Needs and Experiences of People Living with HIV/AIDS Regarding Implementation of Community Home-based Care Services in a Rural County in Western Kenya

摘要

Community home-based care framework is an integral and integrated part ofhealth care for people living with HIV/AIDS (PLWHA). This study aimed toreport the needs and experiences of PLWHA receiving community home-basedcare in a rural population in Western Kenya. The sample size for the study was373 PLWHA who were aged 18 and above, disclosed their HIV sero-status, andwere receiving any of the CHBC services. The study was a cross-sectionalexploratory and data was gathered over a period of four weeks. The findingsrevealed that needs were mainly what they lacked which include proper healthcare facilities; support from the government; drugs, counseling support;knowledge and education on the disease; home care equipment and tools; andadequate qualified healthcare professionals. Another major barrier to quality careis poor road network which impacts transportation for both the health workers andpatients in provision and access of health care services and other resourcesrespectively. The findings further revealed a strong relationship betweeninfluences of adequate care on the status of the illness. Receiving adequate clinical care p=0.000 (X2 = 159.650, df =10), receiving adequate psychologicalcare p=0.000 (X2 = 107.197, df=4), receiving adequate nursing care p=0.000 (?2 =35.802, df=4), and receiving adequate social support p=0.000 (?2 = 35.277, df=4)significantly influenced health status of the patients. We recommend continuedand timely monitoring and evaluation in implementation of CHBC for these ruralpopulations as critical in understanding contextual factors and experiences ofPLWHA for better health outcomes.