Le SIDA au Ghana (serveur d'exploration)

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HIV counselling and care programmes at the district level in Ghana.

Identifieur interne : 000486 ( PubMed/Curation ); précédent : 000485; suivant : 000487

HIV counselling and care programmes at the district level in Ghana.

Auteurs : R. Brugha [Ghana]

Source :

RBID : pubmed:8061073

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English descriptors

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:8061073

Le document en format XML

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<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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<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>
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<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>
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