TABLE 3.
Modifiable factors.
Modifiable factors | n (%) |
---|---|
Patient- and caregiver-related factors (N = 153) | |
Delayed presentation to a health facility | 130 (84.9) |
Defaulted HIV treatment | 21 (7.4) |
Alcohol abuse | 2 (1.3) |
Healthcare system factors (n = 97) | |
Lack of dialysis machine for HIV-positive patients | 31 (31.9) |
Inadequate respiratory support in the ward (oxygen supply) | 26 (26.8) |
Lack of ICU care for patient with HIV and/or AIDS | 26 (26.8) |
Inadequate blood product supply to the ward | 6 (6.1) |
Inadequate hospital stock of essential consumables | 3 (3.1) |
Basic laboratory investigations not available to ward 24 hours a day | 2 (2.1) |
Inadequate ward stock of essential consumables | 1 (1.0) |
Lack of standardised case management protocols in ward | 1 (1.0) |
Doctors in the ward inadequately supervised | 1 (1.0) |
Healthcare worker factors (n = 31) | |
Essential treatment not prescribed | 4 (12.9) |
Inadequate monitoring of kidney disease | 4 (12.9) |
Inadequate monitoring/intervention of liver disease | 3 (9.7) |
Inadequate evaluation of treatable malignancy | 1 (3.2) |
Inadequate assessment of fitting or comatose patient | 6 (19.3) |
Inadequate fluid replacement | 4 (12.9) |
Insufficient case assessment and management in the ward | 3 (9.7) |
Inadequate switching HAART due to toxicity | 2 (6.5) |
Inadequate blood chemistry review | 1 (3.2) |
Doctor called, but did not respond | 1 (3.2) |
Doctor at peripheral hospital did not call referral hospital | 1 (3.2) |
Critical HIV patient not reviewed by doctor during weekend | 1 (3.2) |