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Home and community based care program assessment for people living with HIV/AIDS in Arba Minch, Southern Ethiopia

DOI: 10.1186/1472-684x-11-8

Keywords: Community, Home-Based, Palliative Care, PLWHA, Ethiopia

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A cross-sectional quantitative study combined with qualitative methods was conducted in Southern Ethiopia among 226 randomly selected PLWHAs and 10 service providers who were purposively selected. Data was collected using a pre-tested structured interview questionnaire and in-depth interview guideline. Quantitative data was analyzed using SPSS windows based statistical software while qualitative data was analyzed manually using thematic framework analysis.A total of 226 PLWHAs were interviewed. Socio-economic support (material and income generating activities) was being received by 108 (47.8%) of the respondents, counseling services (e.g. psychological support) were being received 128(56.6%), 144 (63.7%) alleviation of stigma and discrimination as human right and legal support for study participants. Inadequate external financial support, lack of proper referral systems between different care providers were among the reasons identified for the low quality and redundancy of care and support activities. Nonetheless, many opportunities and prospects, including easily accessible care receivers (PLWHA), good political and societal will were also implicated.Care and support services provided to PLWHAs in the study area are by far lower in terms of coverage and quantity. Strategies for improvement could be facilitated given the observed political will, social support and access to care givers.In 2009, an estimated 33.3 million people [31.4-35.3 million] were living with HIV and 2.6 million [2.3 million–2.8 million] people who became newly infected with HIV worldwide. In 33 countries, the HIV incidence has fallen by more than 25% between 2001 and 2009; 22 of these countries are in sub-Saharan Africa [1], the region where the majority of new HIV infections continue to occur. It was estimated that 1.8 million [1.6 million–2.0 million] people became infected in 2009 [1]. The global burden of HIV is heaviest in lower-income countries, where the majority of adults with HIV live


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