title: [Analysis methods for educational needs assessment for family caregivers of HIV positive or AIDS patients in Thailand].
abstract: Identification of educational needs of natural helpers for the home-based care of persons living with HIV or AIDS. Surin, Thailand. The very significant increase in the number of persons living with aids in Thailand, (1995: 20,154 notified cases; 1996: 23,309 cases; 1997: 25,064 cases), and the insufficiency of medical care for patients within Thailand's health structures, have driven Médecins Sans Frontières (MSF) to put in place since 1996 a home-based care project in Surin province (North-Eastern Thailand). In Thai culture, the sick are commonly cared for by one family member, known as the natural helper. An evaluation of the health situation showed that natural helpers who took care of a family member living with HIV or aids were not prepared for this situation. In order to better define the tasks that they ought to perform, we carried out a needs assessment in three interdependent steps: a records analysis of the activities delegated to natural helpers by nurses; an enquiry on the acceptability of natural helpers to carry out these cares and on the perceived usefulness of being trained; an expert consensus on the cares to be carried out by the natural helpers, obtained by the Delphi method. Twenty seven cares were identified as being able to be provided by natural helpers. They constitute as a list of reference for the training for natural helpers. This work has shown a social coherence between the different actors of the project. At no stage was the role of the natural helpers questioned. On the contrary, natural helpers have a privileged place within the family and in the home-based care programme. Natural helpers will allow continuity of care between the health structures and the patient's home.
authors.affiliation: Association pour le développement de la Formation et de l'Education en Santé, 5, rue Pasteur, 94340 Joinville-le-Pont.
authors.forename: P
authors.initials: P
authors.lastname: Girault
authors.forename: R
authors.initials: R
authors.lastname: Gagnayre
authors.forename: J F
authors.initials: JF
authors.lastname: d'Ivernois
mesh_terms: D000328:Adult; D001294:Attitude to Health / Q000208:ethnology; D017028:Caregivers / Q000193:education* / Q000523:psychology; D003479:Curriculum; D003627:Data Interpretation, Statistical; D003697:Delphi Technique; D005190:Family / Q000523:psychology; D005260:Female; D015658:HIV Infections / Q000453:epidemiology / Q000208:ethnology / Q000451:nursing*; D007722:Health Knowledge, Attitudes, Practice; D006699:Home Care Services / Q000458:organization & administration*; D006701:Home Nursing / Q000193:education* / Q000458:organization & administration*; D006801:Humans; D007587:Job Description; D008875:Middle Aged; D017145:Models, Educational; D020380:Needs Assessment / Q000458:organization & administration*; D011795:Surveys and Questionnaires; D013785:Thailand / Q000453:epidemiology
vernacular_title: Méthode d'analyse des besoins de formation des aidants naturels de patients VIH positif ou sida en Thaïlande.