Document 0713
 DOCN  M9490713
 TI    Evaluation of a home-care/counselling AIDS programme in Kgatleng
       district, Botswana.
 DT    9411
 AU    Buwalda P; Kruijthoff DJ; de Bruyn M; Hogewoning A; School of Medicine,
       Nijmegen, The Netherlands.
 SO    AIDS Care. 1994;6(2):153-60. Unique Identifier : AIDSLINE MED/94339206
 AB    In 1988 a programme for care and follow-up of HIV-positive persons and
       AIDS patients was implemented by the existing health facilities
       (district health team and hospital team) of Kgatleng District, Botswana.
       A survey study in 1991 tried to indicate the effectiveness and
       bottlenecks of the programme. All advisory nurses (AN) were interviewed
       via two questionnaires: one pertaining to case management of clients and
       one on their perceptions of their work. Seventy-two of 109 HIV-infected
       persons accepted and received counselling. Response of the 72 varied: 26
       with a good, 34 with a moderate and 12 with a bad response. Prevention,
       contact tracing and home visiting were studied, as well as ANs'
       experiences and opinions of the programme. Some behavioural change by
       clients was indicated by the results though its extent remains
       questionable. Programme problems included client migration and refusal
       of counselling, and discontinuation of HIV-testing facilities. Once a
       relationship was established, confidentiality, questions and fear of
       stigmatization posed major problems. One-to-one support of ANs could
       help them cope better with these problems as well as discuss their own
       worries.
 DE    Acquired Immunodeficiency Syndrome/*PSYCHOLOGY/THERAPY  Adolescence
       Adult  AIDS Serodiagnosis/PSYCHOLOGY  Botswana  Community Health Nursing
       Contact Tracing  *Counseling  *Developing Countries  Female  *Home Care
       Services  Human  HIV Seropositivity/*PSYCHOLOGY/THERAPY/TRANSMISSION
       Knowledge, Attitudes, Practice  Male  Medicine, Traditional  Middle Age
       *Patient Care Team  Self Disclosure  JOURNAL ARTICLE

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