Browsing by Subject "home care"
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Phorano, O.M.; Nthomang, K.; Ngwenya, B.N. (Botswana Society, NaN, 2005)[more][less]
Abstract: Batswana have been hard-hit by the HIV/AIDS pandemic. The Botswana government has initiated the Community Home-Based Care programme to provide material support for HIV/AIDS patients cared for at home by family members and relatives. This paper identifies and explores emerging home care issues and pays specific attention to potential risks related to poorly managed clinical human and solid waste disposal generated through home-based care of HIV/AIDS patients in Ngamiland and Kweneng Districts in Botswana. Data were collected through focus group discussion with care-givers, discursive interviews with professional service providers, and participant observation. The results of the study indicate that the majority of care givers received material benefits provided through the CHBC programme. However, it was clear that CHBC did not have the capacity to address other critical needs for the proper care of patients in the home. Most households studied are very poor and lack basic facilities such as toilets, basic waste receptacles and regular collection of solid waste. Access to these facilities is important for disposing of both clinical and ordinary human and solid waste from HBC patients. Poor sanitation facilities - especially the improper handling of soiled laundry and inadequate ventilation - increase risks of infection. The study recommends the formation of care-giver support groups to reduce risks associated with poorly managed clinical solid waste disposal generated from home care-giving of HIV/AIDS patients. URI: http://hdl.handle.net/10311/952 Files in this item: 1
Phorano 2005 HIV.pdf (2.631Mb) -
Ngwenya, B.N.; Butale, B.M. (Botswana Society, NaN, 2005)[more][less]
Abstract: Home care involves the transfer of a patient’s medical supervision from a formal institution to a family setting in the context of a community. The aim of this paper is to assess the resource capacity of families to provide immediate home care to HIV/AIDS related chronically or terminally ill member/s in Maun in Ngamiland District. Data for the study was obtained through cross-sectional interviews with 61 care-givers. Ethnographic methods were also used: these included informal interviews with key informants, unobtrusive participant observation, and narratives of individual and family life experiences. Data collection focused on assessing family resource capacity to access three forms of capital, namely social, productive and produced. Issue focus analysis on qualitative data, and descriptive frequencies and cross-tabulations on quantitative data were carried out. Generally, care-givers reported receiving non-material support from multiple sources. These included moral support from close family members, especially their own children, siblings, parents and spouses, and less from parents’ in-law and their extended family. The threshold of care-giving resource demands could either fragment the family unit, on precipitate ‘enclave-like’ or ‘disengaged’ co-existence or passive aggression. On the other hand, caregiving resource demands may enhance mutual obligation and shared responsibility among family members. A high level of tolerability tends to reduce vulnerability and facilitate pooling limited resources in ways that enhance family capacity. Conversely, adversarial intra-family relations compromise the ability of a family to mobilize its resources. About 70% of care-givers were dependent on non-farming activities as their source of livelihood. Care-giving depletes family resources, including the abandonment of income generating activities. About 81% of care-givers said that they could not do anything to recover or reverse the loss. Access to produced capital such as telecommunication infrastructure is important in terms of the dissemination of public education information aimed at helping reduce risks and the prevention of infection. A significant proportion of care-givers had access to a radio (60%) and cell-phone (48%). The paper ends with some policy recommendations. URI: http://hdl.handle.net/10311/953 Files in this item: 1
Ngwenya 2005 AIDS.pdf (3.334Mb)
Now showing items 1-2 of 2