The Fortune Society’s Latino Discharge Planning: A Model of Comprehensive Care for HIV-Positive Ex-Offenders

2020 ◽  
pp. 123-144
Author(s):  
Ana Motta-Moss ◽  
Nicholas Freudenberg ◽  
Wayman Young ◽  
Tracey Gallagher
Keyword(s):  
Discharge Planning ◽  
Comprehensive Care ◽  
Hiv Positive

The Fortune Society's Latino Discharge Planning: A Model of Comprehensive Care for HIV-Positive Ex-Offenders

2001 ◽  
Vol 16 (1-2) ◽  
pp. 123-144 ◽  
Author(s):  
Ana Motta-Moss ◽  
Nicholas Freudenberg ◽  
Wayman Young ◽  
Tracey Gallagher
Keyword(s):  
Discharge Planning ◽  
Comprehensive Care ◽  
Hiv Positive

scholarly journals Patient and provider perceptions of a comprehensive care program for HIV-positive adults over 50 years of age: The formation of the Golden Compass HIV and aging care program in San Francisco

PLoS ONE ◽  
2018 ◽  
Vol 13 (12) ◽  
pp. e0208486 ◽  
Author(s):  
Meredith L. Greene ◽  
Judy Y. Tan ◽  
Sheri D. Weiser ◽  
Katerina Christopoulos ◽  
Mary Shiels ◽  
...  
Keyword(s):  
San Francisco ◽  
Care Program ◽  
Comprehensive Care ◽  
Hiv Positive ◽  
Provider Perceptions ◽  
Hiv Positive Adults

scholarly journals Factors Associated with Adherence to Antiretroviral Drugs among HIV Positive Patients Attending Selected Comprehensive Care Centers in Semi-Urban, Kenya

2021 ◽  
Vol 11 (12) ◽  
pp. 134-151
Author(s):  
Martin Owuor Ochieng ◽  
Gideon Kikuvi ◽  
Daniel Mokaya
Keyword(s):  
Positive Attitude ◽  
Service Providers ◽  
Antiretroviral Drugs ◽  
Comprehensive Care ◽  
Poor Adherence ◽  
Hiv Positive ◽  
Factors Associated ◽  
Adequate Knowledge ◽  
Health Service Providers ◽  
And Gender

Management of Human Immunodeficiency Virus (HIV) is multipronged but its nerve centre is lifelong adequate and consistent use of antiretroviral drugs (ARVs). The overall objective of this study was to determine the factors associated with adherence to antiretroviral drugs among HIV positive patients attending selected Comprehensive Care Centres (CCC) in Kibwezi West Sub-county, Makueni County, Kenya. 385 respondents were recruited by systematic random sampling and interviewed. Three Focused Group Discussions (FGD) and two Key Informant Interviews (KII) were also conducted. Majority 364(94.5%) of the respondents were adherent to ARVs. There was a significant association between adherence to ARVs and gender {χ 2 (1) =4.636, p<0.05} with males likely to have poor adherence {OR 0.174 (95%CI 0.130, 0.233)}. Age was significantly associated with adherence {Likelihood Ratio G2 (4) =10.693, p<0.05} with older ages (above 65 years) likely to adhere. Living in the same house with someone on ARVs was significantly associated with adherence to ARVs {χ 2 (1) =3.997 p=<0.05} with respondents living in the same house with someone on ARVs likely to adhere {OR 0.144 (95%CI 0.103, 0.200)}. Majority of the respondents had adequate knowledge and positive attitude towards adherence to ARVs. FGDs and KIIs identified fear, stigma, not believing in oneself, participating in activities that hamper adherence such as drinking alcohol, ignorance, denial, lack of social support, busy work schedule poor attitude by health service providers, drug stock outs, distance and long waiting time as contributing to poor adherence to ARVs. In conclusion, constant education and awareness creation on importance of adherence to ARVs should be strengthened particularly during clinic appointments to maintain knowledge and enhance positive attitude towards adherence. Measures to improve adherence among the male and younger population should be strengthened. Key words: adherence, antiretrovirals age, gender, knowledge, attitude.

scholarly journals CAREGIVERS’ EXPERIENCES IN CARING FOR HIV POSITIVE CHILDREN: A QUALITATIVE STUDY AT A COMPREHENSIVE CARE CENTRE IN KENYA

