The DREAM model's effectiveness in health promotion of Aids patients in Africa

Bibliographic Data

ID22944337
AuthorsMassimo Magnano San Lio (Leonardo (Italy), corresponding author), S Mancinelli (0000-0001-7911-6396), Leonardo Palombi (0000-0003-1806-5278, University of Rome Tor Vergata), Ersilia Buonomo (0000-0002-3924-9917, University of Rome Tor Vergata), A D Altan (Presidio Ospedaliero), Paola Germano (Presidio Ospedaliero), N Abdul Magid (Sapienza University of Rome), Alessia Pesaresi (Presidio Ospedaliero), E Renzi (University of Perugia), P Scarcella (0000-0002-3319-7925, University of Rome Tor Vergata), I Zimba, Maria Cristina Marazzi (0000-0003-2031-5213, Libera Università Maria SS. Assunta)
Year2008
Volume24
Issue1
Pages6-15
Publication date2008-11-12
Open AccessYes
TypeARTICLE
VenueHealth Promotion International (JOURNAL)
Journal identifiersISSN: 0957-4824 • E-ISSN: 1460-2245
PublisherOxford University Press (OUP) (PUBLISHER)
DOI10.1093/heapro/dan043
PMID19171667
OpenAlexW2130489525
LanguageEN
Citations received2
References cited17

This study evaluates the effectiveness of a holistic model for treating people living with AIDS in Africa; the model aims to improve knowledge about AIDS prevention and care, increase trust in the health centre, impact behaviour, and promote a high level of adherence to HAART. The study took place in the context of the DREAM (Drug Resource Enhancement against AIDS and Malnutrition) programme in Mozambique, designed by the Community of Sant'Egidio to treat HIV patients in Africa. It provides patients with free anti-retroviral drugs, laboratory tests (including viral load), home care and nutritional support. This is a prospective study involving 531 patients over a 12-month period. The patients, predominantly poor and with a low level of education, demonstrated a good level of knowledge about AIDS (more than 90% know how it is transmitted) and trust in the treatment, with a relatively small percentage turning to traditional healers. Overall the patients had a low level of engaging in risky sexual behaviour and a very good level of adherence to HAART (69.5% of the 531 subjects had a pill count higher than 95%). The positive results of the programme's educational initiatives were confirmed with the patients' good clinical results.

Context (archaeology) · Developing country · Family medicine · Health care · Health promotion · Human immunodeficiency virus (HIV) · Pill · Promotion (chess) · Public health · Adolescent Sexual and Reproductive Health · Global Maternal and Child Health · HIV/AIDS Research and Interventions · Medicine · Nursing

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