Abstract

Despite the remarkable ART coverage and associated benefits, people living with HIV and AIDS (PLWH) require home care at the stage IV of HIV progression. Thus, home-based care (HBC) remains an impo...

Highlights

  • Western ideology postulate that a household is supposed to accommodate a nuclear family, which is characterised by people that share direct blood connection

  • The results of this study demonstrate the importance of home-based care (HBC) to people living with HIV and AIDS (PLWH) despite the successes of Anti-Retro Viral Therapy (ART) in reducing morbidity and bedridden patients in rural settings

  • The findings of this study corroborate studies that demonstrate that HIV and AIDS challenges the African family structure through caring for PLWH (Hosegood et al, 2007; Tanyi et al, 2018)

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Summary

Introduction

Western ideology postulate that a household is supposed to accommodate a nuclear family, which is characterised by people that share direct blood connection. This study’s objective is to examine ways that household structures have been modified and caregivers experiences of caring for people living with HIV and AIDS in the Nyamakate area in Zimbabwe. ARVs are known to prolong and improve the lives of PLWH through reductions in the rate of HIV disease progression, opportunistic infections, morbidity and deaths (Banks et al, 2017; Levy et al, 2006). Studies have identified the need for palliative care amongst people on ART who have stage IV HIV (Levy et al, 2006; Lindayani et al, 2018; Tanyi et al, 2018). A number of studies from South Africa have demonstrated the importance of the link between family structure and its socio-economic status and quality of care to PLWH in the household (Hosegood et al, 2007; Kagee et al, 2011). The continuum of care approach has been defined by WHO as a network of resources and services that provide holistic and comprehensive support for the ill person and family caregivers (Wringe et al, 2010)

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