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An assessment of impact in care giving by old people in households with people living with HIV/AIDS in rural and urban Zambian communities. Presenter(s) Dr. FAD Kaona Prof. S. Siziya Ms. E. Miti. Background of the study.
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An assessment of impact in care giving by old people in households with people living with HIV/AIDS in rural and urban Zambian communities Presenter(s) Dr. FAD Kaona Prof. S. Siziya Ms. E. Miti
Background of the study • HIV/AIDS has had devastating social, health, economic and psychological impacts • Despite International statements, impact of HIV/AIDS on older people remains under reported in Zambia • This study was carried out in 2008 with support from Care Zambia International
Main Aim • To assess the Impact of Care giving by Old People in Households with PLWHIV/ AIDS in Livingstone and Nakonde, Zambia. (See map of Zambia)
MAP OF ZAMBIA SHOWING STUDY SITES NAKONDE LIVINGSTONE
Methods • Both quantitative and qualitative methods were used. • A cross sectional survey of 874 parents who lost an adult child to AIDS in two study sites (Livingstone and Nakonde)
Table 1: Socio-Demographic Characteristics of Respondents
Table 2: Individuals providing personal care in household
Gender Differences • There were 23.4% in Nakonde and about 17% in Livingstone, who stated that the respondent was responsible for some caregiving. • Overall, 45.9% of the cases in Nakonde and 57.0% in Livingstone indicated that mothers were main caregivers. • There were 43.1% who said that a parent shared the role with brothers other than his or her spouse. • Mothers were more likely than fathers to provide personal care.
HEALTH IMPACT • The fact that many parents were in older age, made them particularly vulnerable to physical strains associated with caregiving. • More than 50% of the respondents in Nakonde reported strained muscles and only about 35% presented it as a health problem in Livingstone. • Insomnia was mentioned by over 40% in each site, while 52.5% in Livingstone and 33.1% in Nakonde indicated nervousness and anxiety. • Almost half of the respondents (45 and 43%) of parental caregivers reported experiencing tiredness and fatigue. • Headache and stomach were fairly common among respondents and their spouse (43.0 and 41.9%)
Conclusion • Older people are rarely visible to government and NGOs agencies. The study further records that caring for AIDS adult children has greater impact on: • Health of caregivers • Financial problems and • Lack of information on financial accessibility and Medicine
Acknowledgement • The research team is grateful to Care International in Zambia for providing the funds and other material support. • To coordinating teams both in Livingstone and Nakonde. • Community volunteers • Ms. Mweenda and Mr. Zyambo. • Mr. Synerton C. Sikaona and Mr. Chanda, who conducted key informant interviews. • To all our beloved respondents, particularly those who had lost their adult children due to AIDS, we say thanks very much for giving us your time.
THE END • THANK YOU • MERCI BEAUCOUP • GRACIAS • DANKE