The Challenges of Home Based Care for Aids Patients in Ethiopia

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Date

1993-05

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Addis Ababa University

Abstract

This is a descriptive cross sectional study to determine factors which can influence and pose challenges for Home Based Care for AIDS Patients. The setting was Entoto Awraja North of Addis Ababa Ethiopia .Four hundred eighty five persons from the community members of Entoto Awrajai 37 AIDS patients attending counselling and follow up clinic i and 12 family members who were informed about their patients disease , were interviewed by structured questionnaires, while 127 health institution workers involved in the care of AIDS patients in different health institutions were given self administered questionnaires .The community's', patients, families and health institution workers ,Knowledge , attitude, beliefs and practices on AIDS , hospital care and home based care of patients was assessed More than 60% of respondents had good knowledge about transmission routes and means of preventions , although 70% of them mentioned non specific symptoms of the disease . 61% and 81% of the community and health institution workers respectively did not think the hospital would meet all the needs of AIDS patients , and 57% of the community prefrred Home Care compared to 40% of the patients , 25% of the family members and 43% of health institution workers. Majority of the the patients and families were afraid of social consequences by being exposed due to vests by home care team. 60% of the community responded they will be volunteers for home care team if asked while only 35% of the health institution workers responded similarly. The study reveals considerably good knowledge among the respondents on AIDS ,with bias towards clinical care and lees emphasis on the psychological support . The community displays less fear for AIDS and more positive attitude towards home care than health institution workers. Promotional and educational efforts are recommended , with emphasis on health workers for the success of Home Based Care.

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Challenges of Home Based Care

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