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Community home-based care - a cost-effective model of care: who benefits?

机译：社区家庭护理-一种具有成本效益的护理模式：谁能受益？

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摘要

Statistics indicate that the HIV and AIDS pandemic is rampant in the province of KwaZulu-Natal (KZN). Increasingly, people with HIV and AIDS rely on voluntary community home-based caregivers for care and support. Drawing on original research conducted in 2005 and a subsequent study in 2009, this article presents the socio-economic context of care and women's perspectives on care giving. The study was conducted in three different communities in KZN. The feminist post-structuralist perspective provided the theoretical framework. Data collection methods included in-depth semi-structured interviews, observations and documentary review. The data were analysed using the grounded theory approach. The study revealed that it is poor, black, unemployed Zulu women who provide community home-based care (CHBC) in the province. The findings further suggested that the CHBC programme overlooks the realities of women, who operate in a context of poverty and unemployment. It is therefore argued that while the National HIV and AIDS Strategic Plan 2007-2011 has made progressive strides, implementation of the set targets remains a formidable challenge. In practice, the Plan remains gender-blind to poor women's social, political and economic imperatives. The article proposes a model of care that takes into cognisance the interests of women caregivers.
机译：统计数据表明，夸祖鲁-纳塔尔省（KZN）的艾滋病毒和艾滋病大流行。艾滋病毒和艾滋病患者越来越多地依靠社区的家庭自愿护理者提供护理和支持。借鉴2005年进行的原始研究以及2009年进行的后续研究，本文介绍了护理的社会经济背景以及妇女对护理的看法。该研究是在KZN的三个不同社区中进行的。女权主义的后结构主义视角提供了理论框架。数据收集方法包括深入的半结构化访谈，观察和文献审查。使用扎根理论方法分析数据。该研究表明，该省的贫困，黑人，失业的祖鲁族妇女提供社区居家护理（CHBC）。调查结果进一步表明，CHBC计划忽视了在贫困和失业背景下工作的妇女的现实。因此，有人认为，尽管《 2007-2011年国家艾滋病毒和艾滋病战略计划》取得了长足进步，但实现既定目标仍然是一项艰巨的挑战。在实践中，该计划对贫困妇女的社会，政治和经济要求仍然不分性别。文章提出了一种护理模型，该模型考虑了女性护理人员的利益。

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