A Needs Assessment of Clients With HIV in a Home‐Based Care Program in Guyana
Identifieur interne : 000A80 ( Istex/Corpus ); précédent : 000A79; suivant : 000A81A Needs Assessment of Clients With HIV in a Home‐Based Care Program in Guyana
Auteurs : Kathryn Boryc ; Michael P. Anastario ; Grace Dann ; Banghee Chi ; Barbara Cicatelli ; Melanie Steilen ; Karen Gordon-Boyle ; Shanti Singh ; Miryah MorrisSource :
- Public Health Nursing [ 0737-1209 ] ; 2010-11.
English descriptors
- KwdEn :
- Active contact information, Aids cases, Aids programme, Alcohol problem, American journal, Antiretroviral, Antiretroviral adherence, Antiretroviral medications, Average score, Boryc, Care program, Caribbean region, Children support services, Cicatelli, Cicatelli associates, Clinical care, Data collectors, Dichotomous distributions, Drinking problem, Earshot range, Emotional support, Family members, Food bank services, Food support, Formal study, General health, Guyana, Guyana epidemiology, Guyanese, Guyanese population, Health care, Health concerns, Health education, Health outcomes, Hospital visits, Household hygiene education, International health, Likert scale, Logistic regression, Major depressive disorder, Marital status, Melanie steilen, Mental health, Mental health services, Miryah morris, Monthly income, Natural killer cell activity, Nongovernmental organization, Nurse providers, Nurse teams, Nutritional, Nutritional assessment, Nutritional supplements, Nutritional support, Palliative care, Potential participants, Present volunteer, Presidential commission, Prevention education, Probable depression, Programme, Programme website, Provider, Public health nursing volume, Regional centre, Regular visits, Respondent, Safe drinking water, Sample size, Service delivery, Service provision, Stabroek news, Study team, Substance abuse, Substantial portion, Toilet facilities, Treatment site, Ungass country progress report, Uwimana struthers, Volunteer, World health organization.
- Teeft :
- Active contact information, Aids cases, Aids programme, Alcohol problem, American journal, Antiretroviral, Antiretroviral adherence, Antiretroviral medications, Average score, Boryc, Care program, Caribbean region, Children support services, Cicatelli, Cicatelli associates, Clinical care, Data collectors, Dichotomous distributions, Drinking problem, Earshot range, Emotional support, Family members, Food bank services, Food support, Formal study, General health, Guyana, Guyana epidemiology, Guyanese, Guyanese population, Health care, Health concerns, Health education, Health outcomes, Hospital visits, Household hygiene education, International health, Likert scale, Logistic regression, Major depressive disorder, Marital status, Melanie steilen, Mental health, Mental health services, Miryah morris, Monthly income, Natural killer cell activity, Nongovernmental organization, Nurse providers, Nurse teams, Nutritional, Nutritional assessment, Nutritional supplements, Nutritional support, Palliative care, Potential participants, Present volunteer, Presidential commission, Prevention education, Probable depression, Programme, Programme website, Provider, Public health nursing volume, Regional centre, Regular visits, Respondent, Safe drinking water, Sample size, Service delivery, Service provision, Stabroek news, Study team, Substance abuse, Substantial portion, Toilet facilities, Treatment site, Ungass country progress report, Uwimana struthers, Volunteer, World health organization.
Abstract
ABSTRACT Objective: To assess the needs of clients in a home‐based care (HBC) program aimed at improving the quality of lives of people living with HIV in Region 4 of Guyana (Demerara‐Mahaica region) following their involvement with the HBC program, volunteers, and nurse providers.
