Assessment of Community Volunteers Home Based Care for Peoples Living With HIV/AIDS in Adama (Nazareth) Town, Ethiopia

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Addis Ababa University


Background: Currently, HBC programs for PLWHA are implemented in different African countries after the inceptions of the epidemic. However, the designed HBC programs may differ from place to place, that means whether model of community/NGO-based initiative or Hospital-based initiative HBC programs. To implement CHBC program for PLWHA efficiently and effectively, it is necessary to assess the perceptions and contextual experience of home caregivers in the community. Objective: It was to assess and explore the contextual based experience of CVHBC service for PLWHA in oromia region, Adama (Nazareth) town. Methods: Using a qualitative method the perceptions, range of activities, and the major challenges in HBC were described in this study. In-depth interview and FGDs were conducted with VHC givers and their team leaders selected from the ‘six’ HBC-teams in the town. The selection of study-participants was purposive with the aim of obtaining knowledgeable and experienced individual VHC-givers from the team members. Findings: The findings were described in three categories: perception of VHC givers to HBC, range of HBC activities, and challenges in HBC. The result showed that VHC givers perceived that HBC is a continuum of care that help PLWHA by providing basic care according to their needs in their home without any gap between health facilities and HBC. However, they performed a limited range of home care activities that were inadequate care. Further more, patients’ poverty, lack of adequate resources, lack of adequate support; presence of stigma, rejection, and abuse; lack of training and supervision by health professional and for caregivers, and lack of health care infrastructures were indicated as the major factors that affect the provision of better quality home care. v Conclusion: In general, the HBC process in the study areas were indicated that it was unorganized and not coordinated, which means there was lack of professional support as well as lack of adequate materials and financial support besides the lack of all stakeholders’ participations, lack of adequate HBC infrastructure and the absence of communications among the organizations. Further studies, however, are recommended for better understanding of these major challenging issues in HBC of PLWHA, using a combination of qualitative & quantitative research methods