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An ecological systems approach to the difficulties faced by social workers in community home-based care organisations for people living with HIV

BACKGROUND: Social workers play an instrumental role in supporting vulnerable populations by among others, designing and implementing support programmes such as community home-based care (CHBC) for People Living with HIV (PLWHIV). Existing research studies have demonstrated their role in championing...

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Autores principales: Lekganyane, Maditobane Robert, Manganyi, Tsakani Salphinah
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Routledge 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10355673/
https://www.ncbi.nlm.nih.gov/pubmed/37476489
http://dx.doi.org/10.1080/21642850.2023.2236181
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author Lekganyane, Maditobane Robert
Manganyi, Tsakani Salphinah
author_facet Lekganyane, Maditobane Robert
Manganyi, Tsakani Salphinah
author_sort Lekganyane, Maditobane Robert
collection PubMed
description BACKGROUND: Social workers play an instrumental role in supporting vulnerable populations by among others, designing and implementing support programmes such as community home-based care (CHBC) for People Living with HIV (PLWHIV). Existing research studies have demonstrated their role in championing programmes like support groups, counselling services and material support to PLWHIV and their caregivers as well as the HIV prevention and other advocacy programmes across communities. Within the CHBC programmes for HIV, social workers’ roles include supporting caregivers who care for PLWHIV to manage complex cases that are beyond their competencies and offering the necessary training on patient support. Although the contributions made by social workers in the field of HIV have immensely been documented in various parts of literature, less substantial attention has been given to their challenges particularly when working with PLWHIV through CHBC programmes. METHODS: This qualitative research study was designed from exploratory and descriptive strategies and grounded on ecological systems theory to explore the challenges faced by social workers working with PLWHIV through the CHBC programmes. Thirteen social workers were sampled from South Africa’s City of Tshwane Municipality (CTMM) through purposive and snowball techniques, to participate in semi-structured interviews of which the data were analysed thematically and verified according to Lincoln and Guba’s data qualitative data verification strategies. FINDINGS: The findings highlighted several difficulties faced by social workers including difficulties associated with managing challenges faced by PLWHIV, dealing with uncooperative PLWHIV and lack of resources to effectively respond to their clients’ needs. CONCLUSIONS: The conditions in which social workers render services to PLWHIV were highlighted by pointing to the complexities resulting from these challenges which further compromises the quality of services rendered to PLWHIV. For the success of HIV programmes, it is essential to support social workers through training, resources, community awareness and income-generating projects.
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spelling pubmed-103556732023-07-20 An ecological systems approach to the difficulties faced by social workers in community home-based care organisations for people living with HIV Lekganyane, Maditobane Robert Manganyi, Tsakani Salphinah Health Psychol Behav Med Research Article BACKGROUND: Social workers play an instrumental role in supporting vulnerable populations by among others, designing and implementing support programmes such as community home-based care (CHBC) for People Living with HIV (PLWHIV). Existing research studies have demonstrated their role in championing programmes like support groups, counselling services and material support to PLWHIV and their caregivers as well as the HIV prevention and other advocacy programmes across communities. Within the CHBC programmes for HIV, social workers’ roles include supporting caregivers who care for PLWHIV to manage complex cases that are beyond their competencies and offering the necessary training on patient support. Although the contributions made by social workers in the field of HIV have immensely been documented in various parts of literature, less substantial attention has been given to their challenges particularly when working with PLWHIV through CHBC programmes. METHODS: This qualitative research study was designed from exploratory and descriptive strategies and grounded on ecological systems theory to explore the challenges faced by social workers working with PLWHIV through the CHBC programmes. Thirteen social workers were sampled from South Africa’s City of Tshwane Municipality (CTMM) through purposive and snowball techniques, to participate in semi-structured interviews of which the data were analysed thematically and verified according to Lincoln and Guba’s data qualitative data verification strategies. FINDINGS: The findings highlighted several difficulties faced by social workers including difficulties associated with managing challenges faced by PLWHIV, dealing with uncooperative PLWHIV and lack of resources to effectively respond to their clients’ needs. CONCLUSIONS: The conditions in which social workers render services to PLWHIV were highlighted by pointing to the complexities resulting from these challenges which further compromises the quality of services rendered to PLWHIV. For the success of HIV programmes, it is essential to support social workers through training, resources, community awareness and income-generating projects. Routledge 2023-07-18 /pmc/articles/PMC10355673/ /pubmed/37476489 http://dx.doi.org/10.1080/21642850.2023.2236181 Text en © 2023 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group https://creativecommons.org/licenses/by/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. The terms on which this article has been published allow the posting of the Accepted Manuscript in a repository by the author(s) or with their consent.
spellingShingle Research Article
Lekganyane, Maditobane Robert
Manganyi, Tsakani Salphinah
An ecological systems approach to the difficulties faced by social workers in community home-based care organisations for people living with HIV
title An ecological systems approach to the difficulties faced by social workers in community home-based care organisations for people living with HIV
title_full An ecological systems approach to the difficulties faced by social workers in community home-based care organisations for people living with HIV
title_fullStr An ecological systems approach to the difficulties faced by social workers in community home-based care organisations for people living with HIV
title_full_unstemmed An ecological systems approach to the difficulties faced by social workers in community home-based care organisations for people living with HIV
title_short An ecological systems approach to the difficulties faced by social workers in community home-based care organisations for people living with HIV
title_sort ecological systems approach to the difficulties faced by social workers in community home-based care organisations for people living with hiv
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10355673/
https://www.ncbi.nlm.nih.gov/pubmed/37476489
http://dx.doi.org/10.1080/21642850.2023.2236181
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