2021 ◽  
Vol 7 (2) ◽  
pp. 45-55
Author(s):  
Drusilla Makworo
Keyword(s):  
Qualitative Study ◽  
Healthcare Providers ◽  
Comprehensive Care ◽  
Hiv Positive ◽  
Unique Contribution ◽  
Care Centre ◽  
Hiv Status ◽  
Hiv Diagnosis ◽  
Caregiver Support ◽  
Main Challenge

Purpose: Caring for HIV positive children poses various challenges and uncertainties depending on the disclosure of their status. To explore the caregivers’ experiences in caring for HIV positive children before, during and after disclosure of their HIV positive status. Methodology: A qualitative study was conducted a Comprehensive Care Centre in a national referral Hospital in Kenya. The study population included parents/guardians of HIV positive children with complete disclosure of their HIV status. Data was collected through in-depth interviews. The socio-demographic characteristics of the respondents were analysed using descriptive statistics. The qualitative data is analysed by use of content analysis and presented in themes and narratives. Results: The results revealed that caring for these children was more challenging before disclosure than after disclosure. The main challenge was in responding to the children’s questions in regards to their health status. The questions asked by the children before disclosures include the reason for treatment, clinic follow up and when treatment will stop among others. The study further established that the parents/guardians expressed diverse fears of how the children might react during disclosure; however, the children mostly did not display the feared reactions at the moment of disclosure. Finally, the findings of this study established that care after disclosure becomes easier and that the children become more engaged in their own care. Conclusion: The study found that caring for HIV positive children is less challenging after disclosure of their HIV status.  Further, fears by caregivers are unfounded and there are minimal negative reactions by the children upon disclosure. In order to become actively engaged in their own care, children as early as 11 years old need to be informed about their positive HIV status. Unique contribution to practice, theory and policy: The healthcare providers should ensure early preparation of the caregivers for disclosure to the children of their HIV status. Further, community members and school teachers need to be educated about the beneficial effects of disclosure of an HIV diagnosis to a child or adolescent. Research is needed on the development and implementation of caregiver support groups similar to that of children living with HIV. Purpose: Caring for HIV positive children poses various challenges and uncertainties depending on the disclosure of their status. To explore the caregivers’ experiences in caring for HIV positive children before, during and after disclosure of their HIV positive status. Methodology: A qualitative study was conducted a Comprehensive Care Centre in a national referral Hospital in Kenya. The study population included parents/guardians of HIV positive children with complete disclosure of their HIV status. Data was collected through in-depth interviews. The socio-demographic characteristics of the respondents were analysed using descriptive statistics. The qualitative data is analysed by use of content analysis and presented in themes and narratives. Results: The results revealed that caring for these children was more challenging before disclosure than after disclosure. The main challenge was in responding to the children’s questions in regards to their health status. The questions asked by the children before disclosures include the reason for treatment, clinic follow up and when treatment will stop among others. The study further established that the parents/guardians expressed diverse fears of how the children might react during disclosure; however, the children mostly did not display the feared reactions at the moment of disclosure. Finally, the findings of this study established that care after disclosure becomes easier and that the children become more engaged in their own care. Conclusion: The study found that caring for HIV positive children is less challenging after disclosure of their HIV status.  Further, fears by caregivers are unfounded and there are minimal negative reactions by the children upon disclosure. In order to become actively engaged in their own care, children as early as 11 years old need to be informed about their positive HIV status. Unique contribution to practice, theory and policy: The healthcare providers should ensure early preparation of the caregivers for disclosure to the children of their HIV status. Further, community members and school teachers need to be educated about the beneficial effects of disclosure of an HIV diagnosis to a child or adolescent. Research is needed on the development and implementation of caregiver support groups similar to that of children living with HIV.

Provider-delivered, Theory-based, Individualized Prevention Interventions for HIV Positive Adults Receiving HIV Comprehensive Care

2006 ◽  
Vol 11 (S1) ◽  
pp. 39-47 ◽  
Author(s):  
Diane M. Grimley ◽  
Laura H. Bachmann ◽  
Mollie W. Jenckes ◽  
Emily J. Erbelding
Keyword(s):  
Comprehensive Care ◽  
Hiv Positive ◽  
Prevention Interventions ◽  
Hiv Positive Adults
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