Assessment Of Community Volunteers Home Based Care For Peoples Living With Hivaids In Adama (nazareth) Town Ethiopia

Background: Currently, HBC programs for PLWHA are implemented inrndifferent African countries after the inceptions of the epidemic. However, therndesigned HBC programs may differ from place to place, that means whetherrnmodel of community/NGO-based initiative or Hospital-based initiative HBCrnprograms. To implement CHBC program for PLWHA efficiently andrneffectively, it is necessary to assess the perceptions and contextual experience ofrnhome caregivers in the community.rnObjective: It was to assess and explore the contextual based experience ofrnCVHBC service for PLWHA in oromia region, Adama (Nazareth) town.rnMethods: Using a qualitative method the perceptions, range of activities, andrnthe major challenges in HBC were described in this study. In-depth interviewrnand FGDs were conducted with VHC givers and their team leaders selectedrnfrom the ‘six’ HBC-teams in the town. The selection of study-participants wasrnpurposive with the aim of obtaining knowledgeable and experienced individualrnVHC-givers from the team members.rnFindings: The findings were described in three categories: perception of VHCrngivers to HBC, range of HBC activities, and challenges in HBC. The resultrnshowed that VHC givers perceived that HBC is a continuum of care that helprnPLWHA by providing basic care according to their needs in their home withoutrnany gap between health facilities and HBC. However, they performed a limitedrnrange of home care activities that were inadequate care. Further more, patients’rnpoverty, lack of adequate resources, lack of adequate support; presence ofrnstigma, rejection, and abuse; lack of training and supervision by healthrnprofessional and for caregivers, and lack of health care infrastructures werernindicated as the major factors that affect the provision of better quality homerncare.rnvrnConclusion: In general, the HBC process in the study areas were indicated thatrnit was unorganized and not coordinated, which means there was lack ofrnprofessional support as well as lack of adequate materials and financial supportrnbesides the lack of all stakeholders’ participations, lack of adequate HBCrninfrastructure and the absence of communications among the organizations.rnFurther studies, however, are recommended for better understanding of thesernmajor challenging issues in HBC of PLWHA, using a combination of qualitativern& quantitative research methods

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