AEGiS-15IAC: Access to treatment: importance of Home based care in public health.

15th International AIDS Conference


Bangkok, Thailand - July 11-16, 2004

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Access to treatment: importance of Home based care in public health.

Int Conf AIDS 2004 Jul 11-16; 15:(abstract no. B10327)

Touhon MT, Koffi AC
Centre Plus de Ruban Rouge Cote d'Ivoire, Abidjan, Cote d'Ivoire

ISSUE: Created in 1997 and recognized PLHA centre opportunistic infections follow up by UNAIDS, the Centre Plus (CP) is a daily hospital which ensures free medical and psychosocial support to over 500 PLHA. Anxious the become of patients lost of sight and being in a bad health, the CP initiated from January 2002 to September 2003 of home based care activities for its patients.

DESCRIPTION: The team of home based care consisted of 2 nurses, 2 Counsellors and of the pharmacist of the CP which ensured the coordination of the care. The exempted care is care nurses with handing-over of generic essential drugs free, the ARV are not included. Each patients received 4 visits per month. The home based care was made in partnership with other associations which referred PLHA to us. The patients were generally referred to the CP and the serious cases referred in specialized centers. Learned lessons: Number of visits carried out: 840, number of followed patients: 140 including 53,57% women and 46,43% men. Treatment followed: ARV (26,43%), strong cotrimoxazole (98%). 44 references carried out 79,55 % of medical references and 20, 45% of Community references. Pathologies the most met: cough (77%), diarrhoea (91%), neurological disorder (17%), STI (18%) and helminthiasis (38,50%). Recommendation The home based care enabled us to see in which misery the PLHA live, it showed us that collaboration between Community structures and official ones is possible and consequently it will be necessary to think about institutionalising.

Keywords: AEGIS, Public Health, Housing, Public Health Nursing, Activities of Daily Living, Long-Term Care, Oxygen Inhalation Therapy, Terminal Care, Self Care, Humans, Female, Male, therapy, rehabilitation

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B10327

Copyright © 2004 - International AIDS Society (IAS). Reproduction of this abstract (other than one copy for personal reference) must be cleared through the IAS.