Home-Based Care and Perceived Quality of Life Among People Living with HIV in Ho Chi Minh City, Viet Nam
We conducted a cross-sectional study to examine the perceptions of quality of life among people living with HIV who received home-based care services administered through outpatient clinics in Ho Chi Minh City, Viet Nam. Data were collected from a sample of 180 consecutively selected participants (86 cases, 94 controls) at four outpatient clinics, all of whom were on antiretroviral therapy. Quality of life was evaluated using the WHOQOL-BREF instrument. In adjusted analysis, those who received home-based care services had a quality of life score 4.08 points higher (on a scale of 100) than those who did not receive home-based care services (CI 95%, 2.32–5.85; p < 0.001). The findings suggest that home-based care is associated with higher self-perceptions of quality of life among people living with HIV.
KeywordsHome-based care HIV Viet Nam ART
The authors acknowledge the interviewers and the HCMC PAC staff for their contribution to the collection of data. We would like to thank FHI in Viet Nam for providing HBC activities in the outpatient clinics, and CDC in Viet Nam for supporting HBC services and reviewing the study protocol and manuscript. This study was funded by the President’s Emergency Plan for AIDS Relief (PEPFAR) through the U.S. Centers for Disease Control and Prevention under the terms of PS001468. We wish to acknowledge support from the UCSF’s International Traineeships in AIDS Prevention Studies (ITAPS), U.S. NIMH, R25MH064712. The authors declare that they have no competing interests.
Compliance with Ethical Standards
Conflict of interest
The authors declare that they have no competing interests.
All procedures performed in studies involving human participants were in accordance with the ethical standards of The Ethical Review Board for Biomedical Research Hanoi University of Public Health and ADS of CDC and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
Informed consent was obtained from all individual participants included in the study.
- 1.Ministry of Health/VAAC. National guidelines: community-and home-based care for people living with HIV. 2010.Google Scholar
- 9.The Goverment of Socialist Republic of Viet Nam. Decision of the Prime Minister: Approving the National Strategy on HIV/AIDS prevention and control in Viet Nam till 2010 with a vision to 2020. In: Minister TP, editor. Vol 36/2004/QD-TTg. Ha Noi: The Goverment; 2004. p. 75.Google Scholar
- 10.A Joint MoH/VAAC, FHI and PEPFAR Collaboration. Community and Home-based Care in Viet Nam- Findings and recommendations from a rapid assessment. 2009.Google Scholar
- 11.Centers for Disease Control and Prevention. 1993 revised classification system for HIV infection and expanded surveillance case definition for AIDS among adolescents and adults. 1992. https://www.cdc.gov/mmwr/preview/mmwrhtml/00018871.htm.
- 12.Division of metal health and prevention of substance abuse, World Health Organizaton. WHOQOL-BREF. Geneva. 1998.Google Scholar
- 13.World Health Organisation. WHOQOL-BREF. Introduction, admistration, scoring, and generic version of the assessment. Geneva: WHO; 1996.Google Scholar
- 15.Centers for Disease C, Prevention. Revised surveillance case definition for HIV infection–United States, 2014. MMWR Recomm Rep. 2014;63(RR-03):1–10.Google Scholar
- 17.Young T, Busgeeth K. Home-based care for reducing morbidity and mortality in people infected with HIV/AIDS. Cochrane Database Syst Rev. 2010;2010(1):CD005417.Google Scholar
- 20.Tanzania Commission for AIDS. Home based care in Tanzania. TACAIDS. 2008. http://www.ncbi.n/m.nih.gov/pubamed/16499.
- 21.Waran. M. Home-based care in HIV/AIDS, the Indian experience. In: International Conference on AIDS, 2002;vol 142002.Google Scholar
- 22.World Health Organisation. Community home-based care. Geneva: WHO; 2001.Google Scholar
- 23.Samson-Akpan PE, Ella RE, Ojong IN. Influence of Home-Based care on the Quality of Life of people living with HIV/AIDS in Cross River State, Nigeria 2014.Google Scholar