Improving hospital care for young children in the context of HIV/AIDS and poverty.
Identifieur interne : 005299 ( Main/Exploration ); précédent : 005298; suivant : 005300Improving hospital care for young children in the context of HIV/AIDS and poverty.
Auteurs : Linda Richter [Afrique du Sud] ; Upjeet Chandan ; Tamsen RochatSource :
- Journal of child health care : for professionals working with children in the hospital and community [ 1741-2889 ] ; 2009.
Descripteurs français
- KwdFr :
- Adolescent, Adulte, Disparités de l'état de santé, Enfant, Enfant d'âge préscolaire, Facteurs socioéconomiques, Femelle, Hospitalisation (), Humains, Hôpitaux publics (normes), Infections à VIH (soins infirmiers), Infections à VIH (traitement médicamenteux), Infections à VIH (économie), Mise au point de programmes, Mâle, Nourrisson, Nouveau-né, Pauvreté, Projets pilotes, Protection de l'enfance, Pédiatrie (normes), Qualité des soins de santé, Recherche qualitative, Relations famille-professionnel de santé, République d'Afrique du Sud, Soins palliatifs, Soutien social, Syndrome d'immunodéficience acquise, Évaluation de programme.
- MESH :
- normes : Hôpitaux publics, Pédiatrie.
- soins infirmiers : Infections à VIH.
- traitement médicamenteux : Infections à VIH.
- économie : Infections à VIH.
- Adolescent, Adulte, Disparités de l'état de santé, Enfant, Enfant d'âge préscolaire, Facteurs socioéconomiques, Femelle, Hospitalisation, Humains, Mise au point de programmes, Mâle, Nourrisson, Nouveau-né, Pauvreté, Projets pilotes, Protection de l'enfance, Qualité des soins de santé, Recherche qualitative, Relations famille-professionnel de santé, République d'Afrique du Sud, Soins palliatifs, Soutien social, Syndrome d'immunodéficience acquise, Évaluation de programme.
- Wicri :
- geographic : Afrique du Sud.
English descriptors
- KwdEn :
- Acquired Immunodeficiency Syndrome, Adolescent, Adult, Child, Child Welfare, Child, Preschool, Female, HIV Infections (drug therapy), HIV Infections (economics), HIV Infections (nursing), Health Status Disparities, Hospitalization (statistics & numerical data), Hospitals, Public (standards), Humans, Infant, Infant, Newborn, Male, Palliative Care, Pediatrics (standards), Pilot Projects, Poverty, Professional-Family Relations, Program Development, Program Evaluation, Qualitative Research, Quality of Health Care, Social Support, Socioeconomic Factors, South Africa.
- MESH :
- geographic : South Africa.
- drug therapy : HIV Infections.
- economics : HIV Infections.
- nursing : HIV Infections.
- standards : Hospitals, Public, Pediatrics.
- statistics & numerical data : Hospitalization.
- Acquired Immunodeficiency Syndrome, Adolescent, Adult, Child, Child Welfare, Child, Preschool, Female, Health Status Disparities, Humans, Infant, Infant, Newborn, Male, Palliative Care, Pilot Projects, Poverty, Professional-Family Relations, Program Development, Program Evaluation, Qualitative Research, Quality of Health Care, Social Support, Socioeconomic Factors.
Abstract
Paediatric wards in South African government hospitals are occupied predominantly by children with HIV and AIDS-related illnesses. Although access to anti-retroviral treatment for adults is being scaled up, it is likely to be many years before South Africa achieves anywhere near universal access for children. Currently, most children living with HIV or AIDS are identified only when they become acutely or chronically ill and/or hospitalized, if at all. In the absence of treatment, the stress of caring for ill and hospitalized HIV-positive children often results in emotional withdrawal among both health professionals and caregivers. The demoralizing cycle of repeated admissions, treatment failure and death also affect the quality of the care given to HIV-negative children in over-burdened wards. This article describes the development of simple, low-cost and context-relevant interventions to improve the care environment for young hospitalized children within the context of the HIV/AIDS epidemic and poverty.
DOI: 10.1177/1367493509336680
PubMed: 19713404
Affiliations:
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Le document en format XML
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<front><div type="abstract" xml:lang="en">Paediatric wards in South African government hospitals are occupied predominantly by children with HIV and AIDS-related illnesses. Although access to anti-retroviral treatment for adults is being scaled up, it is likely to be many years before South Africa achieves anywhere near universal access for children. Currently, most children living with HIV or AIDS are identified only when they become acutely or chronically ill and/or hospitalized, if at all. In the absence of treatment, the stress of caring for ill and hospitalized HIV-positive children often results in emotional withdrawal among both health professionals and caregivers. The demoralizing cycle of repeated admissions, treatment failure and death also affect the quality of the care given to HIV-negative children in over-burdened wards. This article describes the development of simple, low-cost and context-relevant interventions to improve the care environment for young hospitalized children within the context of the HIV/AIDS epidemic and poverty.</div>
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