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Health Promotion International 2009 24(1):6-15; doi:10.1093/heapro/dan043
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© The Author (2009). Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org

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

M. Magnano San Lio1,*, S. Mancinelli2, L. Palombi2, E. Buonomo2, A. Doro Altan1, P. Germano1, N.A. Magid3,4, A. Pesaresi1, E. Renzi5, P. Scarcella2, I. Zimba6 and M.C. Marazzi7

1Community of Sant'Egidio, DREAM Programme, 00153 Rome, Italy 2Department of Public Health, Tor Vergata University, 00133 Rome, Italy 3 University La Sapienza, 00185 Rome, Italy 4 Machava DREAM Centre, Matola, Mozambique 5Health Education Centre, University of Perugia, 06100 Perugia, Italy 6 DREAM Centre of Benfica, Maputo, Mozambique 7 LUMSA University, 00193 Rome, Italy

* Corresponding author. E-mail: massimo.magnano{at}gmail.com


  Abstract

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.

Key words: health promotion; HAART; adherence; AIDS prevention


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