HIV counselling and care programmes at the district level in Ghana.
Identifieur interne : 000C34 ( Ncbi/Merge ); précédent : 000C33; suivant : 000C35HIV counselling and care programmes at the district level in Ghana.
Auteurs : R. Brugha [Ghana]Source :
- AIDS care [ 0954-0121 ] ; 1994.
Descripteurs français
- KwdFr :
- Assistance, Connaissances, attitudes et pratiques en santé, Ghana, Humains, Hôpitaux de district (USA), Infections à VIH (), Infections à VIH (psychologie), Infections à VIH (transmission), Mise en oeuvre des programmes de santé, Pays en voie de développement, Services de santé communautaires, Éducation pour la santé, Équipe soignante.
- MESH :
- psychologie : Infections à VIH.
- Assistance, Connaissances, attitudes et pratiques en santé, Ghana, Humains, Hôpitaux de district (USA), Infections à VIH, Mise en oeuvre des programmes de santé, Pays en voie de développement, Services de santé communautaires, Éducation pour la santé, Équipe soignante.
- Wicri :
- geographic : Ghana.
English descriptors
- KwdEn :
- MESH :
- geographic : Ghana.
- psychology : HIV Infections.
- therapy : HIV Infections.
- transmission : HIV Infections.
- Community Health Services, Counseling, Developing Countries, Health Education, Health Knowledge, Attitudes, Practice, Health Plan Implementation, Hospitals, District, Humans, Patient Care Team.
Abstract
The district hospital is the focus for the presentation of HIV-related disease in rural sub-Saharan Africa. Patients require not only medical care, but often economic support and counselling for themselves and their families. Psychosocial support should be provided at the hospital and in the home, the latter often being the preferred option. A team approach to HIV disease care and counselling, with careful selection and support of staff, and appropriate training in counselling skills is essential. A primary health care approach at the district level, mobilizing community participation and intersectoral support is necessary. Community Health Outreach Departments, as integral parts of the district hospital, are recommended and could pilot low-cost HIV hospital and home-care programmes.
DOI: 10.1080/09540129408258624
PubMed: 8061073
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pubmed:8061073Le document en format XML
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<author><name sortKey="Brugha, R" sort="Brugha, R" uniqKey="Brugha R" first="R" last="Brugha">R. Brugha</name>
<affiliation wicri:level="1"><nlm:affiliation>Holy Family Hospital, Nkawkaw, Ghana.</nlm:affiliation>
<country xml:lang="fr">Ghana</country>
<wicri:regionArea>Holy Family Hospital, Nkawkaw</wicri:regionArea>
<wicri:noRegion>Nkawkaw</wicri:noRegion>
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<author><name sortKey="Brugha, R" sort="Brugha, R" uniqKey="Brugha R" first="R" last="Brugha">R. Brugha</name>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Community Health Services</term>
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<term>Ghana</term>
<term>HIV Infections (psychology)</term>
<term>HIV Infections (therapy)</term>
<term>HIV Infections (transmission)</term>
<term>Health Education</term>
<term>Health Knowledge, Attitudes, Practice</term>
<term>Health Plan Implementation</term>
<term>Hospitals, District</term>
<term>Humans</term>
<term>Patient Care Team</term>
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<keywords scheme="KwdFr" xml:lang="fr"><term>Assistance</term>
<term>Connaissances, attitudes et pratiques en santé</term>
<term>Ghana</term>
<term>Humains</term>
<term>Hôpitaux de district (USA)</term>
<term>Infections à VIH ()</term>
<term>Infections à VIH (psychologie)</term>
<term>Infections à VIH (transmission)</term>
<term>Mise en oeuvre des programmes de santé</term>
<term>Pays en voie de développement</term>
<term>Services de santé communautaires</term>
<term>Éducation pour la santé</term>
<term>Équipe soignante</term>
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<keywords scheme="MESH" type="geographic" xml:lang="en"><term>Ghana</term>
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<keywords scheme="MESH" qualifier="psychologie" xml:lang="fr"><term>Infections à VIH</term>
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<keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>HIV Infections</term>
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<keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>HIV Infections</term>
