HIV Positive But Not in Care

Twenty-two persons in Northern Thailand who knew of their HIV positivity but were not in care were identified. They had significant medical, economic, behavioral, and family problems. A nurse researcher carried out a 6-month intervention with them to (1) assess whether they would remain in contact w...

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Bibliographic Details
Published in:Journal of the International Association of Providers of AIDS Care 2012-03, Vol.11 (2), p.91-93
Main Authors: Pratuma, Rithpro, Grimes, Richard M, Grimes, Deanna E, Wilawan, Senaratana
Format: Article
Language:English
Subjects:
Antiretroviral therapy
Counseling
Economic problems
Families & family life
HIV
Human immunodeficiency virus
Medicine
Part time employment
Primary care
Prostitution
Researchers
Sex workers
Sexual abuse
Substance abuse
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Summary:Twenty-two persons in Northern Thailand who knew of their HIV positivity but were not in care were identified. They had significant medical, economic, behavioral, and family problems. A nurse researcher carried out a 6-month intervention with them to (1) assess whether they would remain in contact with the researcher for 6 months and (2) assess whether they would make positive changes in their lives. All 22 participants remained in contact for 6 months. A 5-step intervention process resulted in substantial improvements in their lives. Eleven patients entered care. Five needed immediate antiretroviral therapy (ART) and improved their CD4 counts. Six others established primary care relationships for non-HIV care. Twelve obtained legal, full-, or part-time employment. Eight disclosed to family members. Nine participants and/or family members entered counseling. Twelve persons publicly disclosed themselves. Twelve reported reducing or stopping substance abuse. Of 4 sex workers, 2 ceased engaging in that work.
ISSN:2325-9574
2325-9582
DOI:10.1177/1545109711418834