title: Perceived quality of life among Visceral Leishmaniasis and HIV coinfected migrant male-workers in Northwest Ethiopia: a qualitative study.
abstract: There is paucity of data on quality of life as a dimension of treatment outcome among Visceral Leishmaniasis and HIV coinfected patients. This study sought to explore perceived quality of life among Visceral Leishmaniasis and HIV coinfected male migrant workers in Northwest Ethiopia.
  
  
  
  Twenty Visceral Leishmaniasis and HIV coinfected study participants took part in the in-depth interviews at Visceral Leishmaniasis and HIV treatment centers. Ten participants were on antiretroviral treatment (ART) and the remaining 10 have not yet started ART. All interviews were recorded, transcribed and translated for analysis. Data were analyzed by qualitative content analysis using Open Code software version 3.4.
  
  
  
  Participants reported on four aspects of quality of life: liveability of the environment, utility of life, life ability of a person and appreciation of life. Respondents living environment, therapeutic side effects of Visceral Leishmaniasis drugs, poverty and stigma negatively affected their quality of life. On the contrary, good treatment response and financial security were reported to positively affect their quality of life.
  
  
  
  Challenges related to the living environment, financial limitations and sub-optimal response of Visceral Leishmaniasis drug and relapse of Visceral Leishmaniasis disease are factors most negatively affecting the quality of life of Visceral Leishmaniasis and HIV coinfected patients. Micro-financing and other socio-economical support programs should be launched to assist the unemployed males migrating to Visceral Leishmaniasis endemic and relatively higher HIV prevalent areas to work as daily laborers. HIV prevention programs in HIV positive-living counseling programs should target such high risk migrant workers in the endemic areas.
authors.affiliation: Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Northwest Ethiopia, P. O. Box - 196, Gondar, Ethiopia. mekuriaw14@gmail.com.
authors.forename: Mekuriaw
authors.initials: M
authors.lastname: Alemayehu
authors.affiliation: Department of Public Health, St. Paul's Hospital Millennium Medical College, Addis Ababa, Ethiopia.
authors.forename: Mamo
authors.initials: M
authors.lastname: Wubshet
authors.affiliation: School of Medicine, College of Medicine and Health Sciences, University of Gondar, P. O. Box - 196, Gondar, Ethiopia.
authors.forename: Nebiyu
authors.initials: N
authors.lastname: Mesfin
authors.affiliation: Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Northwest Ethiopia, P. O. Box - 196, Gondar, Ethiopia.
authors.forename: Abebaw
authors.initials: A
authors.lastname: Gebayehu
mesh_terms: D000328:Adult; D044966:Anti-Retroviral Agents / Q000627:therapeutic use; D060085:Coinfection; D004777:Environment; D005002:Ethiopia / Q000453:epidemiology; D015658:HIV Infections / Q000188:drug therapy / Q000453:epidemiology* / Q000523:psychology*; D006801:Humans; D007898:Leishmaniasis, Visceral / Q000453:epidemiology* / Q000523:psychology*; D008297:Male; D008875:Middle Aged; D036301:Qualitative Research; D011788:Quality of Life; D014171:Transients and Migrants / Q000523:psychology*; D016896:Treatment Outcome
chemical_list: D044966:Anti-Retroviral Agents
keywords: HIV coinfection; Qualitative study; Quality of life; Visceral Leishmaniasis