Print this page Email this page Users Online: 1003 | Click here to view old website
Home About us Editorial Board Search Current Issue Archives Submit Article Author Instructions Contact Us Login 
BRIEF COMMUNICATION
Year : 2009  |  Volume : 22  |  Issue : 1  |  Page : 294

Home-based Health Care(HBHC): Are Women Caregivers at Risk? A Study of Busia and Teso Districts in Western Kenya


School of Public Health & Community Development, Maseno University, Maseno, Kenya

Correspondence Address:
R O Onyango
School of Public Health & Community Development, Maseno University, Maseno
Kenya
Login to access the Email id

Source of Support: None, Conflict of Interest: None


PMID: 19953442

Context: Most caregivers of people living with HIV/AIDS (PLWHA) in rural Kenya are women. In resource-limited situations, this can be a challenging and risky responsibility. Objective: Assess the risk factors to which home-based caregivers are exposed. Setting: Study of Home-based Health Care (HBHC) activities done in the Busia and Teso Districts of Western Kenya, with 824 patients under HBHC, from April 2004-April 2005. The Ministry of Health HBHC Policy in 2000 reduced bed-occupancy in Government Health facilities. Consequently, many AIDS-Related-Infections (ARI) patients, upon discharge, were nursed by relatives. Methods: Relevant information reviewed and data collected using: questionnaires; personal and key informant interviews (KII); and observation of caregivers' working conditions and protective measures. Results: The majority of home caregivers were women. Most caregivers (85%) were unaware of risks involved in PLWHA caregiving. Fifty-two percent had chest pains and coughs, 55% skin infections and 24% tuberculosis. Over 8% were found to be HIV+ upon testing at the Voluntary Counselling and Testing (VCT) clinic. Conclusions: Women, and sometimes young children, assume the caregiving burden. Ignorance of risks and non-use of protection may predispose these caregivers to infections. Results point to the need for advocacy to improve the working conditions of home-based caregivers by primary health care policy makers. Finally, because the caregivers were sexually inactive, the caregivers that were HIV+ attributed their infections to nursing PLWHA.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed1528    
    Printed70    
    Emailed0    
    PDF Downloaded127    
    Comments [Add]    

Recommend this journal