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

Participants from one district

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

Organic substance for farming

Organic substance for farming

Learning about organic farming

Training Course on Thai Massage

Learning about herbal medicine

Herbal compress and Thai massage

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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Community self-reliance is a new approach of sustainable development. It the highest value of human beings ass human dignity.

SAWASDEE

WWW.nurse.cmu.ac.th/~eci