Marseille 2007
Marseille 2007
Abstract book
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Abstract #209  -  Treatment adherence support program in a community-based NGO (Colibri Cameroon)
Session:
  26.73: Posters B (Poster) on Tuesday   in  Chaired by
Authors:
  Presenting Author:   Mr KAMGUE KOPGUEP JEAN JULES - COLIBRI, Cameroon
 
  Additional Authors:  Mr KAMGUE KOPGUEP JEAN JULES,  
Aim:
In 2003, The Cameroonian NGO Collibri used to follow up 1200 patients receiving ARV drugs. Out of them only 350 came regularly for their treatment, and 10 out of these 350 could not take the drugs such as prescribed by the doctor. Different reasons to this: - Socio-economic (lack of fund and stable accommodation) - Cultural (poor literacy level, illiteracy that resulted in difficulties to understand medical instructions and be adherent to treatment). To face this problem, Collibri implemented a treatment adherence support program along with the ESTHER initiative.
 
Method / Issue:
-Identification of actors and stakes; - Problem identification and diagnosis, and search for solutions - Meetings with hospital (Ambulatory Treatment Centres) and NGOs; - Training sessions/update for hospital and NGOs actors and workers. - Implementation of a treatment adherence support program divided into 5 offices within the hospital (counselling, support to adherence, socio-economic surveys, psychosocial workers and support, NGO). - Individual and collective sessions on treatment outside hospital.
 
Results / Comments:
- PLWAs care requires that the concerned person be collaborative, specifically when a treatment is initiated, and then that he/she understands both the disease and the treatment. - The provided support can be efficient when real causes of lack of adherence are tackled with (unemployment or poor working conditions, lack of accommodation, loneliness, weariness to a strong side-effect treatment, bad understanding of care path) - Therapeutical support sessions allows for a privileged exchanges with patients
 
Discussion:
-The added value of support workers was their ability to orient patients to adequate network (Ambulatory treatment centre, UPEC). -Today, patients really feel supported and listened to. They are step by step getting a hold on the services provided. - Out of 1200 patients, less than 10% do not come regularly to the pharmacy to get their treatment. P.S. I need a scholarship to attend the conference
 
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