Home-based care for patients with HIV/Aids:A case study of east and west Karachuonyo divisions of Rachuonyo District, Kenya.
Abstract
This study investigated HBC for PWHA in Rachuonyo District in Kenya. The main objective
was acceptability of HBC for PWHA. It focussed on 40 PWHA and 38 caregivers in
Karachuonyo who were systematically sampled and interviewed. Focus group discussions were
also held with the key participants during the study. The study focussed on four main broad
questions;
1. To what extent are the people ofKarachuonyo willing to accept HBC for PWHA?
2. What factors influence acceptability ofHBC for PWHA in Karachuonyo, Rachuonyo district?
3. What factors inhibit the adoption and success of HBC for PWHA in Karachuonyo?
4. What is the future ofHBC for PWHA in Karachuonyo, Rachuonyo District?
The study found out that 45% of the respondents accepted HBC for PWHA in Karachuonyo,
Rachuonyo district. A number of factors influenced acceptability of HBC for PWHA, which
,include; personal individual characteristics, attitudes, levels of HIV and HBC awareness and
availability or absence of HBC organizational network, among others. The factors inhibiting the
adoption and success of HBC were also identified as follows; poor network of organizational
network, lack of care facilities and materials, lack of funds, lack of caring skills and training,
dependency of the PWHA on the support organs and lack of basic needs, among others.
The people were aware of the role played by HBC for PWHA though they were not' completely
convinced that the goals of HBC for PWHA were being met. This was because of lack of care
facilities and non-accessibility to comprehensive care. The study established that the future of
HBC for PWHA would not very bright and sustainable unless the prerequisites for HBC for
PWHA identified by the study were met.
In conclusion, the study made recommendations to the effect that HBC for PWHA should be
made more acceptable through intensification of HBC awareness, improvement of medical and
socio-material support network before it can become a viable strategy for managing patients with
HIV/AIDS. The study suggested a national study on acceptability of HBC for PWHA and the
role of HBC for PWHA in improving health status and reducing HIV incidence in the areas
where it has been adopted.
Sponsorhip
The University of NairobiPublisher
Department of Sociology