Marseille 2007
Marseille 2007
Abstract book
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Abstract #380  -  Compliance in Niger: a socio-anthropological approach useful for action
Session:
  6.64: Posters A (Poster) on Monday   in  Chaired by
Authors:
  Presenting Author:   Mrs Corine NICOUE - SOLTHIS - Pavillon Laveran, France
 
  Additional Authors:  Dr Louis Pizarro, Dr Aissa Diarra,  
Aim:
Understand the major difficulties related to compliance in ARV intake, in order to improve this compliance, does not only imply to analyse the representations, logics of action and constraints of people with AIDS (PWAs) and their families, but also requires that the behaviours of care providers be tackled.
 
Method / Issue:
In cooperation with SOLTHIS, LASDEL has thus carried out qualitative field surveys that enabled to reveal various difficulties and limits of the dialogue between care workers and patients about AIDS, in a context marked at the same time by many malfunctions in health systems and multi-facetted strategies and practices among PWAs.
 
Results / Comments:
These results were observed: a great difficulty among PWAs to evoke their problems with care workers and healthcare instructors; the pre-eminence of personal and sponsorship relationships over standardized procedures and administrative forms; misunderstandings and ambiguous situations surrounding home visits; a lack of attention to what the PWAs have to say; a great number of avoiding strategies on behalf of the patients themselves, unfriendly family contexts generally more inclined to reject PWAs than to help them, a difficulty to reach very poor patients, unsought for lost-to-follow-up patients, professional instability of physicians who have been trained to ARV prescription, a lack of experience in team-working, and mistrust feelings between professional categories and services.
 
Discussion:
The gap is great between the intentions and speeches of both parties and their effective practices. This kind of surveys are intended to help external interveners to avoid, as often as possible, to project preconceived schemes or all-in-one technics in their interventions, as can be proved by the various problems encountered in introducing healthcare instruction among ARV prescribing services.
 
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