Url:
DOI: 10.1111/j.1525-1446.2010.00888.x
Links to Exploration step
ISTEX:2136D22E5793098FD2ECA9E9760565DF7F8F66EBLe document en format XML
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care</term><term>Health concerns</term><term>Health education</term><term>Health outcomes</term><term>Hospital visits</term><term>Household hygiene education</term><term>International health</term><term>Likert scale</term><term>Logistic regression</term><term>Major depressive disorder</term><term>Marital status</term><term>Melanie steilen</term><term>Mental health</term><term>Mental health services</term><term>Miryah morris</term><term>Monthly income</term><term>Natural killer cell activity</term><term>Nongovernmental organization</term><term>Nurse providers</term><term>Nurse teams</term><term>Nutritional</term><term>Nutritional assessment</term><term>Nutritional supplements</term><term>Nutritional support</term><term>Palliative care</term><term>Potential participants</term><term>Present volunteer</term><term>Presidential commission</term><term>Prevention education</term><term>Probable depression</term><term>Programme</term><term>Programme 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services</term><term>Cicatelli</term><term>Cicatelli associates</term><term>Clinical care</term><term>Data collectors</term><term>Dichotomous distributions</term><term>Drinking problem</term><term>Earshot range</term><term>Emotional support</term><term>Family members</term><term>Food bank services</term><term>Food support</term><term>Formal study</term><term>General health</term><term>Guyana</term><term>Guyana epidemiology</term><term>Guyanese</term><term>Guyanese population</term><term>Health care</term><term>Health concerns</term><term>Health education</term><term>Health outcomes</term><term>Hospital visits</term><term>Household hygiene education</term><term>International health</term><term>Likert scale</term><term>Logistic regression</term><term>Major depressive disorder</term><term>Marital status</term><term>Melanie steilen</term><term>Mental health</term><term>Mental health services</term><term>Miryah morris</term><term>Monthly income</term><term>Natural killer cell activity</term><term>Nongovernmental organization</term><term>Nurse providers</term><term>Nurse teams</term><term>Nutritional</term><term>Nutritional assessment</term><term>Nutritional supplements</term><term>Nutritional support</term><term>Palliative care</term><term>Potential participants</term><term>Present volunteer</term><term>Presidential commission</term><term>Prevention education</term><term>Probable depression</term><term>Programme</term><term>Programme website</term><term>Provider</term><term>Public health nursing volume</term><term>Regional centre</term><term>Regular visits</term><term>Respondent</term><term>Safe drinking water</term><term>Sample size</term><term>Service delivery</term><term>Service provision</term><term>Stabroek news</term><term>Study team</term><term>Substance abuse</term><term>Substantial portion</term><term>Toilet facilities</term><term>Treatment site</term><term>Ungass country progress report</term><term>Uwimana struthers</term><term>Volunteer</term><term>World health organization</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract">ABSTRACT Objective: To assess the needs of clients in a home‐based care (HBC) program aimed at improving the quality of lives of people living with HIV in Region 4 of Guyana (Demerara‐Mahaica region) following their involvement with the HBC program, volunteers, and nurse providers.</div></front></TEI><istex><corpusName>wiley</corpusName><keywords><teeft><json:string>guyana</json:string><json:string>mental health</json:string><json:string>provider</json:string><json:string>service delivery</json:string><json:string>programme</json:string><json:string>substance abuse</json:string><json:string>cicatelli</json:string><json:string>antiretroviral</json:string><json:string>guyanese</json:string><json:string>boryc</json:string><json:string>cicatelli associates</json:string><json:string>general health</json:string><json:string>family members</json:string><json:string>nutritional support</json:string><json:string>food support</json:string><json:string>probable depression</json:string><json:string>health care</json:string><json:string>active contact information</json:string><json:string>public health nursing