With the HIV/AIDS pandemic in Southern Africa maturing, more and
more critically ill patients are in desperate need for therapy. The
health care workers are often caught between the overwhelming
demand for care and obstacles caused by a lack of funds, confusing
political messages and cultural barriers. The author analyses the
existing literature on dilemmas faced by health carers in HIV-care
since the beginning of the epidemic in the early 1980s. Nine
interviews with nurses and doctors at an HIV treatment facility in
South Africa's North West Province suggest that the burden by the
high work load and problems caused by culture and society are the
main issues there. Whilst the hopelessness of the early years'
hospice care was eased by the successes of the highly active
antiretroviral treatment, health care workers now feel left alone
by government and management when they face the apocalyptic scale
of the pandemic. Bringing the difficult situation of the health
care workers in Southern Africa into attention, this book is
written for those involved in the struggle against HIV/AIDS:
Doctors and nurses, hospital managers, health educators and
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