Home-based care as an indispensable extension of professional care in ART - a plea for recognition and support
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Date
2006
Authors
Hlophe, Hlengiwe
Journal Title
Journal ISSN
Volume Title
Publisher
University of the Free State
Abstract
English: The Centre for Health Systems Research & Development is currently conducting a longitudinal study to assess the implementation of public sector anti-retroviral treatment (ART) in the Free State. Home-based care (HBC) is central in achieving good patient follow up, continuity of care and patient adherence to treatment. This paper considers the role of HBC in strengthening the ART programme and identifies barriers to effective HBC. To this end, group interviews were conducted with HBCs in the Free State. Problems in respect of training, resources, stipends, support, supervision and management were revealed. Amongst HBCs and primary health care nurses confusion occurred about HBCs’ roles and duties. It is recommended that gaps in policy implementation in respect of HBC should be addressed and that HBCs’ roles should be clarified
Sesotho: Setsi sa Mekgwa ya Dipatlisiso le Ntshetsopele sa Bophelo bo Botle hajwale se etsa thuto ya ho botsa dipotso ka mora nako e itseng ho fihlella ho kenywa tshebetsong phekolo ya sethethefatsi sa ART ya thibelo setjhabeng ho la Freistata. Tlhokomelo ena ya malapeng keya bohlokwa ho fihlella hore kalafo ya mokudi e salwe morao, tlhokomelo ya mokudi ho tswela pele e hokahane le phekolo ena. Pampiri ena e tadima mosebetsi wa Tlhokomelo Ya malapeng ho matlafatsa le ho tiisa lenaneho la sethethefatsi sa ART le ho hlwaya kapa ho bontsha ditshitiso hore Tlhokomelo Ya Malapeng e phethahale. Ho fihlela mona, ho botswa ha dihlopha ho ile ha etswa le ba Tlhokomelo Ya Malapeng ho la Freistata. Ho ile ha hlahiswa mathata mabapi le thupelo, mehlodi, meputso, tshehetso, taelo le tsamaiso. Hara baoki ba Tlhokomelo Ya Malapeng le ba tlhokomelo ya mantlha ya tsa bophelo bo botle ho hlahile pherekano e kgolo ka mesebetsi le karolo tse etswang ke ba Tlhokomelo Ya Malapeng. Ho kgothaletswa hore dikgaello le ho kenngweng ha leano mabapi le Tlhokomelo Ya Malapeng ho lokela ho etswa le hore mesebetsi ya ba Tlhokomelo Ya Malapeng e hlakiswe.
Sesotho: Setsi sa Mekgwa ya Dipatlisiso le Ntshetsopele sa Bophelo bo Botle hajwale se etsa thuto ya ho botsa dipotso ka mora nako e itseng ho fihlella ho kenywa tshebetsong phekolo ya sethethefatsi sa ART ya thibelo setjhabeng ho la Freistata. Tlhokomelo ena ya malapeng keya bohlokwa ho fihlella hore kalafo ya mokudi e salwe morao, tlhokomelo ya mokudi ho tswela pele e hokahane le phekolo ena. Pampiri ena e tadima mosebetsi wa Tlhokomelo Ya malapeng ho matlafatsa le ho tiisa lenaneho la sethethefatsi sa ART le ho hlwaya kapa ho bontsha ditshitiso hore Tlhokomelo Ya Malapeng e phethahale. Ho fihlela mona, ho botswa ha dihlopha ho ile ha etswa le ba Tlhokomelo Ya Malapeng ho la Freistata. Ho ile ha hlahiswa mathata mabapi le thupelo, mehlodi, meputso, tshehetso, taelo le tsamaiso. Hara baoki ba Tlhokomelo Ya Malapeng le ba tlhokomelo ya mantlha ya tsa bophelo bo botle ho hlahile pherekano e kgolo ka mesebetsi le karolo tse etswang ke ba Tlhokomelo Ya Malapeng. Ho kgothaletswa hore dikgaello le ho kenngweng ha leano mabapi le Tlhokomelo Ya Malapeng ho lokela ho etswa le hore mesebetsi ya ba Tlhokomelo Ya Malapeng e hlakiswe.
Description
Keywords
Antiretroviral treatment (ART), HIV and AIDS, Home-based care
Citation
Hlophe, H. (2006). Home-based care as an indispensable extension of professional care in ART - a plea for recognition and support. Acta Academica, Supplementum 1, 191-215.