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<keywords scheme="MESH" qualifier="transmission" xml:lang="en"><term>HIV Infections</term>
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<keywords scheme="MESH" xml:lang="en"><term>Community Health Services</term>
<term>Counseling</term>
<term>Developing Countries</term>
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<term>Health Knowledge, Attitudes, Practice</term>
<term>Health Plan Implementation</term>
<term>Hospitals, District</term>
<term>Humans</term>
<term>Patient Care Team</term>
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<keywords scheme="MESH" xml:lang="fr"><term>Assistance</term>
<term>Connaissances, attitudes et pratiques en santé</term>
<term>Ghana</term>
<term>Humains</term>
<term>Hôpitaux de district (USA)</term>
<term>Infections à VIH</term>
<term>Mise en oeuvre des programmes de santé</term>
<term>Pays en voie de développement</term>
<term>Services de santé communautaires</term>
<term>Éducation pour la santé</term>
<term>Équipe soignante</term>
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<front><div type="abstract" xml:lang="en">The district hospital is the focus for the presentation of HIV-related disease in rural sub-Saharan Africa. Patients require not only medical care, but often economic support and counselling for themselves and their families. Psychosocial support should be provided at the hospital and in the home, the latter often being the preferred option. A team approach to HIV disease care and counselling, with careful selection and support of staff, and appropriate training in counselling skills is essential. A primary health care approach at the district level, mobilizing community participation and intersectoral support is necessary. Community Health Outreach Departments, as integral parts of the district hospital, are recommended and could pilot low-cost HIV hospital and home-care programmes.</div>
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<DateCreated><Year>1994</Year>
<Month>09</Month>
<Day>20</Day>
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<DateCompleted><Year>1994</Year>
<Month>09</Month>
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<DateRevised><Year>2004</Year>
<Month>11</Month>
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<Article PubModel="Print"><Journal><ISSN IssnType="Print">0954-0121</ISSN>
<JournalIssue CitedMedium="Print"><Volume>6</Volume>
<Issue>2</Issue>
<PubDate><Year>1994</Year>
</PubDate>
</JournalIssue>
<Title>AIDS care</Title>
<ISOAbbreviation>AIDS Care</ISOAbbreviation>
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<ArticleTitle>HIV counselling and care programmes at the district level in Ghana.</ArticleTitle>
<Pagination><MedlinePgn>129-37</MedlinePgn>
</Pagination>
<Abstract><AbstractText>The district hospital is the focus for the presentation of HIV-related disease in rural sub-Saharan Africa. Patients require not only medical care, but often economic support and counselling for themselves and their families. Psychosocial support should be provided at the hospital and in the home, the latter often being the preferred option. A team approach to HIV disease care and counselling, with careful selection and support of staff, and appropriate training in counselling skills is essential. A primary health care approach at the district level, mobilizing community participation and intersectoral support is necessary. Community Health Outreach Departments, as integral parts of the district hospital, are recommended and could pilot low-cost HIV hospital and home-care programmes.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Brugha</LastName>
<ForeName>R</ForeName>
<Initials>R</Initials>
<AffiliationInfo><Affiliation>Holy Family Hospital, Nkawkaw, Ghana.</Affiliation>
</AffiliationInfo>
</Author>
</AuthorList>
<Language>eng</Language>
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<MedlineJournalInfo><Country>England</Country>
<MedlineTA>AIDS Care</MedlineTA>
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<CitationSubset>IM</CitationSubset>
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<MeshHeadingList><MeshHeading><DescriptorName UI="D003153" MajorTopicYN="Y">Community Health Services</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D003376" MajorTopicYN="Y">Counseling</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D003906" MajorTopicYN="Y">Developing Countries</DescriptorName>
