| 1. Title: Combining HIV and STD services in Trinidad and Tobago. Author: Frautschi S; Lee R Source: [Unpublished] 1994. Presented at the 122nd Annual Meeting of the American Public Health Association [APHA], Washington, D.C.,October 30 - November 3, 1994. [10] p. Abstract: In Trinidad and Tobago, a client-based needs assessment was made of the Queen's Park Counseling Center and Clinic in order to assess sexually transmitted disease (STD)/HIV services from a client point of view, to explore patient information needs and perception of case management and care, and to identify strategies to improve and expand clinic activities. The study used qualitative and quantitative methods (focus groups, interviews, surveys, and patient flow analysis) and revealed that STD service clients were relatively well served. The STD treatment protocols, patient flow systems, and doctor-patient relationships have been mimicked in the newer HIV-services unit, but they have not adequately addressed the needs of these clients, especially those who are HIV-positive or have AIDS. The needs of HIV/AIDS patients include doctors trained in sensitivity issues, clear treatment protocols, empowerment in developing survival regimens, counseling, promotion of support groups, food, clothing, and shelter. It was concluded that when HIV programs are added to existing STD services, the advantages include the opportunity to help prevent HIV transmission and to introduce behavioral interventions, but the disadvantages include a new demand on limited resources and greater patient expectations of the doctors. Language: English Keywords: TRINIDAD AND TOBAGO | HIV INFECTIONS | AIDS | SEXUALLY TRANSMITTED DISEASES | TREATMENT | DELIVERY OF HEALTH CARE | EVALUATION | CLIENTS | NEEDS | Developing Countries | Caribbean | Americas | Viral Diseases | Diseases | Reproductive Tract Infections | Infections | Health | Program Activities | Programs | Organization and Administration | Economic Factors Document Number: 102050 |
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