Background Non-profit organisation (NPO) is a major type to provide the services to response the needs for people living with HIV and AIDS (PLWHA) in the community in Taiwan. The purposes of the study were to describe the services and investigate the effect of the services utilisation of the services on health related variables for PLWHA.
Methods Stratified random sampling and cross-sectional survey methods were used. The self-administered questionnaires include the Demographic, Utilisation and Satisfaction of the Non-Profit Organisation Services Questionnaire, CD4 count and virus load, Customised Adherence Self-Report Questionnaire, Beck Depression Inventory-II (BDI-II), and Medical Outcomes Study Short-Form Health Survey (SF-36) were used to collect date. In Utilisation and Satisfaction of the Non-Profit Organisation Services Questionnaire, the nine services form NPOs were generalised. Data were analysed using forward stepwise multiple regressions.
Results There were 202 study subjects (n=178, 88.1% male) and the mean age was 42.54 (SD 10.44) years. The mean virus load and CD4 count were 11 031.07 (SD 67 153.41) m/l and 425.03 (SD 209.30) mm3. The total number of service types which had had accepted by participants was 4.65 (SD 1.67). The services with highest number of users were group or activities (n=174, 86.1%) and counselling (n=137, 67.8%). Of the 137 participants who had used the counselling service, 126 (92%) will keep using counselling service. The result indicated that higher frequency of financial aid and counselling services were predictive to the lower depression level of BDI-II (F=17.51, R2=0.60, p=0.001). Higher frequency of access for medical care service could predict the higher adherence rate to cART of Customised Adherence Self-Report Questionnaire (F=6.85, R2=0.41, p=0.013). Higher frequency of access for medical care service and higher adherence rate for cART were collaboratively the predictors to the higher CD4 count (F=17.24, R2=0.55, p=0.009). The service of access for medical care, BDI-II, and CD4 were significant with quality of life for SF-36 (F=17.31, R2=0.66, p<0.000).
Conclusions The utilisations of financial aid, counselling, and access for medical care services that provided by NPO in Taiwan were significantly with the health related variables which included the depression, adherence, CD4, and quality of life. The result could provide suggestions about refining the contents of services and promoting their function and the quality of life of PLWHA.