1):59-67. doi: 10.11648/j.ijhpebs.20190501.18

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@article{10.11648/j.ijhpebs.20190501.18,
  author = {André Pascal Goura and Benjamin Azike Chukuwchindun and Martin Ndinakie Yakum and Joliette Azakoh Nguefack and Paméla Ekeme Lonbe and Jérôme Ateudjieu},
  title = {Geographical Distribution of HIV-patients with Respect to HIV-treatment Units in Cameroon: A Cross-sectional Study},
  journal = {International Journal of HIV/AIDS Prevention, Education and Behavioural Science},
  volume = {5},
  number = {1},
  pages = {59-67},
  doi = {10.11648/j.ijhpebs.20190501.18},
  url = {https://doi.org/10.11648/j.ijhpebs.20190501.18},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijhpebs.20190501.18},
  abstract = {The treatment of HIV-patients is a key component to HIV/aids control strategies. Since 2007, Cameroon is treating HIV-patients for free within decentralized treatment units created in functional health districts. This study aimed to map the geographical distribution of HIV-patients with respect to that of treatment units in Cameroon. We conducted a cross-sectional study in which functional health districts with HIV-treatment units were exhaustively sampled to map the local access to antiretroviral care in the Cameroon West region. Patients from these units were randomly selected and recruited during their monthly period of receiving antiretroviral drugs. Four hundred and seventy-two patients were included. The mean age of participants was 42 (± 10) years with a sex ratio male/female of 1/3. Fourteen units were distributed in 09 health districts (45% coverage) and 11/20 districts had no Treatment unit. Sixty two percent (294/472) of participants resided in the health district of their screening and 65% (308/472) were follow up in the health district of residence. Nine of ten patients resided in their treatment health region. Less than 10% of patients travel from health districts with no HIV-treatment unit. Close to 1/5 (74/382) patient migrated from local health district with treatment unit to another local health district for follow up. Second line treatment was not available except in one public and one private treatment unit. The distribution of HIV-treatment units is strongly linked to the geographical distribution of HIV-patients across health districts. We therefore believe that the creation of treatment units in health districts still lacking them can significantly increase screening and treatment of patients in this region.},
 year = {2019}
}

Copy | Download