Building a palliative care program in Ethiopia: the impact on HIV and AIDS patients and their families.

Home- and community-based care in Ethiopia implements palliative care through the continuum of care in 14 major cities with links to local health facilities. Community support through traditional burial societies (idirs) makes it possible for the program to provide holistic care to people living with HIV (PLHIV) and their family members. The program has been shown to 1) reduce stigma and discrimination of PLHIV and vulnerable children, 2) increase acceptance and use of voluntary testing and counseling for HIV, 3) improve PLHIV health and well-being, 4) improve household economic conditions of PLHIV, orphans and vulnerable children, and other beneficiaries, and 5) increase community support by idirs. Copyright 2010 U.S. Cancer Pain Relief Committee. Published by Elsevier Inc. All rights reserved.