TAILIEUCHUNG - báo cáo hóa học:" Estimating the cost of care giving on caregivers for people living with HIV and AIDS in Botswana: a cross-sectional study"

Tuyển tập các báo cáo nghiên cứu về hóa học được đăng trên tạp chí sinh học đề tài : Estimating the cost of care giving on caregivers for people living with HIV and AIDS in Botswana: a cross-sectional study | Ama and Seloilwe Journal of the International AIDS Society 2010 13 14 http content 13 1 14 JOURNALOF THE INTERNATIONAL AIDSSOCIETY RESEARCH Open Access Estimating the cost of care giving on caregivers for people living with HIV and AIDS in Botswana a cross-sectional study Njoku O Ama 1 and Esther S Seloilwe2 Abstract Background Community home-based care is the Botswana Government s preferred means of providing care for people living with HIV PLHIV . However primary family members or volunteer community members caregivers experience poverty are socially isolated endure stigma and psychological distress and lack basic care-giving education. Community home-based care also imposes considerable costs on patients their caregivers and families in terms of time effort and commitment. An analysis of the costs incurred by caregivers in providing care to PLHIV will assist health and social care decision makers in planning the most appropriate ways to meet future service needs of PLHIV and their caregivers. Methods This study estimated the cost incurred in providing care for PLHIV through a stratified sample of 169 primary and volunteer caregivers drawn from eight community home-based care groups in four health districts in Botswana. Results The results show that the mean of the total monthly cost explicit and indirect costs incurred by the caregivers was while the mean explicit cost of care giving was . This mean of the total monthly cost is about one and a half times the caregivers mean monthly income of and more than six times the Government of Botswana s financial support to the caregivers. In addition the cost incurred per visit by the caregivers was while the total expenditure incurred per client or family in a month was . Conclusions The study therefore concludes that as the cost of providing care services to PLHIV is very high the Government of Botswana should substantially increase the allowances paid to

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