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Experiences of different household structures’ caring for people living with HIV and AIDS in the antiretroviral era: Case study of Nyamakate rural area in Zimbabwe

机译:抗逆转录病毒时代不同家庭结构照顾艾滋病毒和艾滋病患者的经验:以津巴布韦的纳卡马特农村地区为例

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Despite the remarkable ART coverage and associated benefits, people living with HIV and AIDS (PLWH) require home care at the stage IV of HIV progression. Thus, home-based care (HBC) remains an important component of caregiving to PLWH in rural communities, but research on its social aspects is declining. This study explored experiences of households that care for PLWH in the ART era using a case study of Nyamakate resettlement area, Zimbabwe. Data were gathered using household interviews, key informant in-depth interviews, observations and focus group discussions. Most of the households had extended families and the highest number of household members was 13 people. Three family typologies cared for PLWH and these are nuclear, extended and “grandparent” households. Caregivers struggled to offer adequate care due to a number of challenges including lack of income, food shortage, transport problems and burden of care. ARVs were provided free of charge by government and an NGO seldom supported PLWH with food handouts. In conclusion, the HBC across the household structures continue to be stressed by the challenges associated with caring for PLWH even though they are on ART.
机译:尽管获得了广泛的抗逆转录病毒治疗和相关收益,但艾滋病毒和艾滋病感染者(PLWH)在艾滋病毒发展的第四阶段仍需要家庭护理。因此,基于家庭的护理(HBC)仍然是农村社区对PLWH进行护理的重要组成部分,但是其社会方面的研究正在减少。本研究以津巴布韦纳卡卡特(Nyamakate)安置区为例,探讨了ART时代照顾PLWH的家庭的经验。使用家庭访谈,关键线人深入访谈,观察和焦点小组讨论来收集数据。大多数家庭有大家庭,最多的家庭成员是13人。照顾PLWH的三种家庭类型是核家庭,扩展家庭和“祖父母”家庭。由于许多挑战,包括收入不足,食物短缺,运输问题和护理负担,护理人员努力提供足够的护理。政府免费提供抗逆转录病毒药物,一个非政府组织很少通过食物发放来支持艾滋病病毒/艾滋病感染者。总之,尽管他们正在接受抗逆转录病毒治疗,但仍面临着与照顾PLWH有关的挑战,从而使住户结构中的HBC继续受到压力。

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