How can the community contribute in the fight against HIV/AIDS and tuberculosis? An example from a rural district in Malawi.

Hdl Handle:
http://hdl.handle.net/10144/17717
Title:
How can the community contribute in the fight against HIV/AIDS and tuberculosis? An example from a rural district in Malawi.
Authors:
Zachariah, R; Teck, R; Buhendwa, L; Labana, S; Chinji, C; Humblet, P; Harries, A D
Journal:
Transactions of the Royal Society of Tropical Medicine and Hygiene
Abstract:
This paper describes (a) the experience of initiating community involvement in HIV/AIDS and tuberculosis (TB) activities in a rural district in Malawi and (b) some of the different ways in which the community is contributing in the fight against these two diseases and the outcomes of their involvement. During a 2-year period, a total of 21,358 (41%) of 52,510 HIV tests performed at voluntary counselling and HIV testing (VCT) sites in the district were conducted by lay community counsellors. A team of 465 community volunteers, 1,362 trained family caregivers and 9 community nurses provided care and support to 5,106 HIV-positive individuals, of whom 2,006 (39%) were in WHO stage III or IV. All those in WHO stage III or IV were on co-trimoxazole prophylaxis and 895 (45%) of these were also on antiretroviral treatment. A total of 2,714 TB patients, of whom 1627 (60%) were HIV-positive, also received care and support. A total of 1,694 orphans were trained in vocational skills. Twelve vegetable gardens and three maize farms were set up, and pre-school activities were organised for 900 orphans. Communities can play an important contributory role in reducing the burden of HIV/AIDS and TB and in mitigating its impact. Despite this, community resources in most settings are often under-exploited and their role remains undefined.
Affiliation:
Médecins sans Frontières, Medical Department (Operational Research), Brussels Operational Center, Belgium. zachariah@internet.lu
Publisher:
Elsevier
Issue Date:
Feb-2006
URI:
http://hdl.handle.net/10144/17717
DOI:
10.1016/j.trstmh.2005.07.008
PubMed ID:
16214192
Additional Links:
http://www.sciencedirect.com/science/journal/00359203
Language:
en
ISSN:
0035-9203
Appears in Collections:
HIV/AIDS

Full metadata record

DC FieldValue Language
dc.contributor.authorZachariah, R-
dc.contributor.authorTeck, R-
dc.contributor.authorBuhendwa, L-
dc.contributor.authorLabana, S-
dc.contributor.authorChinji, C-
dc.contributor.authorHumblet, P-
dc.contributor.authorHarries, A D-
dc.date.accessioned2008-02-07T16:15:27Z-
dc.date.available2008-02-07T16:15:27Z-
dc.date.issued2006-02-
dc.identifier.citationHow can the community contribute in the fight against HIV/AIDS and tuberculosis? An example from a rural district in Malawi. 2006, 100 (2):167-75 Trans. R. Soc. Trop. Med. Hyg.en
dc.identifier.issn0035-9203-
dc.identifier.pmid16214192-
dc.identifier.doi10.1016/j.trstmh.2005.07.008-
dc.identifier.urihttp://hdl.handle.net/10144/17717-
dc.description.abstractThis paper describes (a) the experience of initiating community involvement in HIV/AIDS and tuberculosis (TB) activities in a rural district in Malawi and (b) some of the different ways in which the community is contributing in the fight against these two diseases and the outcomes of their involvement. During a 2-year period, a total of 21,358 (41%) of 52,510 HIV tests performed at voluntary counselling and HIV testing (VCT) sites in the district were conducted by lay community counsellors. A team of 465 community volunteers, 1,362 trained family caregivers and 9 community nurses provided care and support to 5,106 HIV-positive individuals, of whom 2,006 (39%) were in WHO stage III or IV. All those in WHO stage III or IV were on co-trimoxazole prophylaxis and 895 (45%) of these were also on antiretroviral treatment. A total of 2,714 TB patients, of whom 1627 (60%) were HIV-positive, also received care and support. A total of 1,694 orphans were trained in vocational skills. Twelve vegetable gardens and three maize farms were set up, and pre-school activities were organised for 900 orphans. Communities can play an important contributory role in reducing the burden of HIV/AIDS and TB and in mitigating its impact. Despite this, community resources in most settings are often under-exploited and their role remains undefined.en
dc.language.isoenen
dc.publisherElsevier-
dc.relation.urlhttp://www.sciencedirect.com/science/journal/00359203-
dc.rightsArchived on this site with the kind permission of Elsevier Ltd. and the Royal Society of Tropical Medicine and Hygiene, http://www.rstmh.org/transactions.aspen
dc.subject.meshAttitude to Healthen
dc.subject.meshCommunity Networksen
dc.subject.meshCounselingen
dc.subject.meshHIV Infectionsen
dc.subject.meshHumansen
dc.subject.meshMalawien
dc.subject.meshRural Healthen
dc.subject.meshSocial Supporten
dc.subject.meshTuberculosisen
dc.subject.meshVoluntary Programsen
dc.titleHow can the community contribute in the fight against HIV/AIDS and tuberculosis? An example from a rural district in Malawi.en
dc.contributor.departmentMédecins sans Frontières, Medical Department (Operational Research), Brussels Operational Center, Belgium. zachariah@internet.luen
dc.identifier.journalTransactions of the Royal Society of Tropical Medicine and Hygieneen

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