dyuti_aljo
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DYUTI_AljoTRANSCRIPT
Aljo C. Cheriyan
Issues and Challenges of Families of PLHIVs &
Replicable Solutions from a
Social Work Project
PLHIV : People Living with HIV
ART : Anti Retro Viral Therapy
CD4 : Cluster Designation T4 Cells
Specific Objectives
Study the issues and challenges of PLHIVs & their Families
Identify replicable solutions
Relevance
Still lots of issues
Only 33% of identified PLHIVs in Kerala taking ART.
Less Care & Support Projects
No Model Projects in Care & Support
ART (Anti Retro Therapy)
Increases the number of T4 cells ;
Defensive capacity;
Finally prolonged healthy life
Should follow strict time table till death.
Adherence to ART- a serious issue
Issues: social, physical, financial etc. (infected are not ready to come forward)
15,628 PLHIVs registered in Ushus centers
for ART (33 % of the total infected in Kerala)
Others are not exposed to treatment-fear of
social stigma.
Methodology
1. 28 PLHIVs- covered 20 families.
2. Thrissur District (who enrolled their details in the Project).
3. Non probability sampling (Convenient Sampling)
Methodology …(contd.)
4. The PLHIVs were studied for one year.
5. Primary data collection: Questionnaire, Interview, observation etc. f and
6. ART book, other books and journals etc. secondary data collection.
Issues and Problems
1. Individual Level
2. Family Level
Individual Level Issues
1. ART Adherence
2. Isolation by other
3. Sarcastic attitude
4. Unhealthy physique
5. Opportunistic Infections
6. Side effects
Individual Level Issues…(contd.)
7. Depression
8. Suicidal Tendencies
9. Financial Crisis
10. Poverty
Family Level Issues1. Widows
2. Social Stigma
3. Isolation by the Society
4. Family conflicts
5. Unwanted Pregnancies
6. Financial Crisis
7. Education of Children
8. Marriage of Children
Project Details
HAT Project
Total: Rs. 2 Crore (KKS, Germany)
Covered Thrissur District
Care & Support Activities
4 Years
Covered 150 Families;
250 PLHIVs & 400 Family members
13 Technical Staff
Replicable Solutions
Individual Level
Family Level
Community Level
Individual Level
ART Follow Up
Counselling
Education
Positive Speaking
STI Treatment
Financial Support
Family Level
Counselling
Education
Home Visit
Get together
Experience Sharing
Educational Support
Financial Support
Community Level
Education
Medical camps
Resource Mobilisation
Local Advisory Council
Challenges Identification
Home Visit
Social Stigma
Being an STD
Lack of Interest & Participation
HIV Testing
Financial Crisis
conclusion So Not only the HIV/ AIDS prevention; But care and support activities; With Professionalism & hard work
‘ZERO NEW HIV INFECTIONS,
ZERO DISCRIMINATION &
ZERO AIDS-RELATED DEATHS’
?
Thank You