volume</json:string><json:string>respondent</json:string><json:string>care program</json:string><json:string>antiretroviral adherence</json:string><json:string>nutritional assessment</json:string><json:string>safe drinking water</json:string><json:string>toilet facilities</json:string><json:string>palliative care</json:string><json:string>likert scale</json:string><json:string>emotional support</json:string><json:string>logistic regression</json:string><json:string>nutritional supplements</json:string><json:string>stabroek news</json:string><json:string>nutritional</json:string><json:string>mental health services</json:string><json:string>uwimana struthers</json:string><json:string>nurse 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distributions</json:string><json:string>miryah morris</json:string><json:string>antiretroviral medications</json:string><json:string>monthly income</json:string><json:string>food bank services</json:string><json:string>children support services</json:string><json:string>treatment site</json:string><json:string>household hygiene education</json:string><json:string>presidential commission</json:string><json:string>nongovernmental organization</json:string><json:string>average score</json:string><json:string>health concerns</json:string><json:string>alcohol problem</json:string><json:string>regular visits</json:string><json:string>regional centre</json:string><json:string>programme website</json:string><json:string>health outcomes</json:string><json:string>natural killer cell activity</json:string><json:string>world health organization</json:string><json:string>health education</json:string><json:string>sample size</json:string><json:string>american journal</json:string><json:string>ungass country progress report</json:string><json:string>formal study</json:string><json:string>volunteer</json:string></teeft></keywords><author><json:item><name>Kathryn Boryc</name><affiliations><json:string>M.P.H., is Deputy Director of International Programs, Cicatelli Associates Inc., New York, New York</json:string></affiliations></json:item><json:item><name>Michael P. Anastario</name><affiliations><json:string>Ph.D., is Senior Research Scientist, Cicatelli Associates Inc., New York, New York</json:string></affiliations></json:item><json:item><name>Grace Dann</name><affiliations><json:string>B.S., is Research and Evaluation Coordinator, Cicatelli Associates Inc., New York, New York</json:string></affiliations></json:item><json:item><name>Banghee Chi</name><affiliations><json:string>M.P.H., is Director of Planning and Development, Cicatelli Associates Inc., New York, New York</json:string></affiliations></json:item><json:item><name>Barbara Cicatelli</name><affiliations><json:string>M.A., is President, Cicatelli Associates Inc., New York, New York</json:string></affiliations></json:item><json:item><name>Melanie Steilen</name><affiliations><json:string>R.N., B.S.N., is Director of Nursing, Cicatelli Associates Inc., New York, New York</json:string></affiliations></json:item><json:item><name>Karen Gordon‐Boyle</name><affiliations><json:string>M.D., is GHARP II Director of Prevention, Management Sciences for Health, Georgetown, Guyana</json:string></affiliations></json:item><json:item><name>Shanti Singh</name><affiliations><json:string>M.D., is Programme Manager, Guyana National AIDS Programme Secretariat, Georgetown, Guyana</json:string></affiliations></json:item><json:item><name>Miryah Morris</name><affiliations><json:string>M.P.H., is Project Associate, work was conducted while at Cicatelli Associates Inc., New York, New York.</json:string></affiliations></json:item></author><subject><json:item><lang><json:string>eng</json:string></lang><value>HIV/AIDS</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>home health care</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>international health</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>mental health</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>questionnaires</value></json:item></subject><articleId><json:string>PHN888</json:string></articleId><language><json:string>eng</json:string></language><originalGenre><json:string>article</json:string></originalGenre><qualityIndicators><score>5.528</score><pdfVersion>1.3</pdfVersion><pdfPageSize>593.972 x 782.986 pts</pdfPageSize><refBibsNative>true</refBibsNative><abstractCharCount>282</abstractCharCount><pdfWordCount>5647</pdfWordCount><pdfCharCount>36747</pdfCharCount><pdfPageCount>10</pdfPageCount><abstractWordCount>44</abstractWordCount></qualityIndicators><title>A Needs Assessment of Clients With HIV in a Home‐Based Care Program in Guyana</title><genre><json:string>article</json:string></genre><host><title>Public Health 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Associates Inc., New York, New York<address><country key="US"></country></address></affiliation></author><author xml:id="author-0001"><persName><forename type="first">Michael P.