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DYUTI_Aljo

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DYUTI_Aljo

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DYUTI_Aljo

  1. 1. <ul><li>Aljo C. Cheriyan </li></ul>Issues and Challenges of Families of PLHIVs & Replicable Solutions from a Social Work Project
  2. 2. <ul><li>PLHIV : People Living with HIV </li></ul><ul><li>ART : Anti Retro Viral Therapy </li></ul><ul><li>CD4 : Cluster Designation T4 Cells </li></ul>
  3. 3. <ul><li>Specific Objectives </li></ul><ul><li>Study the issues and challenges of PLHIVs & their Families </li></ul><ul><li>Identify replicable solutions </li></ul>
  4. 4. Relevance <ul><li>Still lots of issues </li></ul><ul><li>Only 33% of identified PLHIVs in Kerala taking ART. </li></ul><ul><li>Less Care & Support Projects </li></ul><ul><li>No Model Projects in Care & Support </li></ul>
  5. 5. ART (Anti Retro Therapy) <ul><li>Increases the number of T4 cells ; </li></ul><ul><li>Defensive capacity; </li></ul><ul><li>Finally prolonged healthy life </li></ul><ul><li>Should follow strict time table till death. </li></ul>
  6. 6. Adherence to ART- a serious issue <ul><li>Issues: social, physical, financial etc. </li></ul><ul><li>(infected are not ready to come forward) </li></ul><ul><li>15,628 PLHIVs registered in Ushus centers for ART (33 % of the total infected in Kerala) </li></ul><ul><li>Others are not exposed to treatment-fear of social stigma. </li></ul>
  7. 7. Methodology <ul><ul><li>1. 28 PLHIVs- covered 20 families. </li></ul></ul><ul><ul><li>2. Thrissur District (who enrolled their details in the Project). </li></ul></ul><ul><ul><li>3. Non probability sampling (Convenient Sampling) </li></ul></ul>
  8. 8. Methodology …(contd.) <ul><ul><li>4. The PLHIVs were studied for one year. </li></ul></ul><ul><ul><li>5. Primary data collection: Questionnaire, Interview, observation etc. f and </li></ul></ul><ul><ul><li>6. ART book, other books and journals etc. secondary data collection. </li></ul></ul>
  9. 9. Issues and Problems <ul><li>1. Individual Level </li></ul><ul><li>2. Family Level </li></ul>
  10. 10. Individual Level Issues <ul><li>1. ART Adherence </li></ul><ul><li>2. Isolation by other </li></ul><ul><li>3. Sarcastic attitude </li></ul><ul><li>4. Unhealthy physique </li></ul><ul><li>5. Opportunistic Infections </li></ul><ul><li>6. Side effects </li></ul>
  11. 11. Individual Level Issues…(contd.) <ul><li>7. Depression </li></ul><ul><li>8. Suicidal Tendencies </li></ul><ul><li>9. Financial Crisis </li></ul><ul><li>10. Poverty </li></ul>
  12. 12. Family Level Issues <ul><li>1. Widows </li></ul><ul><li>2. Social Stigma </li></ul><ul><li>3. Isolation by the Society </li></ul><ul><li>4. Family conflicts </li></ul><ul><li>5. Unwanted Pregnancies </li></ul><ul><li>6. Financial Crisis </li></ul><ul><li>7. Education of Children </li></ul><ul><li>8. Marriage of Children </li></ul>
  13. 13. Project Details <ul><li>HAT Project </li></ul><ul><li>Total: Rs. 2 Crore (KKS, Germany) </li></ul><ul><li>Covered Thrissur District </li></ul><ul><li>Care & Support Activities </li></ul><ul><li>4 Years </li></ul><ul><li>Covered 150 Families; </li></ul><ul><li>250 PLHIVs & 400 Family members </li></ul><ul><li>13 Technical Staff </li></ul>
  14. 14. Replicable Solutions <ul><li>Individual Level </li></ul><ul><li>Family Level </li></ul><ul><li>Community Level </li></ul>
  15. 15. Individual Level <ul><li>ART Follow Up </li></ul><ul><li>Counselling </li></ul><ul><li>Education </li></ul><ul><li>Positive Speaking </li></ul><ul><li>STI Treatment </li></ul><ul><li>Financial Support </li></ul>
  16. 16. Family Level <ul><li>Counselling </li></ul><ul><li>Education </li></ul><ul><li>Home Visit </li></ul><ul><li>Get together </li></ul><ul><li>Experience Sharing </li></ul><ul><li>Educational Support </li></ul><ul><li>Financial Support </li></ul>
  17. 17. Community Level <ul><li>Education </li></ul><ul><li>Medical camps </li></ul><ul><li>Resource Mobilisation </li></ul><ul><li>Local Advisory Council </li></ul>
  18. 18. Challenges <ul><li>Identification </li></ul><ul><li>Home Visit </li></ul><ul><li>Social Stigma </li></ul><ul><li>Being an STD </li></ul><ul><li>Lack of Interest & Participation </li></ul><ul><li>HIV Testing </li></ul><ul><li>Financial Crisis </li></ul>
  19. 19. conclusion <ul><ul><li>So Not only the HIV/ AIDS prevention; </li></ul></ul><ul><ul><li>But care and support activities; </li></ul></ul><ul><ul><li>With Professionalism & hard work </li></ul></ul><ul><ul><li>‘ ZERO NEW HIV INFECTIONS, </li></ul></ul><ul><ul><li>ZERO DISCRIMINATION & </li></ul></ul><ul><ul><li>ZERO AIDS-RELATED DEATHS’ </li></ul></ul>
  20. 20. ?
  21. 21. <ul><li>Thank You </li></ul>

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