[A Colombian institutional response to Colombian children infected with HIV/AIDS].
Children with HIV/AIDS is a social issue,the approach to which transcends the health sector. The normative, political, institutional and service sector responses have specificities related to children. A proposed approach is based on the following points: health care, nutrition, education, family-socioeconomic status, psychosocial repercussions, protection, housing, stigmatization and discrimination. Based on these guidelines,a survey was conducted of an institutional responseapplying the Bioecological Model of Human Development. Life of children in the institution is described and analyzed. A group of 31 children and 30 adults participated in this ethnographic study. The institutional response concerning health, nutrition, education and basic care, is satisfactory. The main weaknesses identified were nondisclosure of the diagnosis, stigmatization and discrimination, institutionalization validation, psychoemotional repercussions and stigmatization management, and the research budget. The children acknowledge that the institution satisfies their basic-needs and disapprove of some stigmatizing and coercive practices. The reintegration of the children with their families is recommended as a future strategy based on evidence that shows it has better bio-psychosocial results and lower costs.
Fundación Hospital de la Misericordia, Departamento de Pediatría, Universidad Nacional de Colombia, Bogotá, DC, Colombia. mibarrios@yahoo.com
Miguel Eduardo
ME
Barrios Acosta
Javier Guillermo
JG
Díaz Amaya
Sílvia Helena
SH
Koller
D000163:Acquired Immunodeficiency Syndrome / Q000628:therapy; D002648:Child; D003105:Colombia; D004493:Education; D005260:Female; D006801:Humans; D007326:Institutionalization; D008297:Male; D063508:Social Discrimination; D012959:Socioeconomic Factors; D013240:Stereotyping