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Family care giving in the context of HIV/AIDS in Africa

机译:非洲艾滋病毒/艾滋病背景下的家庭护理

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摘要

Approximately 10 million people need palliative care for life-limiting illnesses across Africa. Although noncommunicablendiseases are significant sources of morbidity and mortality globally, in Sub-Saharan Africaninfectious diseases constitute the major disease burden, with HIV/AIDS its primary determinant. Despitenthis need, and the progress made in advancing service provision, palliative care coverage on thencontinent remains deficient. Following the World Health Organization’s enhanced public health approach,npalliative care providers on the continent have used the modality of home-based care. Central to thisnhome-based palliative care are family carers. Against a backdrop of eroding extended kinship andncommunity structures, a result of a combination of modernization and the demographic impact of HIVAIDS, the normative, moral, and economic fabric that previously bound together the extended family isndisentangling, rendering the assumption that, in African caring systems the capacity of the extendednfamily to withstand crises is inexhaustible, baseless. Given the engendered nature of care provision innAfrica, the primary burden of caring for the ill traditionally falls on women, especially the old and young.nThese family caregivers face multiple challenges, including limited knowledge and caring skills, the costsnof caring, stress and burnout, care burden, the challenges and support for caregivers, and HIV-relatednstigma and discrimination. The article concludes by suggesting a number of ways by which familial carengiving and research on the continent can be improved.
机译:在整个非洲,约有1000万人需要姑息治疗以限制生命的疾病。尽管非传染性疾病是全球发病率和死亡率的重要来源,但在撒哈拉以南非洲,传染病是主要的疾病负担,而艾滋病毒/艾滋病是主要的决定因素。尽管有这种需求,并且在推进服务提供方面取得了进展,但该大陆的姑息治疗覆盖率仍然不足。继世界卫生组织(WHO)加强公共卫生方法之后,非洲大陆的姑息治疗提供者已采用基于家庭的护理方式。家庭护理者是基于这种家庭的姑息治疗的核心。在扩展的亲属和社区结构侵蚀的背景下,现代化与HIV / nAIDS的人口影响相结合,以前将大家庭捆绑在一起的规范性,道德和经济结构无法消除,这使得人们认为,在非洲关爱系统扩展家庭抵御危机的能力是取之不尽,用之不竭的。鉴于非洲照料提供的性质,照料疾病的传统负担传统上要由妇女承担,尤其是老年妇女和青年人。这些家庭护理人员面临多重挑战,包括知识和护理技能有限,护理成本,压力和倦怠,照料负担,对照料者的挑战和支持,以及与艾滋病相关的污名和歧视。文章最后提出了许多改善非洲大陆家族关系和研究的方法。

著录项

  • 来源
    《Progress in Palliative Care》 |2013年第1期|13-21|共9页
  • 作者单位

    1African Palliative Care Association Kampala Uganda 2Consultant Avondale Harare Zimbabwe;

  • 收录信息 美国《科学引文索引》(SCI);美国《工程索引》(EI);美国《生物学医学文摘》(MEDLINE);
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

    Family; Carer; Africa; HIV/AIDS;

    机译:家庭;照顾者;非洲;HIV爱滋病;
  • 入库时间 2022-08-18 00:24:57

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