title: Family caregivers in rural Uganda: the hidden reality.
abstract: We conducted 16 in-depth interviews with family caregivers of AIDS patients in three rural districts in western Uganda. They were selected from a client visitation list of the home-based care program for AIDS patients, based on volunteer participation. Family caregivers reported huge problems associated with providing the necessary psychological, social, and economic care. They also said that the physical and emotional demands of caregiving are overwhelming daily challenges. Most support to AIDS patients provided by family, friends, and the churches. The study highlights the great burden of caregivers, in sub-Saharan Africa who most often are elderly women and young girls. This study examine, the burden and related health issues of family caregivers, primarily women, for AIDS patients in Uganda. It was part of a broad research project using qualitative methods on family caregiving in the home environment in sub-Saharan Africa. As the requirements for family care giving are often overwhelming for women under the conditions as they exist in Uganda and in other developing countries, it constitutes a gender issue of great importance that has not been appreciated fully in the international literature. Family caregiving is also of international relevance, as HIV/AIDS is a global pandemic of previously unknown proportions. In many poor countries, family caregiving is the most common and often the only care that AIDS patients receive, because clinic-based care often is not available close to home or is not affordable. Therefore, family caregiver support programs to alleviate this burden are essential for all those countries where HIV/AIDS is prevalent. Family caregiver burden encompasses medical, social, and economic issues at the household level, which requires an interdisciplinary approach in order to fully understand and appreciate the different dimensions of the family caregiver burden and its negative impact on the lives of so many women in so many countries.
authors.affiliation: Department of Public Health Sciences, University of Alberta, Edmonton, Canada. walter.kipp@ualberta.ca
authors.forename: Walter
authors.initials: W
authors.lastname: Kipp
authors.forename: Denis
authors.initials: D
authors.lastname: Tindyebwa
authors.forename: Tom
authors.initials: T
authors.lastname: Rubaale
authors.forename: Ednah
authors.initials: E
authors.lastname: Karamagi
authors.forename: Ellen
authors.initials: E
authors.lastname: Bajenja
mesh_terms: D000163:Acquired Immunodeficiency Syndrome / Q000453:epidemiology / Q000451:nursing*; D000223:Adaptation, Psychological; D000328:Adult; D000368:Aged; D001294:Attitude to Health; D017028:Caregivers / Q000193:education / Q000458:organization & administration / Q000523:psychology*; D017281:Cost of Illness; D003906:Developing Countries; D005190:Family / Q000523:psychology*; D005260:Female; D005783:Gender Identity; D007722:Health Knowledge, Attitudes, Practice; D006699:Home Care Services / Q000458:organization & administration; D006701:Home Nursing / Q000193:education / Q000458:organization & administration / Q000523:psychology; D006801:Humans; D008297:Male; D008875:Middle Aged; D020380:Needs Assessment; D015404:Nursing Methodology Research; D011203:Poverty / Q000523:psychology; D036301:Qualitative Research; D012423:Rural Health / Q000706:statistics & numerical data; D012944:Social Support; D011795:Surveys and Questionnaires; D014454:Uganda / Q000453:epidemiology