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[How to manage HIV seropositive or AIDS patients in rural Burkina Faso?].
Sante. 1997 May-Jun; 7(3):177-86.S

Abstract

This article is based on an ethnographical study carried out in 1996. It describes and analyzes the methods of medical and family management of HIV-positive and full-blown AIDS patients in the rural environment of Burkinabé. A number of recommendations are made. Biomedical management of these patients is almost non-existent (currently there is no serology or screening advice available at the dispensary). The patient is never informed of an AIDS diagnosis. The relations between the medical personnel and the patients are dominated by a sense of powerlessness and constant fear of infection. None of the traditional doctors of the region admits to treating AIDS although traditional medicine is used throughout the illness. Family management ranges from complete rejection of the patient to supportive but often misdirected care. It is determined by at least five elements: (1) the composition of the family unit and the nature of relations between the sick individual and the rest of the family, (2) the economic status of the patients, his family group and his parents, (3) the initial uncertainties of the diagnosis of the illness, (4) the fear of contagion and (5) the fear of gossip. Management of these patients would be improved by: (1) real access to counseling and screening, (2) the involvement of health workers in this activity and in the notification of the diagnosis to the peripheral medical organizations, (3) the education of the staff about the risks of contamination and care of the terminally ill, (4) reeducation of the public about the non-contagious nature of the sick by personal counseling given by health care professionals and (5) the material support of families. This is of vital importance but is difficult to achieve in the context of chronic poverty.

Authors+Show Affiliations

ORSTOM, Burkina Faso.

Pub Type(s)

English Abstract
Journal Article
Review

Language

fre

PubMed ID

9296809

Citation

Taverne, B. "[How to Manage HIV Seropositive or AIDS Patients in Rural Burkina Faso?]." Sante (Montrouge, France), vol. 7, no. 3, 1997, pp. 177-86.
Taverne B. [How to manage HIV seropositive or AIDS patients in rural Burkina Faso?]. Sante. 1997;7(3):177-86.
Taverne, B. (1997). [How to manage HIV seropositive or AIDS patients in rural Burkina Faso?]. Sante (Montrouge, France), 7(3), 177-86.
Taverne B. [How to Manage HIV Seropositive or AIDS Patients in Rural Burkina Faso?]. Sante. 1997 May-Jun;7(3):177-86. PubMed PMID: 9296809.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [How to manage HIV seropositive or AIDS patients in rural Burkina Faso?]. A1 - Taverne,B, PY - 1997/5/1/pubmed PY - 1997/9/20/medline PY - 1997/5/1/entrez KW - Acquired Immunodeficiency Syndrome KW - Africa KW - Africa South Of The Sahara KW - Burkina Faso KW - Critique KW - Delivery Of Health Care KW - Demographic Factors KW - Developing Countries KW - Diseases KW - Economic Factors KW - French Speaking Africa KW - Health KW - Hiv Infections KW - Needs KW - Population KW - Population Characteristics KW - Rural Population KW - Treatment KW - Viral Diseases KW - Western Africa SP - 177 EP - 86 JF - Sante (Montrouge, France) JO - Sante VL - 7 IS - 3 N2 - This article is based on an ethnographical study carried out in 1996. It describes and analyzes the methods of medical and family management of HIV-positive and full-blown AIDS patients in the rural environment of Burkinabé. A number of recommendations are made. Biomedical management of these patients is almost non-existent (currently there is no serology or screening advice available at the dispensary). The patient is never informed of an AIDS diagnosis. The relations between the medical personnel and the patients are dominated by a sense of powerlessness and constant fear of infection. None of the traditional doctors of the region admits to treating AIDS although traditional medicine is used throughout the illness. Family management ranges from complete rejection of the patient to supportive but often misdirected care. It is determined by at least five elements: (1) the composition of the family unit and the nature of relations between the sick individual and the rest of the family, (2) the economic status of the patients, his family group and his parents, (3) the initial uncertainties of the diagnosis of the illness, (4) the fear of contagion and (5) the fear of gossip. Management of these patients would be improved by: (1) real access to counseling and screening, (2) the involvement of health workers in this activity and in the notification of the diagnosis to the peripheral medical organizations, (3) the education of the staff about the risks of contamination and care of the terminally ill, (4) reeducation of the public about the non-contagious nature of the sick by personal counseling given by health care professionals and (5) the material support of families. This is of vital importance but is difficult to achieve in the context of chronic poverty. SN - 1157-5999 UR - https://www.unboundmedicine.com/medline/citation/9296809/[How_to_manage_HIV_seropositive_or_AIDS_patients_in_rural_Burkina_Faso]_ L2 - http://www.jle.com/medline.md?issn=1157-5999&vol=7&iss=3&page=177 DB - PRIME DP - Unbound Medicine ER -