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1994-09-24
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Document 0713
DOCN M9490713
TI Evaluation of a home-care/counselling AIDS programme in Kgatleng
district, Botswana.
DT 9411
AU Buwalda P; Kruijthoff DJ; de Bruyn M; Hogewoning A; School of Medicine,
Nijmegen, The Netherlands.
SO AIDS Care. 1994;6(2):153-60. Unique Identifier : AIDSLINE MED/94339206
AB In 1988 a programme for care and follow-up of HIV-positive persons and
AIDS patients was implemented by the existing health facilities
(district health team and hospital team) of Kgatleng District, Botswana.
A survey study in 1991 tried to indicate the effectiveness and
bottlenecks of the programme. All advisory nurses (AN) were interviewed
via two questionnaires: one pertaining to case management of clients and
one on their perceptions of their work. Seventy-two of 109 HIV-infected
persons accepted and received counselling. Response of the 72 varied: 26
with a good, 34 with a moderate and 12 with a bad response. Prevention,
contact tracing and home visiting were studied, as well as ANs'
experiences and opinions of the programme. Some behavioural change by
clients was indicated by the results though its extent remains
questionable. Programme problems included client migration and refusal
of counselling, and discontinuation of HIV-testing facilities. Once a
relationship was established, confidentiality, questions and fear of
stigmatization posed major problems. One-to-one support of ANs could
help them cope better with these problems as well as discuss their own
worries.
DE Acquired Immunodeficiency Syndrome/*PSYCHOLOGY/THERAPY Adolescence
Adult AIDS Serodiagnosis/PSYCHOLOGY Botswana Community Health Nursing
Contact Tracing *Counseling *Developing Countries Female *Home Care
Services Human HIV Seropositivity/*PSYCHOLOGY/THERAPY/TRANSMISSION
Knowledge, Attitudes, Practice Male Medicine, Traditional Middle Age
*Patient Care Team Self Disclosure JOURNAL ARTICLE
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).