</forename><surname>Anastario</surname></persName><affiliation>Ph.D., is Senior Research Scientist, Cicatelli Associates Inc., New York, New York<address><country key="US"></country></address></affiliation></author><author xml:id="author-0002"><persName><forename type="first">Grace</forename><surname>Dann</surname></persName><affiliation>B.S., is Research and Evaluation Coordinator, Cicatelli Associates Inc., New York, New York<address><country key="US"></country></address></affiliation></author><author xml:id="author-0003"><persName><forename type="first">Banghee</forename><surname>Chi</surname></persName><affiliation>M.P.H., is Director of Planning and Development, Cicatelli Associates Inc., New York, New York<address><country key="US"></country></address></affiliation></author><author xml:id="author-0004"><persName><forename type="first">Barbara</forename><surname>Cicatelli</surname></persName><affiliation>M.A., is President, Cicatelli Associates Inc., New York, New York<address><country key="US"></country></address></affiliation></author><author xml:id="author-0005"><persName><forename type="first">Melanie</forename><surname>Steilen</surname></persName><affiliation>R.N., B.S.N., is Director of Nursing, Cicatelli Associates Inc., New York, New York<address><country key="US"></country></address></affiliation></author><author xml:id="author-0006"><persName><forename type="first">Karen</forename><surname>Gordon‐Boyle</surname></persName><affiliation>M.D., is GHARP II Director of Prevention, Management Sciences for Health, Georgetown, Guyana<address><country key="GY"></country></address></affiliation></author><author xml:id="author-0007"><persName><forename type="first">Shanti</forename><surname>Singh</surname></persName><affiliation>M.D., is Programme Manager, Guyana National AIDS Programme Secretariat, Georgetown, Guyana<address><country key="GY"></country></address></affiliation></author><author xml:id="author-0008"><persName><forename type="first">Miryah</forename><surname>Morris</surname></persName><affiliation>M.P.H., is Project Associate, work was conducted while at Cicatelli Associates Inc., New York, New York.<address><country key="US"></country></address></affiliation></author><idno type="istex">2136D22E5793098FD2ECA9E9760565DF7F8F66EB</idno><idno type="ark">ark:/67375/WNG-9JJHKZ8V-6</idno><idno type="DOI">10.1111/j.1525-1446.2010.00888.x</idno><idno type="unit">PHN888</idno><idno type="supplier">888</idno><idno type="toTypesetVersion">file:PHN.PHN888.pdf</idno></analytic><monogr><title level="j" type="main">Public Health Nursing</title><title level="j" type="alt">PUBLIC HEALTH NURSING</title><idno type="pISSN">0737-1209</idno><idno type="eISSN">1525-1446</idno><idno type="book-DOI">10.1111/(ISSN)1525-1446</idno><idno type="book-part-DOI">10.1111/phn.2010.27.issue-6</idno><idno type="product">PHN</idno><idno type="publisherDivision">ST</idno><imprint><biblScope unit="vol">27</biblScope><biblScope unit="issue">6</biblScope><biblScope unit="page" from="482">482</biblScope><biblScope unit="page" to="491">491</biblScope><biblScope unit="page-count">10</biblScope><publisher>Blackwell Publishing Inc</publisher><pubPlace>Malden, USA</pubPlace><date type="published" when="2010-11"></date></imprint></monogr></biblStruct></sourceDesc></fileDesc><profileDesc><abstract xml:lang="en" style="main"><p><hi rend="bold">ABSTRACT
