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  • Title: Community responses to AIDS.
    Author: Anderson S.
    Journal: World Health Forum; 1994; 15(1):35-8. PubMed ID: 8141975.
    Abstract:
    Some examples of care in the community for people with HIV/AIDS are reported from Africa. Members of communities committed to fighting the AIDS epidemic cannot do so alone and should be given every possible help. Inadequate care favours the spread of HIV, as does the stigmatization of people with HIV infection and their families. Both inadequate medical care services for acquired immunodeficiency syndrome (AIDS) patients and the stigmatization of infected persons have been addressed effectively in Africa through community-based programs. In countries such as Uganda, Rwanda, Zambia, where much health care has traditionally been provided at the village level, a care continuum between home and health facility has been established. In Uganda's Kaborole and Bundibugyo District Health Texas, chronically or terminally ill persons who have a caregiver available and do not require around-the-clock nursing care can remain in their homes while receiving treatment, nursing services, and counseling. In Rwanda, a Red Cross--supported program trains volunteers to teach families to provide home care for AIDS patients and give emotional support to caregivers. In Zambia's Monze District, linkages have been established between people's homes, the rural heath center, and the district hospital. A program in Kitovu, Uganda, trains community members to become AIDS behavior change advocates and counselors. Although organization at the grass-roots level has the largest impact of all interventions on AIDS care, it requires a political commitment from the government and coordination with medical facilities. Through such an approach, the AIDS patient's quality of life is enhanced and communities are empowered to combat fear and discrimination. Another significant aspect of community responses to AIDS is its implicit recognition of the informal care traditionally provided by women in the home.
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