Health System Responsiveness for Persons with HIV and Disability in South Western Uganda

Figures & data

Table 1 Definitions of Disability Domains

Domains	Measure
Cognition (6 questions)	Assesses communication and thinking activities on concentrating, remembering, problem solving, learning and communicating
Mobility (5 questions)	Assesses activities such as standing, moving around inside the home, getting out of the home and walking a long distance
Self-care (4 questions)	Assesses hygiene, dressing, eating and staying alone.
Getting along (5 questions)	Assesses interactions with other people and difficulties that might be encountered with this life domain due to a health condition
Life activities (4 questions)-	Assesses difficulty with day-to-day activities (ie those that people do on most days, including those associated with domestic responsibilities, leisure, work and school)
Participation (8 questions)-	Assesses social dimensions, such as community activities; barriers and hindrances in the world around the respondent; and problems with other issues, such as maintaining personal dignity.

Table 2 Socio-Demographic Characteristics of Study Participants (106)

Variable	Frequency	Percent
Sex
Female	58	55.85
Male	48	44.15
Age Group
<=30	17	16.67
31–40	19	18.63
41–50	30	29.41
≥51	36	35.29
Religion
Christian	99	94.29
Moslem	6	5.71
Education Levels
Diploma and above	5	4.72
Primary Education	26	24.53
Secondary Education	11	10.38
Unable to Read and Write	56	52.83
Write And Read Only	8	7.55
Marital Status
Divorced	24	25
Married	37	38.54
Single	35	36.46

Table 3 The Accessibility of Respondents to Health Facilities (n=106)

Characteristics	Frequency	Percent
Type of Health Facility
Government	61	58.1
PNFP	44	41.9
Level of Health Facility
III	42	39.62
Iv	21	19.81
Hospital	43	40.57
Income Generating Activities
No	85	81.73
Yes	19	18.27
Distance to Health Facilities
<5km	46	43.4
>5km	60	56.6
Visited Traditional Healer
No	84	80.77
Yes	20	19.23

Table 4 The Frequency of Various Manifestations of Disability Among Study Respondents. (N=106)

Domains	Frequency	Percent
Cognition
Yes	72	68.57
No	33	31.43
Self-Care
Yes	84	80
No	21	20
Getting along
Yes	60	57.14
No	45	42.86
Life skill
Yes	27	25.71
No	78	74.29
Participation
Yes	47	44.76
No	58	55.24
Mobility
Yes	97	92.38
No	8	7.62

Figure 1 The health system performance among people with disabilities attending HIV/AIDS treatment and care services in Bushenyi.

Table 5 Bivariate and Multi-Variate Logistic Regression Analysis for Factors Associated with Responsiveness to HATCS in Bushenyi

Variable	COR (CI)	P-value	AOR (CI)	P-value
Age
≤ 30	1		1
31–40	0.11(0.02–0.561)	0.008*	0.17(0.02–1.49)	0.111
41–50	0.15(0.032–0.701)	0.017*	0.57(0.089–3.61)	0.55
>50	0.41(0.90–1.87)	0.248	0.63(0.088–5.14)	0.708
Marital status
Divorced	1		1
Married	0.81(0.24–2.69)	0.73	0.69(0.15–3.14)	0.63
Single	3.43(1.04–11.31)	0.043*	3.05(0.64–16.40)	0.16
Income generating Activities
No	1		1
Yes	0.204(0.052–0.791)	0.022*	0.227(0.023–1.66)	0.144
Visited traditional healer
No	1
Yes	0.45(0.14–1.46)	0.19	0.49(0.09–2.61)	0.41
Mobility
No	1		1
Yes	6.16(0.70–54.29)	0.102	3.16(0.52–19.37)	0.214

Note: *Statistically significant.