Community Empowerment for HIV or AIDS Care in Northern Thailand Pikul Nantachaipan Faculty of...
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Transcript of Community Empowerment for HIV or AIDS Care in Northern Thailand Pikul Nantachaipan Faculty of...
Community Empowerment
for HIV or AIDS Care
in Northern Thailand
Pikul Nantachaipan
Faculty of Nursing, Chiang Mai Univers ity, Thailand
Enhancing Care Initiative for People Living with HIV/AIDS in Northern
Thailand (ECI-Thai))
Faculty of Nursing, Chiang Mai UniversityCommunicable Disease Control Region 10 (CDC10)Chiang Mai Provincial Public Health Office AIDS Network Development Foundation (AIDSNet)Church of Christ in Thailand AIDS Ministry (CAM)The People Living with HIV/AIDS Network
Supported by ECI - Harvard AIDS Institute
Ultimate Goal of ECI-Thai
Quality of life among people living with
HIV and AIDS :พ Availability of care system
พ Accessible to care
พ Self-reliance and self-care abilityพ Physical, mental, social, and spiritual
well-being
Strategies of ECI-Thai
1. Enhancing health care institutions :-
- Clinical treatment and care
- Counseling
- referral systems 2. Enhancing home and community care
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Purpose of the sub-project:
To strengthen community empowerment
in order to enhance sustainable social support
& welfare for people infected with and
affected by HIV/AIDS.
Setting:
2 districts in Chiang Mai province
Methodology - action research
People Research & Development (PR&D) ….. a specific research
methodology using ‘potential approach’ rather than ‘problem approach’.
6 sub-districts (72 villages)
Participants:
Community leaders Traditional healers
Occupational groups
Community health volunteers People with HIV and their families
3-5 persons from 72 villages of 2 districts
1st Step of PR&D process:
Introduction to PR&D - the new paradigm of sustainable development
self-reliance of the community
Knowledge & local wisdom
Resources Management
learning
Assignment at the end of the first meeting ;
1. The data collection guideline
history of the village
the strength of the village
- local natural resource
- people resource
2. One month-data collection in the village
(by the participants)
2nd Step of PR&D process:
Self-realization - the participants reported the results of their survey about their community history and potentials to the 2nd meeting.
The report included:
the history of their villages,
the natural & people resources,
the local wisdom and other potentials.
3rd Step of PR&D process:
Study trip to the best practice community - the participants took a study trip to visit a model community in another province.The participants were assigned to collect data:
the resources (natural & people)
the local wisdom
management (the way of thinking and doing)
4th Steps of PR&D process:
Summarize the lesson learned - the participants shared ideas about what they have learned from the best practice community
- summarize the way of thinking
- summarize the method and process of management of the local resources & wisdom
- compared the lesson with their own communities
5th Step of PR&D process:
Develop the community master plan
1. Identify problems related to health and quality of life of their own village.
2. Making consensus - what would be the first 3 topics to do
3. What kinds of support or help from the ECI-Thai project
Results
Lesson learned - reported by the community
New ways of thinking
New ways of doing / re-management
Learning process
PR&D process can be applied to any kind of problem.
Ongoing process of community development
in 6 targeted sub-districts
(after finishing 5 steps of PR&D)
The master plan for the first year of implementation were developed.
Results
Three projects have been implementing :
1. Traditional care -
Thai massage, herbal medicine, & local spiritual care (rituals)
2. Organic farming for the healthy food & environment of the village
3. Village health volunteers - who can provide care and coordinate with health centers and community hospital
Results
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PR&D is useful for changing paradigm in hsssss .
PR&D process is useful for confronting AI DS
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