Abstract Book Vol. 2 [International Conference on AIDS (14th: 2002: Barcelona, Spain)]

240 Abstracts WePeF6610-WePeF6614

XIV International AIDS Conference

edge about update HIV/AIDS issues on opportunistic infections, treatment and
care, post-exposure management, impacts of HIV/AIDS on PWAs and their family caregivers, counseling and stress managing, death and dying, ethical and legal
issues. Additionally, nurses need more knowledge about discharge planning, patient/caregiver teaching as well as teaching practicum, while the caregivers need
skill building on giving hand-on care. Along with the curricula development, training manuals for nurses and family caregivers was drafted. These curricula and
materials were tailored in response to a need perceived by the users.
Presenting author: Suntharee Panutat, Ramathibodi School of Nursing, 270
Rama 6 Rd., Rajthavee, Bangkok, Thailand, Tel.: [phone], Fax: +662
2462123, E-mail: raspn @ mahidol.ac.th
WePeF6610 Home based care services to people living with
HIV/AIDS
L.O. Odiembo, S.N. Lubanga, PA. Aduwa. TAPWAK, Po. box 30583, 00100,
Nairobi, Kenya
Issue: People living with HIV/AIDS (PLWHAs) need love, support, care, understanding and acceptance from the community.
Description: The Association of People With AIDS in Kenya (TAPWAK) has embarked on Home Based Care (HBC) activities. Under the current situation of the
increasing number of full blown AIDS, most PLWHAs will return home so as to be
cared for by their families. Due to this situation, PLWHAs and their families are
encouraged to practice HBC since it helps physically, spiritually and psychologically.
The activities conducted include hospital visits, home visits and home-based care.
Counselling is an endeavour that keeps hopes alive in PLWHAs, their families,
relatives and friends as well as their children. They are also advised on how to
handle, give medical care and nutritious foods to the PLWHAs. This encourages
people living with HIV/AIDS to lead a "positive life".
Lessons learnt: The community and the PLWHAs are increasingly participating
in HBC activities, thus it bridges the gap, creates awareness and advocacy in the
society as a whole.
Recommendations: It is important for PLWHAs and the community to support
each other effectively in providing Home Based Care. Counselling is effective
among the affected and infected members of the families especially children and
relatives.
Presenting author: Lawrence Otieno Odiembo, Po. box 30583, 00100, Nairobi,
Kenya, Tel.: [phone], Fax: [phone], E-mail: tapwak@kenyaonline.
com
WePeF66 11 Community home based care services: challanges
faced- TAPWAK's experince
R.O. Dimba, PA. Aduwa, V.0. Gombe, R.G. Lenya. TAPWAK, Po. box 30583,
00100, Nairobi, Kenya
Objective: To establish the factors that hinders effective community Home Based
Care Services
Project: In January 2001, The Association of People with AIDS in Kenya (TAPWAK) trained 50 community members within Ugunja Division in Home based
Care Services for PLWHAs. The training curriculum included Counselling, nutritional care, physical support and medical care. In December 2001, an evaluation
was conducted to ascertain the impact of community care giving within 50 families
of persons living with AIDS in this project area.
Results: 1. Improved lives of PLWHAs and enchanced their relationships with
their family members.
2. Many families within Ugunja Division live below poverty line and hence have
inadequate resources to facilitate the community Home Based Care process.
3. Stresses that are inherent in caring for those infected and affected by HIV/AIDS;
loss of life of clients was another factor that greatly lowered morale of the caregivers due to stress and burnout were some of the challenges faced during the
caring exercises.
4. Inadequate cooperation to the caregivers and the clients due to myths and
misconception about HIV/AIDS and this retarded the intervention process. Confidentiality of clients' sero status was also another factor that hindered effective
involvement of the family members in the care giving process, as it took long for
the status so be disclosed to those who risked contact infection
Recommendations: Caring for persons living with AIDS within the community
has proved to be more cost effective and achievable especially in resource poor
environments. Community ownership of such programmes is viewed as strength
and their collective responsibility in ownership and sharing of the available resources can equally maximize the rewards of community Home Based Care services. It is also important to integrate HIV/AIDS awareness activities during the
home care visits to sensitize the communities on HIV/AIDS and also advocate for
the rights of persons living with AIDS in the community.