Objective: </hi> To assess the needs of clients in a home‐based care (HBC) program aimed at improving the quality of lives of people living with HIV in Region 4 of Guyana (Demerara‐Mahaica region) following their involvement with the HBC program, volunteers, and nurse providers.</p><p><hi rend="bold">Design and Sample: </hi> A cross‐sectional analysis of a needs assessment conducted through a verbally administered questionnaire. We collected a cross‐sectional sample of 84 HBC clients living with HIV from Region 4 in Guyana.</p><p><hi rend="bold">Measures: </hi> Respondents were administered a questionnaire that asked questions regarding the demographics; services received; quality of service delivery; and mental health and substance abuse.</p><p><hi rend="bold">Results: </hi> The services most commonly received by respondents included nutritional assessment and counseling, HIV prevention education, emotional support, hygiene education, support for antiretroviral adherence, and support for HIV disclosure. Respondents reported further need of referrals to income‐generation opportunities, food and nutritional supplement support, and support for children. Forty‐two percent of the respondents screened positive for probable depression, and 37% of respondents screened positive for being at risk for a drinking problem.</p><p><hi rend="bold">Conclusions: </hi> While a substantial portion of needs were addressed by the HBC program, outstanding needs included linking people living with HIV to income‐generation opportunities, food support, mental health, and services for children. We suggest that mental health and substance use services be factored into HIV programming and that referral systems be strengthened to ensure access to support services for people living with HIV.</p></abstract><textClass><keywords xml:lang="en"><term xml:id="k1">HIV/AIDS</term><term xml:id="k2">home health care</term><term xml:id="k3">international health</term><term xml:id="k4">mental health</term><term xml:id="k5">questionnaires</term></keywords><keywords rend="tocHeading1"><term>POPULATIONS AT RISK ACROSS THE LIFESPAN</term></keywords><keywords rend="tocHeading2"><term>Population Studies</term></keywords></textClass><langUsage><language ident="en"></language></langUsage></profileDesc></teiHeader></istex:fulltextTEI><json:item><extension>txt</extension><original>false</original><mimetype>text/plain</mimetype><uri>https://api.istex.fr/document/2136D22E5793098FD2ECA9E9760565DF7F8F66EB/fulltext/txt</uri></json:item></fulltext><metadata><istex:metadataXml wicri:clean="Wiley, elements deleted: body"><istex:xmlDeclaration>version="1.0" encoding="UTF-8" standalone="yes"</istex:xmlDeclaration><istex:document><component version="2.0" type="serialArticle" xml:lang="en"><header><publicationMeta level="product"><publisherInfo><publisherName>Blackwell Publishing Inc</publisherName><publisherLoc>Malden, USA</publisherLoc></publisherInfo><doi origin="wiley" registered="yes">10.1111/(ISSN)1525-1446</doi><issn type="print">0737-1209</issn><issn type="electronic">1525-1446</issn><idGroup><id type="product" value="PHN"></id><id type="publisherDivision" value="ST"></id></idGroup><titleGroup><title type="main" sort="PUBLIC HEALTH NURSING">Public Health Nursing</title></titleGroup></publicationMeta><publicationMeta level="part" position="11106"><doi origin="wiley">10.1111/phn.2010.27.issue-6</doi><numberingGroup><numbering type="journalVolume" number="27">27</numbering><numbering type="journalIssue" number="6">6</numbering></numberingGroup><coverDate startDate="2010-11">November/December 2010</coverDate></publicationMeta><publicationMeta level="unit" type="article" position="3" status="forIssue"><doi origin="wiley">10.1111/j.1525-1446.2010.00888.x</doi><idGroup><id type="unit" value="PHN888"></id><id type="supplier" value="888"></id></idGroup><countGroup><count type="pageTotal" number="10"></count></countGroup><titleGroup><title type="tocHeading1">POPULATIONS AT RISK ACROSS THE LIFESPAN</title><title type="tocHeading2">Population Studies</title></titleGroup><copyright>© 2010 Wiley Periodicals, Inc.</copyright><eventGroup><event type="xmlConverted" agent="Converter:BPG_TO_WML3G version:2.3.27 mode:FullText" date="2010-11-18"></event><event type="publishedOnlineEarlyUnpaginated" date="2010-11-08"></event><event type="firstOnline" date="2010-11-08"></event><event type="publishedOnlineFinalForm" date="2010-11-18"></event><event type="xmlConverted" agent="Converter:WILEY_ML3G_TO_WILEY_ML3GV2 version:3.8.8" date="2014-02-06"></event><event type="xmlConverted" agent="Converter:WML3G_To_WML3G version:4.1.7 mode:FullText,remove_FC" date="2014-11-03"></event></eventGroup><numberingGroup><numbering type="pageFirst" number="482">482</numbering><numbering type="pageLast" number="491">491</numbering></numberingGroup><correspondenceTo>
