Seeley, J.; Kajura, E.; Bachengana, C.; Okongo, M.; Wagner, U.; Mulder, D.

The extended family and support for people with AIDS in a rural population in south west Uganda: a safety net with holes?
1993, Aids Care, N*deg;5, 1, p. 117-22

Mots clés : Caractéristiques de la famille; Caractéristiques de la population; Culture; Evaluation; Facteurs démographiques; Facteurs économiques; Facteurs socioéconomiques; Famille élargie; Famille et ménage; Infection à VIH; Maladie virale; Maladies; Organisations et administration; Population; Population rurale; procuration des soins à domicile; Programme d'évaluation; Programmes; Qualité des soins de santé; Réseaux de parenté; Santé; Services de santé; SIDA
Pays : Afrique; Afrique de l'Est; Afrique de l'Est; Afrique subsaharienne; Ouganda; Pays en développement

Résumé : It is commonly assumed that the extended family in Africa provides a safety net for individuals in times of need. This paper examines this assumption using data on the care of people with AIDS in a rural population in South West Uganda. Over a 6-monthly period, data were collected by counselors on the care given to 30 (17 women, 13 men) AIDS patients by their families. In 27 of the 30 cases there was evidence of limited care. Various reasons were given for this by the carers, including lack of food and money for medications and the carer's other family responsibilities. For 17 clients who died during this study period, records of 7 cases show that other relatives were asked to help with care but refused on the grounds of poverty or other commitments. However, in all but 1 of these cases, extended families did provide assistance for the funeral. The findings suggest that there is a need to question the assumption that the extended family, in the culture under study, is able to provide adequate support for AIDS patients. (author's)

Notes : English

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