Abstract:
Background: 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.
Methods: 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.
Result: 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.
Conclusion: 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.