Michael P. Anastario, Cicatelli Associates Inc., 505 Eighth Avenue, Suite 1600, New York, NY 10003. E‐mail: <email normalForm="manastario@gmail.com">manastario@gmail.com</email></correspondenceTo><linkGroup><link type="toTypesetVersion" href="file:PHN.PHN888.pdf"></link></linkGroup></publicationMeta><contentMeta><countGroup><count type="figureTotal" number="0"></count><count type="tableTotal" number="4"></count><count type="formulaTotal" number="0"></count><count type="referenceTotal" number="31"></count><count type="wordTotal" number="7365"></count><count type="linksCrossRef" number="33"></count></countGroup><titleGroup><title type="main">A Needs Assessment of Clients With HIV in a Home‐Based Care Program in Guyana</title><title type="shortAuthors">Boryc et al.</title><title type="short">HBC in Guyana</title></titleGroup><creators><creator creatorRole="author" xml:id="cr1" affiliationRef="#a1"><personName><givenNames>Kathryn</givenNames><familyName>Boryc</familyName></personName></creator><creator creatorRole="author" xml:id="cr2" affiliationRef="#a2"><personName><givenNames>Michael P.</givenNames><familyName>Anastario</familyName></personName></creator><creator creatorRole="author" xml:id="cr3" affiliationRef="#a3"><personName><givenNames>Grace</givenNames><familyName>Dann</familyName></personName></creator><creator creatorRole="author" xml:id="cr4" affiliationRef="#a4"><personName><givenNames>Banghee</givenNames><familyName>Chi</familyName></personName></creator><creator creatorRole="author" xml:id="cr5" affiliationRef="#a5"><personName><givenNames>Barbara</givenNames><familyName>Cicatelli</familyName></personName></creator><creator creatorRole="author" xml:id="cr6" affiliationRef="#a6"><personName><givenNames>Melanie</givenNames><familyName>Steilen</familyName></personName></creator><creator creatorRole="author" xml:id="cr7" affiliationRef="#a7"><personName><givenNames>Karen</givenNames><familyName>Gordon‐Boyle</familyName></personName></creator><creator creatorRole="author" xml:id="cr8" affiliationRef="#a8"><personName><givenNames>Shanti</givenNames><familyName>Singh</familyName></personName></creator><creator creatorRole="author" xml:id="cr9" affiliationRef="#a9"><personName><givenNames>Miryah</givenNames><familyName>Morris</familyName></personName></creator></creators><affiliationGroup><affiliation xml:id="a1" countryCode="US"><unparsedAffiliation>M.P.H., is Deputy Director of International Programs, Cicatelli Associates Inc., New York, New York</unparsedAffiliation></affiliation><affiliation xml:id="a2" countryCode="US"><unparsedAffiliation>Ph.D., is Senior Research Scientist, Cicatelli Associates Inc., New York, New York</unparsedAffiliation></affiliation><affiliation xml:id="a3" countryCode="US"><unparsedAffiliation>B.S., is Research and Evaluation Coordinator, Cicatelli Associates Inc., New York, New York</unparsedAffiliation></affiliation><affiliation xml:id="a4" countryCode="US"><unparsedAffiliation>M.P.H., is Director of Planning and Development, Cicatelli Associates Inc., New York, New York</unparsedAffiliation></affiliation><affiliation xml:id="a5" countryCode="US"><unparsedAffiliation>M.A., is President, Cicatelli Associates Inc., New York, New York</unparsedAffiliation></affiliation><affiliation xml:id="a6" countryCode="US"><unparsedAffiliation>R.N., B.S.N., is Director of Nursing, Cicatelli Associates Inc., New York, New York</unparsedAffiliation></affiliation><affiliation xml:id="a7" countryCode="GY"><unparsedAffiliation>M.D., is GHARP II Director of Prevention, Management Sciences for Health, Georgetown, Guyana</unparsedAffiliation></affiliation><affiliation xml:id="a8" countryCode="GY"><unparsedAffiliation>M.D., is Programme Manager, Guyana National AIDS Programme Secretariat, Georgetown, Guyana</unparsedAffiliation></affiliation><affiliation xml:id="a9" countryCode="US"><unparsedAffiliation>M.P.H., is Project Associate, work was conducted while at Cicatelli Associates Inc., New York, New York.</unparsedAffiliation></affiliation></affiliationGroup><keywordGroup xml:lang="en"><keyword xml:id="k1">HIV/AIDS</keyword><keyword xml:id="k2">home health care</keyword><keyword xml:id="k3">international health</keyword><keyword xml:id="k4">mental health</keyword><keyword xml:id="k5">questionnaires</keyword></keywordGroup><abstractGroup><abstract type="main" xml:lang="en"><p><b>ABSTRACT
