Health Services, Problems, and Needs of Health Personnel at Community Hospital and Health Center Level in Providing Care to HIV/AIDS Patients and Their Families
Kespichayawattana, Jiraporn, and Chanpen Saengtienchai. 2004. "Health Services, Problems, and Needs of Health Personnel at Community Hospital and Health Center Level in Providing Care to HIV/AIDS Patients and Their Families." Journal of Health Sciences, 13(3): 632-640. (in Thai)
For most of the Thai population, community hospitals and health centers are the nearest outlets that provide services by health professionals within the government health system. This study examined services, problems and needs of health personnel at the community hospital and health center level in providing care to HIV/ AIDS patients and their families. Qualitative methods involving focus group discussions and group interviews were used in the study. Participants were registered nurses, nurse practioners, and administrative officers responsible for health prevention and promotion as well as for hygiene. Research was conducted in six provinces: Chiang Rai, Lampang, Rayong, Trat, Prachuabkhirikan, and Phetchaburi. Findings indicated that community hospitals mainly provided treatment and care and only secondarily home visits, counseling for health promotion and prevention, and terminal illness care. In contrast, health centers were more concerned with prevention activities but also provided home visits in the local community. Problems and needs identified by health personnel both in community hospitals and health centers included insufficient number of health staff, multiple roles and responsibilities, difficulties in dealing with some HIV/AIDS patients and their families who were uncooperative because of an unwillingness to admit the nature of their illness, stress and anxiety, a need for updated knowledge and poor co-operation and coordination among different organizations dealing with AIDS.
Country of focus: Thailand.