This study evaluates the effectiveness of a holistic model for treating people living with AIDS in Africa; the model aims to improve knowledge about AIDS prevention and care, increase trust in the health centre, impact behaviour, and promote a high level of adherence to HAART. The study took place in the context of the DREAM (Drug Resource Enhancement against AIDS and Malnutrition) programme in Mozambique, designed by the Community of Sant'Egidio to treat HIV patients in Africa. It provides patients with free anti-retroviral drugs, laboratory tests (including viral load), home care and nutritional support. This is a prospective study involving 531 patients over a 12-month period. The patients, predominantly poor and with a low level of education, demonstrated a good level of knowledge about AIDS (more than 90% know how it is transmitted) and trust in the treatment, with a relatively small percentage turning to traditional healers. Overall the patients had a low level of engaging in risky sexual behaviour and a very good level of adherence to HAART (69.5% of the 531 subjects had a pill count higher than 95%). The positive results of the programme's educational initiatives were confirmed with the patients' good clinical results.

Magnano San Lio, M., Mancinelli, S., Palombi, L., Buonomo, E., Doro Altan, A., Germano, P., et al. (2009). The DREAM model's effectiveness in health promotion of AIDS patients in Africa. HEALTH PROMOTION INTERNATIONAL, 24(1), 6-15 [10.1093/heapro/dan043].

The DREAM model's effectiveness in health promotion of AIDS patients in Africa

MANCINELLI, SANDRO;PALOMBI, LEONARDO;BUONOMO, ERSILIA;SCARCELLA, PAOLA;
2009-01-01

Abstract

This study evaluates the effectiveness of a holistic model for treating people living with AIDS in Africa; the model aims to improve knowledge about AIDS prevention and care, increase trust in the health centre, impact behaviour, and promote a high level of adherence to HAART. The study took place in the context of the DREAM (Drug Resource Enhancement against AIDS and Malnutrition) programme in Mozambique, designed by the Community of Sant'Egidio to treat HIV patients in Africa. It provides patients with free anti-retroviral drugs, laboratory tests (including viral load), home care and nutritional support. This is a prospective study involving 531 patients over a 12-month period. The patients, predominantly poor and with a low level of education, demonstrated a good level of knowledge about AIDS (more than 90% know how it is transmitted) and trust in the treatment, with a relatively small percentage turning to traditional healers. Overall the patients had a low level of engaging in risky sexual behaviour and a very good level of adherence to HAART (69.5% of the 531 subjects had a pill count higher than 95%). The positive results of the programme's educational initiatives were confirmed with the patients' good clinical results.
Pubblicato
Rilevanza internazionale
Articolo
Sì, ma tipo non specificato
Settore MED/42 - Igiene Generale e Applicata
English
Con Impact Factor ISI
Male; Adolescent; Program Evaluation; Health Education; Holistic Health; Mozambique; Young Adult; Delivery of Health Care, Integrated; Community Health Planning; Female; Humans; Prospective Studies; Health Knowledge, Attitudes, Practice; Patient Compliance; Models, Organizational; Health Promotion; Directive Counseling; Home Care Services; Antiretroviral Therapy, Highly Active; Adult; Acquired Immunodeficiency Syndrome
Magnano San Lio, M., Mancinelli, S., Palombi, L., Buonomo, E., Doro Altan, A., Germano, P., et al. (2009). The DREAM model's effectiveness in health promotion of AIDS patients in Africa. HEALTH PROMOTION INTERNATIONAL, 24(1), 6-15 [10.1093/heapro/dan043].
Magnano San Lio, M; Mancinelli, S; Palombi, L; Buonomo, E; Doro Altan, A; Germano, P; Magid, N; Pesaresi, A; Renzi, E; Scarcella, P; Zimba, I; Marazzi, M
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/2108/39065
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