Objective: </b> To assess the needs of clients in a home‐based care (HBC) program aimed at improving the quality of lives of people living with HIV in Region 4 of Guyana (Demerara‐Mahaica region) following their involvement with the HBC program, volunteers, and nurse providers.</p><p><b>Design and Sample: </b> A cross‐sectional analysis of a needs assessment conducted through a verbally administered questionnaire. We collected a cross‐sectional sample of 84 HBC clients living with HIV from Region 4 in Guyana.</p><p><b>Measures: </b> Respondents were administered a questionnaire that asked questions regarding the demographics; services received; quality of service delivery; and mental health and substance abuse.</p><p><b>Results: </b> The services most commonly received by respondents included nutritional assessment and counseling, HIV prevention education, emotional support, hygiene education, support for antiretroviral adherence, and support for HIV disclosure. Respondents reported further need of referrals to income‐generation opportunities, food and nutritional supplement support, and support for children. Forty‐two percent of the respondents screened positive for probable depression, and 37% of respondents screened positive for being at risk for a drinking problem.</p><p><b>Conclusions: </b> While a substantial portion of needs were addressed by the HBC program, outstanding needs included linking people living with HIV to income‐generation opportunities, food support, mental health, and services for children. We suggest that mental health and substance use services be factored into HIV programming and that referral systems be strengthened to ensure access to support services for people living with HIV.</p></abstract></abstractGroup></contentMeta></header></component></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>A Needs Assessment of Clients With HIV in a Home‐Based Care Program in Guyana</title></titleInfo><titleInfo type="abbreviated" lang="en"><title>HBC in Guyana</title></titleInfo><titleInfo type="alternative" contentType="CDATA" lang="en"><title>A Needs Assessment of Clients With HIV in a Home‐Based Care Program in Guyana</title></titleInfo><name type="personal"><namePart type="given">Kathryn</namePart><namePart type="family">Boryc</namePart><affiliation>M.P.H., is Deputy Director of International Programs, Cicatelli Associates Inc., New York, New York</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Michael P.</namePart><namePart type="family">Anastario</namePart><affiliation>Ph.D., is Senior Research Scientist, Cicatelli Associates Inc., New York, New York</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Grace</namePart><namePart type="family">Dann</namePart><affiliation>B.S., is Research and Evaluation Coordinator, Cicatelli Associates Inc., New York, New York</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Banghee</namePart><namePart type="family">Chi</namePart><affiliation>M.P.H., is Director of Planning and Development, Cicatelli Associates Inc., New York, New York</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Barbara</namePart><namePart type="family">Cicatelli</namePart><affiliation>M.A., is President, Cicatelli Associates Inc., New York, New York</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Melanie</namePart><namePart type="family">Steilen</namePart><affiliation>R.N., B.S.N., is Director of Nursing, Cicatelli Associates Inc., New York, New York</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Karen</namePart><namePart type="family">Gordon‐Boyle</namePart><affiliation>M.D., is GHARP II Director of Prevention, Management Sciences for Health, Georgetown, Guyana</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Shanti</namePart><namePart type="family">Singh</namePart><affiliation>M.D., is Programme Manager, Guyana National AIDS Programme Secretariat, Georgetown, Guyana</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Miryah</namePart><namePart type="family">Morris</namePart><affiliation>M.P.H., is Project Associate, work was conducted while at Cicatelli Associates Inc., New York, New York.