Evaluation of an integrated AIDS management plan at district level in Botswana.

Important note: Information in this article was accurate in 1992. The state of the art may have changed since the publication date.

Evaluation of an integrated AIDS management plan at district level in Botswana.

Int Conf AIDS. 1992 Jul 19-24;8(2):B154 (abstract no. PoB 3407). Unique Identifier : AIDSLINE ICA8/92401134
Buwalda P; Kruijthoff D; Hogewoning A; School of Medicine, University of Nijmegen, The Netherlands.

Abstract: OBJECTIVES: Evaluation of implementation of the plan for care of AIDS and HIV-positive patients in the Kgatleng and South East Districts, Botswana as developed in 1988. METHODS: The evaluation was performed in the Kgatleng district, Botswana. The district has one hospital and 9 clinics. Each of these has an Advisory Nurse (AN) trained in counselling and management of AIDS and HIV-positive patients. All AN were interviewed. The interview consisted of two parts: 1 a general questionnaire asking every AN their personal impressions. 2 a questionnaire concerning every case of HIV seropositivity separately. Evaluation of results were done with content analysis. RESULTS: On the moment of study the plan was implemented since 2.5 years.--7/9 AN received training on counselling and management of AIDS. 2/9 did not due to recent transfers.--4/9 AN are at risk for AIDS by not taking enough preventive measures themselves. 104/118 registered cases of HIV-seropositivity were counselled.--67 patients responded to the counselling process, and 50 patients responded well.--26 patients gave names of contacts and 3 of them were traced and tested. CONCLUSIONS: Frequent transfers of AN and the alternating presence of HIV testing facilities at the district hospital disturb the Kgatleng AIDS plan into a high extent.--The effectiveness of the primary prevention is doubted there AN themselves are still at risk.--The rate of responding well to counselling is high enough to consider it a valuable method.--Contact tracing is probably a waste of energy and time.

Keywords: Acquired Immunodeficiency Syndrome/*THERAPY/TRANSMISSION Botswana Combined Modality Therapy *Community Health Services Contact Tracing *Developing Countries Evaluation Studies Hospitals, District Human HIV Infections/*THERAPY/TRANSMISSION *Patient Care Team Patient Education Risk Factors ABSTRACT
921230
M92C4213

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