A.B. Larin, Yu.A. Tyukov
Chelyabinsk State Medical Academy, Chelyabinsk

Summary. By the 1^st of March 2011 the total number of HIV-infected patients registered in the Russian Federation was 589,600 people with 5,200 children of up to 15 years of age. 66,600 patients had died from HIV infection, 11,000 people among them had died from AID. 95% of mortality was due to non-HIV secondary diseases, mainly opportune infections and tumors.

To establish the role of social and medical factors in the commitment to treatment of HIV-infected patient, especially to medical therapy, meaning that beside social status of a patient, this commitment is affected also by the faculties of public health organizations to deliver medical care to the HIV-infected patients.

Medical and social features pertaining to HIV-infected patients were studied for various stages of the disease with special emphasis on investigation into the faculties of public health organizations to deliver medical care to the HIV-infected patients.

Difficulties in getting a job, tense family relationship, discrimination in access to invasive and especially surgical procedures has been dominating among the social and medical problems of HIV-infected patients. Despite legally established guarantees for charge-free medical procurement in the treatment of HIV-infection, funding of this medical procurement was not necessarily always sufficient or stable, while not rarely unsatisfactory pecuniary situation of HIV-patients made them avoid acquisition of medicines through own expenses. Personality peculiarities of HIV-patients, especially at the advanced stages of the disease course, also did not favor any particular commitment of these patients to medical therapy.

The scope of social and medical organizational problems of HIV-infected patients in the Chelyabinsk Region necessitates certain centralization of medical care for them. Creation of a center for prevention and fighting AID propagation could be realized through the formation of special corporation to control affiliated branches, medical offices, individual specialists joined in the anti-AID service.

Keywords. HIV-infection, Medical establishment, Commitment to treatment.

References

1. Borzova O. G. Na lekarstvennoe obespechenie lgotnikov v subektakh RF v 2010 g. zaplanirovano 12,9 mlrd. rub [12.9 bln. rbs were assigned for drug provision of beneficiary patients in the subjects of the RF in 2010]. Farmatsevticheskiy vestnik 2009;(17):1.
2. Ermak T.N. Metodicheskie rekomendatsii po voprosam profilaktiki i lecheniya vtorichnykh zabolevaniy u vzroslykh i podrostkov, bolnykh VICh-infektsiey [Methodical recommendations on the problems of treatment and prevention of deuteropathy in HIV-infected adult and adolescents]. Moscow. 2006. 22 p.
3. Pokrovskiy V.I., Pak S.G., Briko N.I., Danilkin B.K. Infektsionnye bolezni i epidemiologiya. [Infection diseases and epidemiology]. Moscow: GEOTAR-Media; 2007. P. 463-464.
4. Lenok D.V. VICh-infektsiya u zhenshchin reproduktivnogo vozrasta (po dannym g. Usole-Sibirskoe) [HIV infection in women of reproductive ages (by data of a town of Usol’e-Siberian)]. Proceedings of Scientific-practical Conference "Narkomaniya realnaya ugroza bezopasnosti Rossii". Irkutsk. 2008. P. 197-199.
5. Papernaya G. SPID vyshel na ulitsu [AIDS propagated in the street]. Vremya novostey 2010;(169):1.
6. Ñïðàâêà «ÂÈ×-èíôåêöèÿ â Ðîññèéñêîé Ôåäåðàöèè â 2010 ã.». Ôåäåðàëüíûé Öåíòð ÑÏÈÄ. [“HIV-infection in the Russian Federation in 2010” Briefing note. The AIDS Federal Center] [Internet] 2010 [cited 2011 Oct 31]. Available from: http://www.hivrussia.ru/files/stat/2010/spravka.doc.
7. Yasaaev I.G. SMI i situatsiya s VICh/SPIDom v Rossii [Media and HIV/AIDS situation in Russia]. Sotsiologiya zdorovya i meditsiny 2006;(2):1-16.

Write Comment

Please keep the topic of messages relevant to the subject of the article. Personal verbal attacks will be deleted. Please don't use comments to plug your web site. Such material will be removed. Just ensure to *Refresh* your browser for a new security code to be displayed prior to clicking on the 'Send' button. Keep in mind that the above process only applies if you simply entered the wrong security code.
Name:
E-mail
Comment:
Code:*