dyuti_aljo
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DYUTI_AljoTRANSCRIPT
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Aljo C. Cheriyan
Issues and Challenges of Families of PLHIVs &
Replicable Solutions from a
Social Work Project
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PLHIV : People Living with HIV
ART : Anti Retro Viral Therapy
CD4 : Cluster Designation T4 Cells
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Specific Objectives
Study the issues and challenges of PLHIVs & their Families
Identify replicable solutions
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Relevance
Still lots of issues
Only 33% of identified PLHIVs in Kerala taking ART.
Less Care & Support Projects
No Model Projects in Care & Support
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ART (Anti Retro Therapy)
Increases the number of T4 cells ;
Defensive capacity;
Finally prolonged healthy life
Should follow strict time table till death.
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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.
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Methodology
1. 28 PLHIVs- covered 20 families.
2. Thrissur District (who enrolled their details in the Project).
3. Non probability sampling (Convenient Sampling)
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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.
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Issues and Problems
1. Individual Level
2. Family Level
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Individual Level Issues
1. ART Adherence
2. Isolation by other
3. Sarcastic attitude
4. Unhealthy physique
5. Opportunistic Infections
6. Side effects
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Individual Level Issues…(contd.)
7. Depression
8. Suicidal Tendencies
9. Financial Crisis
10. Poverty
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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
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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
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Replicable Solutions
Individual Level
Family Level
Community Level
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Individual Level
ART Follow Up
Counselling
Education
Positive Speaking
STI Treatment
Financial Support
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Family Level
Counselling
Education
Home Visit
Get together
Experience Sharing
Educational Support
Financial Support
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Community Level
Education
Medical camps
Resource Mobilisation
Local Advisory Council
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Challenges Identification
Home Visit
Social Stigma
Being an STD
Lack of Interest & Participation
HIV Testing
Financial Crisis
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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’
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?
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Thank You