RESUMO
Researchers explored the barriers to AIDS care for rural women living with AIDS, and they investigated alternative delivery models to increase the women's adherence to antiretroviral therapy (ART). Community-based participatory research focus groups were conducted by the researchers with a convenience sample of 39 women living with AIDS from a primary health center (PHC) near Chennai, India, and with nurses, physicians, and Accredited Social Health Activists (Ashas), who are lay health care workers. The most prevalent barriers expressed by the women were sickness-related, psychological, financial issues with childcare, and distance, or transportation to the site. Women living with AIDS reviewed Ashas favorably.
Assuntos
Fármacos Anti-HIV/uso terapêutico , Infecções por HIV , Acessibilidade aos Serviços de Saúde , Cooperação do Paciente/psicologia , População Rural/estatística & dados numéricos , Adulto , Fármacos Anti-HIV/economia , Pesquisa Participativa Baseada na Comunidade , Atenção à Saúde/organização & administração , Feminino , Grupos Focais , Infecções por HIV/tratamento farmacológico , Infecções por HIV/psicologia , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Índia , Entrevistas como Assunto , Pessoa de Meia-Idade , Atenção Primária à Saúde/organização & administração , Privacidade , Pesquisa Qualitativa , Apoio Social , Fatores Socioeconômicos , Estereotipagem , Adulto JovemRESUMO
A community-based participatory research study was conducted using focus groups with 39 women living with AIDS (WLA) in the rural setting of Andhra Pradesh, India. In addition, three nurses, two physicians, and five reproductive health accredited social health activists (ASHAs) took part in focus groups. The WLA offered insight into the benefits of HIV-trained ASHAs including emotional support, assistance with travel to health care providers and antiretroviral therapy medication adherence. Health care providers also identified benefits of using HIV-trained ASHAs and suggested modalities for how to train these individuals. These findings will contribute to the design of a future program of care involving HIV-trained ASHAs.