</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="article" displayLabel="article" authority="ISTEX" authorityURI="https://content-type.data.istex.fr" valueURI="https://content-type.data.istex.fr/ark:/67375/XTP-6N5SZHKN-D">article</genre><originInfo><publisher>Blackwell Publishing Inc</publisher><place><placeTerm type="text">Malden, USA</placeTerm></place><dateIssued encoding="w3cdtf">2010-11</dateIssued><copyrightDate encoding="w3cdtf">2010</copyrightDate></originInfo><language><languageTerm type="code" authority="rfc3066">en</languageTerm><languageTerm type="code" authority="iso639-2b">eng</languageTerm></language><physicalDescription><extent unit="figures">0</extent><extent unit="tables">4</extent><extent unit="formulas">0</extent><extent unit="references">31</extent><extent unit="linksCrossRef">33</extent><extent unit="words">7365</extent></physicalDescription><abstract>ABSTRACT Objective: To assess the needs of clients in a home‐based care (HBC) program aimed at improving the quality of lives of people living with HIV in Region 4 of Guyana (Demerara‐Mahaica region) following their involvement with the HBC program, volunteers, and nurse providers.</abstract><abstract>Design and Sample: A cross‐sectional analysis of a needs assessment conducted through a verbally administered questionnaire. We collected a cross‐sectional sample of 84 HBC clients living with HIV from Region 4 in Guyana.</abstract><abstract>Measures: Respondents were administered a questionnaire that asked questions regarding the demographics; services received; quality of service delivery; and mental health and substance abuse.</abstract><abstract>Results: The services most commonly received by respondents included nutritional assessment and counseling, HIV prevention education, emotional support, hygiene education, support for antiretroviral adherence, and support for HIV disclosure. Respondents reported further need of referrals to income‐generation opportunities, food and nutritional supplement support, and support for children. Forty‐two percent of the respondents screened positive for probable depression, and 37% of respondents screened positive for being at risk for a drinking problem.</abstract><abstract>Conclusions: While a substantial portion of needs were addressed by the HBC program, outstanding needs included linking people living with HIV to income‐generation opportunities, food support, mental health, and services for children. We suggest that mental health and substance use services be factored into HIV programming and that referral systems be strengthened to ensure access to support services for people living with HIV.</abstract><subject lang="en"><genre>keywords</genre><topic>HIV/AIDS</topic><topic>home health care</topic><topic>international health</topic><topic>mental health</topic><topic>questionnaires</topic></subject><relatedItem type="host"><titleInfo><title>Public Health Nursing</title></titleInfo><genre type="journal" authority="ISTEX" authorityURI="https://publication-type.data.istex.fr" valueURI="https://publication-type.data.istex.fr/ark:/67375/JMC-0GLKJH51-B">journal</genre><identifier type="ISSN">0737-1209</identifier><identifier type="eISSN">1525-1446</identifier><identifier type="DOI">10.1111/(ISSN)1525-1446</identifier><identifier type="PublisherID">PHN</identifier><part><date>2010</date><detail type="volume"><caption>vol.</caption><number>27</number></detail><detail type="issue"><caption>no.</caption><number>6</number></detail><extent unit="pages"><start>482</start><end>491</end><total>10</total></extent></part></relatedItem><identifier type="istex">2136D22E5793098FD2ECA9E9760565DF7F8F66EB</identifier><identifier type="ark">ark:/67375/WNG-9JJHKZ8V-6</identifier><identifier type="DOI">10.1111/j.1525-1446.2010.00888.x</identifier><identifier type="ArticleID">PHN888</identifier><accessCondition type="use and reproduction" contentType="copyright">© 2010 Wiley Periodicals, Inc.</accessCondition><recordInfo><recordContentSource authority="ISTEX" authorityURI="https://loaded-corpus.data.istex.fr" valueURI="https://loaded-corpus.data.istex.fr/ark:/67375/XBH-L0C46X92-X">wiley</recordContentSource><recordOrigin>Blackwell Publishing Inc</recordOrigin></recordInfo></mods><json:item><extension>json</extension><original>false</original><mimetype>application/json</mimetype><uri>https://api.istex.fr/document/2136D22E5793098FD2ECA9E9760565DF7F8F66EB/metadata/json</uri></json:item></metadata><serie></serie></istex></record>Pour manipuler ce document sous Unix (Dilib)
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