Abstract
Family and community care system for persons with HIV infection and AIDS: a review in Northeast Thailand This study reviews the present situation and implementation of caring for persons with HIV infection and AIDS at home by their families and the community. The study also examined the factors related to the care of persons with HIV infection and AIDS as well as studying methods and forms of activities for implementing the care of persons with HIV infection and AIDS at home. The study looked at the problems and obstacles arising in the management of the care of persons with HIV infection and AIDS at home by their families and the community in the Northeast social and cultural environment. It is hoped that the results of the study can be used as directions for developing care systems for persons with HIV infection and AIDS at home by the family and community, appropriately and in line with the social and cultural environment of the Northeast in the future. The present student was carried out in 3 stages. Stage 1 This stage involved synthesis from documents concerning research into the management of care of persons with HIV infection and AIDS at home by families and the community, as well as various project reports conducted both by the state and the private sector but only in the 19 provinces of the Northeast. The synthesis was from documents, research reports and 19 postgraduate theses. Stage 2 This stage was a field study in the research area and the target population to study the forms and mechanisms for implementation of the work of the various organization from both the state and the private sector, choosing 4 provinces and six areas, being the provinces of Khon Kaen, Kalasin, Surin and Roi Et and using in-depth interviews, group discussions and participant observation.Stage 3 This stage involved a critical brainstorming of the results of the research, as well as offering suggestions for policy by 20 academics, implementers and researchers, as well as those with experience, knowledge and those implementing the care of persons with HIV infection and AIDS. The research results were also sent to 2 experts for their criticism and for suggestions. The body of knowledge was then improved. Conclusions and lessons learnt from the study. The overall results of the study were that the form of care for persons with HIV infection and AIDS at home by the family and the community under the environment of the Northeastern society and culture at present has 3 major forms: Form 1 The form of care performed by the people This consists of the form of care by the family, the form of care by the temple and the form of care of persons with HIV infection and AIDS by themselves. In these forms people organizations are the main source of care systems, along with coordination in approaching for concrete help and service from state organizations operate activities which are responsive and operate according to their duties and responsibilities. In this form a few of those infected with AIDS and their families approach private organizations for help, but most attach importance to the state organizations. Form 2 The form of care performed by the state or Government Organization This consists of the form of care offered by medical services at all levels divided into those places which have a duty to serve such as Health Centres, Community Hospitals, and Central Hospitals, and units which have the duty to coordinate and promote, such as District Health Offices, Provincial Health Offices and Regional Communicable Disease Control Offices. In general this form of care is operated according to the central policy, with the type of operations being responsive. Implementation according to the policy depends on the readiness of the administration and the working team of the unit. There are only a few units that offer and offensive type of operation and coordinate clearly with the private sector. Form 3 The form of care operated by the private sector or Non-Government Organization This consists of the form of care given by private organizations for the public good, the form of care by foundations and the form of care by religious organizations. In this form of care, organizations in the private sector offensively make contact to give assistance to various groups in the population. There is a clear and concrete operating system. Public organization have not approached or coordination with state organizations in some parts.