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<MeshHeading><DescriptorName UI="D005869" MajorTopicYN="N" Type="Geographic">Ghana</DescriptorName>
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<MeshHeading><DescriptorName UI="D015658" MajorTopicYN="N">HIV Infections</DescriptorName>
<QualifierName UI="Q000523" MajorTopicYN="Y">psychology</QualifierName>
<QualifierName UI="Q000628" MajorTopicYN="N">therapy</QualifierName>
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<MeshHeading><DescriptorName UI="D006266" MajorTopicYN="Y">Health Education</DescriptorName>
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<MeshHeading><DescriptorName UI="D007722" MajorTopicYN="N">Health Knowledge, Attitudes, Practice</DescriptorName>
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<MeshHeading><DescriptorName UI="D006284" MajorTopicYN="N">Health Plan Implementation</DescriptorName>
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<MeshHeading><DescriptorName UI="D006767" MajorTopicYN="N">Hospitals, District</DescriptorName>
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<MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
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<MeshHeading><DescriptorName UI="D010348" MajorTopicYN="N">Patient Care Team</DescriptorName>
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<OtherID Source="PIP">098203</OtherID>
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<OtherAbstract Type="PIP" Language="eng"><AbstractText>The district has a typical population size of 100,000-300,000 people and is the most peripheral unit of local government and administration in many developing countries. It is also the focus for the organization and coordination of community health care and preventive and curative health services. Where HIV infection and related disease are concerned, individuals present at the district hospital in rural sub-Saharan Africa to obtain medical care along with economic support and counselling for themselves and their families. Psychosocial support should be provided at the hospital and especially in the home. The author outlines issues and problems to address in setting up an HIV counseling and care program at the district level. Sections consider HIV support and counseling, hospital and home-care programs, and the HIV counselling team. A team approach to HIV disease care and counseling is extremely important. Staff must be carefully selected and supported with appropriate training in counselling. A primary health care approach is called for with community participation and intersectoral support. Community health outreach departments are recommended as integral parts of the district hospital; they could even pilot low-cost HIV hospital and home care programs.</AbstractText>
</OtherAbstract>
<KeywordList Owner="PIP"><Keyword MajorTopicYN="Y">Acquired Immunodeficiency Syndrome</Keyword>
<Keyword MajorTopicYN="Y">Administrative Districts</Keyword>
<Keyword MajorTopicYN="N">Africa</Keyword>
<Keyword MajorTopicYN="Y">Africa South Of The Sahara</Keyword>
<Keyword MajorTopicYN="N">Clinic Activities</Keyword>
<Keyword MajorTopicYN="Y">Community Participation</Keyword>
<Keyword MajorTopicYN="Y">Counseling</Keyword>
<Keyword MajorTopicYN="N">Delivery Of Health Care</Keyword>
<Keyword MajorTopicYN="N">Developing Countries</Keyword>
<Keyword MajorTopicYN="N">Diseases</Keyword>
<Keyword MajorTopicYN="N">English Speaking Africa</Keyword>
<Keyword MajorTopicYN="N">Geographic Factors</Keyword>
<Keyword MajorTopicYN="N">Ghana</Keyword>
<Keyword MajorTopicYN="N">Health</Keyword>
<Keyword MajorTopicYN="N">Health Facilities</Keyword>
<Keyword MajorTopicYN="N">Health Services</Keyword>
<Keyword MajorTopicYN="Y">Hiv Infections</Keyword>
<Keyword MajorTopicYN="Y">Hospitals</Keyword>
<Keyword MajorTopicYN="N">Organization And Administration</Keyword>
<Keyword MajorTopicYN="N">Population</Keyword>
<Keyword MajorTopicYN="Y">Primary Health Care</Keyword>
<Keyword MajorTopicYN="N">Program Activities</Keyword>
<Keyword MajorTopicYN="N">Programs</Keyword>
<Keyword MajorTopicYN="Y">Rural Health Services</Keyword>
<Keyword MajorTopicYN="Y">Treatment</Keyword>
<Keyword MajorTopicYN="N">Viral Diseases</Keyword>
<Keyword MajorTopicYN="N">Western Africa</Keyword>
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<GeneralNote Owner="PIP">TJ: AIDS CARE.</GeneralNote>
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