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


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•
•
•

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 

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
2. Prevalence of stunting in children under five years
3. Under five mortality rate


*Quantitative: questionnaire 225 PLWHA
*Qualitative: Focus group discussion 48 PLWHA
*Conducted in 6 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 CD4

160(71.1%)

with no using condom

Don’t know infected HIV people is as normal people

172(76.4%)

Don’t HIV/AIDS prevention

167(74.2%)

Don’t know risk of opportunity infection disease

164(72.9%)


of respondents is worrying about discrimination or stigma such as
*Most
friends, community, family and relative, and occupational place (80%,
76.9%, 70.7%, and 69.8% respectively)

classify by 2 kind of concern which are worrying and not worrying,
*When
found that 84.4% is concern about discrimination and 15.6% is not
worrying.

*Concerning aspect



p- value

Age (years old)
18 - 29

1

30 - 45

0.4(0.17Œ0.91)

0.031*

>46

0.5(0.13Œ2.23)

0.388

Ethnicity
Laolum
Khamu-Mong

1
4(1.38Œ1.21)

0.001*

Religious


*
* Mostly, age over 30 years old (56.25%)
* 60.4% is single or independent (divorce, widow and separate)
* 81.25% is Laolum and Buddhist 81.2%
* Occupation generally farmer and seller (45.8% and 27% respectively)
* Education: Primary level and ill educated (56.25% and 18.75% respectively)
* Family economy: Poor and moderate (12.5% and 85.4% respectively)

*Qualitative


of HIV/AIDS infection
*Awareness
Male perspective is less awareness of health when they have illness ‘When I

* have HIV infection, I don’t know because I still healthy and strong’ While
female group said ‘I don’t know how I infected because I don’t have risk
behaviour’

knowledge
*HIV/AIDS
Participants lack HIV/AIDS information as Male group ‘I know that who has

* HIV/AIDS so definitely die’ While ‘I live far away from town so I don’t know
about HIV/AIDS because most of the time I work at farm’ female group

and stigma
*Discrimination
Most of concern is discrimination from friends, work, community, and family

of PLWHA disclose themselves when they have low immunity and
*Most
have OI, thus delayed the treatment. Factors associated with disclosure
were socio-demographic characteristic, fear, stigma and discrimination.
Therefore, HIV/AIDS knowledge including treatment, support and service
information is crucial recommendation to implement HIV/AIDS project. In
addition, activities implementing to breakdown social misunderstanding
of HIV/AIDS in community, and increase ARV center allowing PLWHA to
direct treatment is also very crucial.

*Conclusion