Assessment of activity limitation and participation restriction of PLHAs with reference to the international classification of functioning, disability and health

Varun Vijay Gaiki; Manasi Khardekar

doi:10.18203/2394-6040.ijcmph20174633

Authors

Varun Vijay Gaiki Department of Community Medicine, Malla Reddy Institute of Medical Sciences, Hyderanad, Telangana
Manasi Khardekar Gandhi Medical College and Hospital, Secunderabad, Hyderabad, Telangana

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20174633

Keywords:

Activity limitation, Participation restriction, PLHIV, ICF

Abstract

Background: There are limited studies from India on use of ICF in finding out the Disability experienced by PLHIV. We undertook this study to understand the level of disability experienced by the PLHIV attending tertiary healthcare setting. This study mainly focuses on the self-care domain of ICF classification.

Methods: Cross sectional, hospital based, conducted with permission from institutional ethics committee. Predesigned standardised ICF questionnaire, with only self care part of it was administered and participants assessed for activity limitation and participation restriction domains of self care.

Results: Inactivity limitation block, with regards to washing oneself, caring for body parts and dressing none reported any problem. In regulating menstruation 15 (6.67%) had moderate, 15 (6.67%) had severe and 3 (1.33%) had complete problem while 67 (29.67%) had no problem. In participation restriction, it was observed that participants had difficulties in regulating defecation 47 (20.8%) moderate, 33 (14.66%) severe, 9 (4%) mild whereas 6 (2.67%) complete problem. Overall prevalence was 42.67%. in block of participation restriction, on performance qualifier, overall 149 (66.67%) had problem in eating, 77 (34.22%) had moderate, 36 (16%) severe, 34 (15.1%) had mild and 3 (1.33%) had complete problem. In drinking overall 29.78% participants experienced problems, out of which 31 (13.7%) had moderate, 23 (10.22%) mild 12 (5.33%) and 1 (0.44%) had complete problem.

Conclusions: Significant amount of activity limitation in self care observed with reference to toileting, eating drinking. Hence, this parameters to be stressed on in planning National program on AIDS.

Metrics

Metrics Loading ...

References

Webber R. Human Immunodeficiency Virus. In: Communicable Disease Epidemiology and Control A Global Perspective. 2nd ed. Oxford shire (UK): CABI Publshers; 2005: 189-193.

Greenberg AE, Drotman DP, Curran JW, Jansenn RS. The epidemiology and prevention of HIV and AIDS. In. Wallace R, editor. Public Health and Preventive Medicine. 15 ed. New York (USA): McGraw Hill Publishers; 2008: 189-199.

World Health Organization.ICF Checklist, 2003.

World Health Organization. Towards a Common Language for Functioning, Disability and Health, 2002.

Anandan N, Braveman B, Kielhofner G, Forsyth K. Impairments and perceived competence in persons living with HIV/AIDS. Work. 2006;27:255-66.

Govt. of India. NACO Annual report 2009-10: Ministry of health and family welfare, New Delhi.

Gaidhane AM, Quazi SZ, Waghmare L, Zodpey S, Goyal RC, Johrapurkar SR. Assessing self-care component of activities and participation domain of the international classification of functioning, disability and health (ICF) among people living with HIV/AIDSAIDS Care. 2008;20(9):1098-104.

Myezwa H, Stewart ANM, Nesara P. Status of referral to physiotherapyamong HIV positive patients at Chris Hani Baragwaneth Hospital, Johannesburg, South Africa. S Afr J Physiother. 2005;63:27–31.

Chandra PS, Satyanarayana VA, Satishchandra P, Satish KS, Kumar M. Do Men and Women with HIV Differ in Their Quality of Life? A Study from South India. AIDS Behav. 2009;13:110–7.

Myezwa H, Buchella CM, Jelsma J, Stewart A. HIV/AIDS: use of the ICF in Brazil and South Africa-comparative data from four cross-sectional studies. Physiotherapy. 2011;97(1):17-25.

Van As M, Myezwa H, Maleka DEM. The International Classification of Function (ICF) in adults visiting the HIV outpatient clinicat a regional hospital in Johannesburg, South Africa. AIDS Care. 2009;21:50–8.

Govt. of India. Census Report 2011. New Delhi (India). Ministry of home affairs, office of registrar general and census commissioner, 2011.

Wig N, Lekshmi R, Pal H, Ahuja V, Mittal CM, Agarwal SK. The impact of HIV/AIDS on the quality of life: a cross sectional study in north India. Indian J Med Sci. 2006;60(1):3-12.

Buchalla C, Cavalheiro T. The International Classification of Functioning,Disability and Health and AIDS: a core set proposal. Act Fisiatr. 2008;15:42-8.

Jelsma J, Brauer N, Hahn C, Snoek AIS. A pilot study to investigate the use of the ICF in documenting levels of function and disability inpeople living with HIV. S Afr J Physiother 2006;62:7–13.