Presenting author: Robert Omondi Dimba, Po. box 30583, 00100, Nairobi,
Kenya, Tel.: [phone], Fax: [phone], E-mail: tapwak@kenyaonline.
com

WePeF6612 Community interventions to assist homeless
families affected by HIV
N. Papadopoulos1, P Vyras1, K. Serafeimidou2, M. Melissurgaki2,
G. Tremoulis2, M. Bunialetos2, E. Chatsidi2, D. Peios2, N. Xirouhakis2.
'ELP/DA, Athens, Greece; 2 Venizeleion Hospital, Herakleion, Greece
Issues: Unemployment due to HIV can be frequent, especially in big cities. Therefore, patients and their families may easily become homeless - particularly if they
have no other source of income. A model which combines material and psychological support from the community in order to assist in such cases was developed
in Greece.
Description: A comprehensive program offering assistance for one year to individuals and families in need was undertaken by ELPIDA, a community based
agency in Athens, with financial support from the European Union. Aims of the
program comprised the following: 1. Temporary housing in community lodgings.
2. Bursaries for sustenance. 3. Home nursing care for the ill. 4. Information and
trainings to raise awareness about alternative treatments and self help.
Lessons learned: The projected interventions weres a unique opportunity for this
group to find a home and receive community support. 60 persons were housed,
trained with basic skills for coping with disease and motivated to become self
reliant. The process had a clearly positive impact on their lives and health.
Recommendation: Apart from direct interventions, aimed at responding to immediate material needs (board and lodging), psychological and spiritual resources
must be mobilised and can be very effective in producing long term well being.
Presenting author: Nikolaos Papadopoulos, Filoktitou 1-5, Vironas 16232,
Athens, Greece., Greece, E-mail: [email protected]
WePeF661 3 Community care project at belair sanatorium in
rural India
S.D. Patwardhan. Be/air Sanatorium, udyogbhavan, powainaka, satara 415002,
maharastra state, India
Issues: Bel-Air Sanatorium[Indian Red Cross Society] at Panchgani in western
part of Maharashtra State in India is situated in rural area Rural India is open society where seropositive status of PLWHA becomes easily known to community
So they are prone for discrimination This is also true about some doctors who
don't treat the PLWHA for associated stigma/fear of contracting HIV infection/for
the feeling of disgust
Descriptions: In this 100 bedded center we treat mainly opportunistic infections
[Ol]either free/subsidized rates Few affording patients are on antiretrovirals Once
OI is under control patient is encouraged to go back to his place and start working Then he comes to center for regular follow-up Family members are trained
for homecare of patients Patient and his family are routinely counseled Weekly
group-discussions are arranged in which counselor encourages patients and their
family members to actively participate In cases where patient experiences discrimination in society or workplace or school medical social worker personally
goes there to solve problem[Outreach program]Many patients who are physically
active are encouraged to perform duties in centerThis helps them to regain their
lost confidence boost the morale and also provide them with source of income
Lessons learnt: In many cases physical illness of patient is out of proportion of
his severity of HIV infection [CD4 count, viral load] Many symptoms are psychosomatic in origin or defence/escape mechanism against possible discrimination
Comprehensive approach consisting of medical social & emotional support resulted in earlier recovery of 01 and patients could go back to work much earlier
and regain self respect and dignity
Recommendations: In any program involving care for PLWHA patient should
get medical &emotional support to improve quality of life This is especially true in
open societies like rural India where concepts of confidentiality & privacy seen in
urban socities are irrelevant
Presenting author: sunil patwardhan, udyogbhavan, powainaka, satara 415002,
maharastra state, India, Tel.: [phone], Fax: [phone], E-mail: [email protected]
WePeF6614 Nursing model on AIDS prevention and care in
northern Thailand: The comprehensive response,
community participation, and collaborated health
system
B. Supawitkul1, S. Supawitkul2, S. Saejeo1, U. Pintatum1. 1Mae Chan Hospital,
Mae Chan Hospital 274 Moo-5, Phaholyothin Road, Mae Chan district, Chiang
Rai, Thailand; 2 Chiang Rai Provincial Health Office, Chiang Ra, Thailand
Issues: Nursing services play vital roles in AIDS crisis. AIDS education, counseling service, universal precautions practice, holistic and continual care, and
community mobilization are major responsibilities. Development of appropriate
nursing model and supportive system is essential in confronting HIV/AIDS.

Description: From 1988-2001, the official reported cumulative AIDS, AIDS related deaths, and AIDS affected children in an HIV epicenter of Thailand, Chiang
Rai, were 20,600, 5,287, and 3,287 cases respectively. The nursing section of
Mae Chan Hospital pioneered in AIDS responses by implemented AIDS education in hospital and communities in 1988, risk reduction clinics for commercial sex
workers and injecting drug users in 1989, trained and adopted universal precautions practice in 1989, provided counseling services and community preparation
in 1991, initiated home based care with religious sector in 1993, scaling-up com