11th International AIDS Conference Vancouver, British Columbia — July 7-12, 1996

Int Conf AIDS 1996 Jul 7-12; 11:485 (abstract no. Pub.D.1306)
Garcia R, Fadul R, Khoury S, Medina DE, Esteves F, Castellanos C, Freites A, Garris I, Espinal M, De Moya EA; Institute of Human Sexuality, Autonomous University of Santo Domingo, Dominican Republic.

ISSUE: To compare the impact of two approaches to health care on health behavior, health status, and psychological well-being of persons living with AIDS.

PROJECT: Two approaches were compared. The Ambulatory mode included patients' AIDS education, monthly medical checkups and group therapy. The Household mode included transfering nursing skills to HIV+ individuals and their families at home. The study started in September 1993 and ended in March 1995 in Santo Domingo. Twenty-one patients participated in the Ambulatory mode and 30 in the Household mode on a random basis.

RESULTS: Household care was more effective in preventing health crises. It reduced more the needs for hospital admission and lowered medical expenses. Social relations remained more stable than in Ambulatory care. Recommendations for action were more realistic, complete, and adjusted to family resources. Participation of family members was more active and effective. Support was more efficiently mobilized. Skills were generalized to other health crises.

LESSONS LEARNED: Household care of persons living with AIDS is a legitimate way to deal with the disease in developing countries. It is probably the best approach to health care when patients become increasingly symptomatic and dependent on their families. In this study, patients felt less rejected, more independent, useful, and satisfied, as well as more willing to try to improve their quality of life.

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PubD1306

Copyright © 1996 - International AIDS Society (IAS). Reproduction of this abstract (other than one copy for personal reference) must be cleared through the IAS.