Chetty Verusia, Hanass-Hancock Jill
Discipline of Physiotherapy, University of KwaZulu-Natal, South Africa.
Health Economics and HIV and AIDS Research Division, University of KwaZulu-Natal, South Africa.
Afr J Disabil. 2015 Jun 8;4(1):137. doi: 10.4102/ajod.v4i1.137. eCollection 2015.
Rehabilitation in the context of HIV management in Africa is still a neglected field which holds great promise for the improvement of the quality of life as well as integration of people living with HIV back into their communities and homes. However, rehabilitation has not been incorporated into HIV care despite the fact that a large number of people living with HIV experience disability. The dearth of literature and lack of models of care to roll out rehabilitation for people living with HIV in Africa are astounding. Well-resourced countries have emerging approaches on the management of disability in the context of HIV. However, epidemic countries are still lacking such an approach neglecting the devastating effects of disability on individual livelihoods and antiretroviral treatment adherence. Thus, rehabilitation needs to be integrated into the response to HIV. This article advocates for the development and implementation of a model of care to guide rehabilitation of people living with HIV in South Africa.
在非洲,艾滋病管理背景下的康复仍是一个被忽视的领域,它在改善生活质量以及让艾滋病感染者重新融入社区和家庭方面有着巨大潜力。然而,尽管大量艾滋病感染者存在残疾问题,但康复并未纳入艾滋病护理中。非洲缺乏针对艾滋病感染者开展康复的文献资料和护理模式,这令人震惊。资源充足的国家在艾滋病背景下对残疾管理有新出现的方法。然而,疫情严重的国家仍缺乏这样一种方法,忽视了残疾对个人生计和抗逆转录病毒治疗依从性的毁灭性影响。因此,康复需要纳入艾滋病应对工作中。本文主张制定并实施一种护理模式,以指导南非艾滋病感染者的康复工作。