فقیروں کابھٹو
1968ء یا 69کی بات ہے ذوالفقار علی بھٹو اندرونِ سندھ کے دورے سے اپنے گھر لاڑکانہ واپس جا رہے تھے اور سخت بخار کی حالت میںتھے ۔ان کی گاڑی ممتاز بھٹو چلا رہے تھے شہداد کوٹ اور قمبر کے نزدیک ایک مزار کے فقیروں ،ملنگوں اور درویشوں کو بھٹو کی آمد کا پتہ چلا تو انہوں نے بھٹو کی گاڑی کو وارہ پل کے مقام پر گھیر لیا ۔ممتاز بھٹو نے لاکھ سمجھانے کی کوشش کی کہ بھٹو صاحب کو بخار ہے مگر نہ مانے اور انہیں اپنے ساتھ آستانے پر لے جانے پر بضد رہے ۔ذوالفقار علی بھٹو ان کا مطالبہ مان کر ان کے ساتھ گئے ۔وہاں فقیروں ،ملنگوں اور درویشوں نے بھٹو کو اپنے ساتھ چرس اور بھنگ پینے کی پیشکش کی ۔بھٹو نے کہا آپ چائے پلا دیں ۔اسی وقت ان فقیروں نے گڑ کی چائے بنا کر پیش کی اسی دوران ایک ملنگ نے درباروں والا مخصوص ہار اپنے گلے سے اتار کر بھٹو کے گلے میں ڈال دیا ۔بھٹو تیز بخار کی صورت میں کچھ دیر وہاں فقیروں کے ساتھ بیٹھے اور پھر اجازت لے کر وہاں سے لاڑکانہ چلے گئے ۔
ان فقیروں ،ملنگوں اور درویشوں اوران جیسے کروڑوں لوگوں نے …جنہیں پیپلز پارٹی مدت ہوئی فراموش کر چکی ہے ،آج تک بھٹو کو اپنے دلوں میں بسایا ہوا ہے ۔
Almighty Allah created Ãdam and made each and every thing of this Universe in his order to take interest and use it well. But he also made some laws also to follow that he can avoid many mishaps. He sent Prophets for proper guidance of mankind and empowered them with Books containing the laws and instructions according to the need of hours. But Islam is the complete code of life and it has to remain in the world till the last day the Day of Judgment. Islam protected the life and honor of men & women in each and every stage of life. Islam has given all the rights to a woman which a man enjoys at any stage of life. Islam is the supporter of equality among the all human beings and wants to reduce differences made by men themselves so it allows relationships between followers of all religions. Especially among religions. So allowed to get merry with women of other religions like Jews & Christians, the followers of sacred books. By this action it wants to reduce gap among human beings. Islam also allows those women who got married with Muslims to act in their personal lives according to their own religions.
Aim: To determine the influence of depression on adherence to antiretroviral (ARV) therapy among HIV-infected patients.
Design: Cross-sectional survey
Patients: One hundred and forty HIV-positive patients on treatment with Combination Antiretroviral Therapy selected from the out-patient department of Aga Khan University Hospital took part in the survey.
Methodology: Every third patient who was eligible was assessed for adherence to antiretroviral therapy using The Adult AIDS Clinical Trial Group follow up adherence questionnaire followed by screening for depression using the Patient Health Questionnaire 9. Pharmacy data was then retrieved for the same patients and used to assess adherence by the medication possession ratio. The data was then analysed using SPSS and chi square was calculated for relationships between adherence and depression. Odds ratio was also calculated for the risk of depression in the non-adherent group compared to the adherent group.
Results: Fifteen patients did not have any pharmacy data available. Sixty five patients had medication possession ratios of >95% indicating good adherence. Sixty patients had medication possession ratios <95% indicating sub-optimal and poor adherence.30% of non-adherent patients were found to have depressive symptoms as compared to 23% in the adherent group. Although this did not reach significant levels, patients who were non-adherent were 1.3 times more likely to be depressed. On multivariate analysis there was no significant association between depression and levels of adherence.
There was however a significant association between cash payment for medication and higher viral loads (p= 0.029).
Conclusion: This study did not show a significant association between depression and adherence to antiretroviral therapy.