Changing clinical needs of people living with AIDS and receiving home based care in Malawi - the Bangwe Home Based Care Project 2003-2008 - a descriptive study

Bowie, Cameron; Gondwe, Norton; Bowie, Claire

doi:10.1186/1471-2458-10-370

Table 1 Characteristics of Bangwe home based care patients 2003-2008

From: Changing clinical needs of people living with AIDS and receiving home based care in Malawi - the Bangwe Home Based Care Project 2003-2008 - a descriptive study

Patient characteristic	Year of assessment	2003		2004		2005		2006		2007		2008		Total		Extended Mantel-Haenszel test for trend
		Number	%	Number	%	Number	%	Number	%	Number	%	Number	%	Number	%	chi-sq.	DF	p
Number		247		174		213		290		213		129		1266
Sex	male	102	41.3	75	43.1	94	44.1	105	36.2	81	38.0	51	39.5	508	40.1	1.41	1	0.24
	female	145	58.7	99	56.9	119	55.9	185	63.8	132	62.0	78	60.5	758	59.9
Chronic fever, cough or diarrhoea	no	222	89.9	145	83.3	189	88.7	272	93.8	204	95.8	123	95.3	1155	91.2	15.2	1	< 0.001
	yes	25	10.1	29	16.7	24	11.3	18	6.2	9	4.2	6	4.7	111	8.8
Bed-bound	not bedbound	85	34.4	55	31.6	54	25.4	104	35.9	106	49.8	54	41.9	458	36.2	28.7	1	< 0.001
	bedridden less than half the day	29	11.7	17	9.8	66	31.0	70	24.1	43	20.2	30	23.3	255	20.1
	bedridden more than half the day	133	53.8	102	58.6	93	43.7	116	40.0	64	30.0	45	34.9	553	43.7
Can leave house	yes	173	71.2	128	75	130	61.0	203	72.2	151	72.9	81	68.1	866	70.2	0.77	1	0.38
	no	70	28.8	43	25	82	38.5	78	27.8	56	27.1	38	31.9	367	29.8
Needs help bathing	yes	39	15.8	55	31.6	49	23.0	35	12.1	27	12.7	19	14.8	224	18.5	58.3	1	< 0.001
	no	158	64.0	118	67.8	163	76.5	255	87.9	185	87.3	109	85.2	988	81.5
Needs help dressing	yes	42	17.0	30	17.2	20	9.4	26	9.0	17	8.0	10	7.8	145	11.5	4.41	1	0.04
	no	205	83.0	144	82.8	193	90.6	262	90.3	196	92.0	119	92.2	1119	88.4
Needs help eating	yes	22	8.9	19	10.9	4	1.9	12	4.2	11	5.2	6	4.7	74	5.9	7.27	1	0.01
	no	224	90.7	155	89.1	209	98.1	273	95.8	201	94.8	123	95.3	1185	94.1
Needs help walking	yes	88	35.6	50	28.7	25	11.7	40	13.9	31	14.6	20	15.5	254	20.1	43	1	< 0.001
	no	159	64.4	124	71.3	187	87.8	247	86.1	181	85.4	109	84.5	1007	79.9
Needs help with toileting	yes	70	28.3	40	23.0	24	11.3	40	14.1	29	13.9	19	15.0	222	17.8	21.4	1	< 0.001
	no	176	71.3	133	76.4	188	88.3	243	85.9	179	86.1	108	85.0	1027	82.2
Past TB	yes	82	34.0	60	35.3	86	42.0	99	34.7	56	27.2	40	31.0	423	34.2	1.99	1	0.16
	no	159	66.0	110	64.7	119	58.0	186	65.3	150	72.8	89	69.0	813	65.8
On TB treatment at assessment	yes - pulmonary	75	30.4	58	33.3	73	34.3	63	21.7	36	17.0	24	18.6	329	26.0	13.28	1	< 0.001
	yes - extra-pulmonary	2	0.8	15	8.6	12	5.6	10	3.4	7	3.3	10	7.8	56	4.4
	no	170	68.8	101	58.0	128	60.1	217	74.8	169	79.7	95	73.6	880	69.5
HIV test done before assessment	yes	47	19.0	72	41.4	97	45.5	186	64.1	154	72.3	96	74.4	652	51.5	185	1	< 0.001
	no	200	81.0	102	58.6	116	54.5	104	35.9	59	27.7	33	25.6	614	48.5
ART status	on ART before initial assessment	0	0.0	0	0	0	0.0	35	12.1	75	35.2	48	37.2	158	12.5	207	1	< 0.001
	on ART after initial assessment	19	7.7	28	16.1	37	17.4	66	22.8	28	13.1	14	10.9	192	15.2
	not on ART	228	92.3	146	83.9	176	82.6	189	65.2	110	51.6	67	51.9	916	72.4
WHO staging	2	30	12.1	17	9.8	15	7.0	21	7.2	30	14.2	18	14.0	131	10.3	2.84	1	0.092
	3	82	33.2	49	28.2	89	41.8	114	39.3	80	37.7	45	34.9	459	36.3
	4	135	54.7	108	62.1	109	51.2	155	53.4	102	48.1	66	51.2	675	53.3
Sputum sent for AFB	yes	0	0	0	0	18	8.5	26	9.2	14	6.6	6	4.7	64	5.1	15.7	1	< 0.001
	no	247	100	174	100	195	91.5	263	92.9	199	93.4	122	95.3	1200	94.9
Referred for ART	yes	0	0	0	0	12	5.6	39	13.5	36	16.9	23	17.8	110	8.7	76.8	1	< 0.001
	no	247	100	174	100	201	94.4	250	86.5	177	83.1	106	82.2	1155	91.2
Died, alive or lost to follow up	died	171	69.2	126	72.4	131	61.5	129	44.5	68	31.9	27	20.9	652	51.5	153	1	< 0.001
	lost	8	3.2	9	5.2	29	13.6	27	9.3	19	8.9	3	2.3	95	7.5
	only seen once	23	9.3	4	2.3	6	2.8	13	4.5	8	3.8	22	17.1	76	6.0
	alive	45	18.2	35	20.1	47	22.1	121	41.7	118	55.4	77	59.7	443	35.0
		Rate		Rate		Rate		Rate		Rate		Rate		Rate
First visit rate per 1000 population		4.2		2.5		2.7		3.5		2.5		2.2		2.9		31.2	1	< 0.001
Follow up visit rate per 1000 pop		10.7		18.1		23.6		27.0		21.4		17.6		20.1		84.2	1	< 0.001
		Mean	SD	Mean	SD	Mean	SD	Mean	SD	Mean	SD	Mean	SD	Mean	SD	Pearson r	Anova p
Body mass index		18.6	3.2	17.9	2.3	18.1	2.7	18.3	3.2	18.3	2.9	18.0	3.3	18.3	3.0	-0.022	0.47
Age		31.8	7.9	33.0	8.0	32.8	8.1	34.8	9.0	34.4	8.1	34.0	9.2	33.5	8.4	0.11	< 0.001

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