With the arrival of multi therapies and the significant increase in life expectancy, the needs of people have turned to needs related to the prospect of living with HIV. The service of home care intervention was thus gradually transformed, thus following the evolution and emergence of new needs.
The main change is the considerable increase in the number of women-headed households and children followed in this service. Indeed, men living with HIV-AIDS are at most 10% of customers benefiting from our home care interventions. This change leads to a significant transformation of the role assumed by the caregivers. Today, this service supports mainly migrant women. In partnership with the CHU Sainte-Justine hospital, HIV-positive pregnant women are recommended to both our community workers, whom are also supported by volunteers and interns who are involved in the accompaniments.
The mandate of the caregivers is essentially to support these women towards a more active social life. To achieve this goal, the three priorities of Maison Plein Coeur are to assist, support and accompany:
1- the new HIV-positive mothers before and after giving birth
2- women when returning home from hospitalization
3- women leaving a shelter to return to the community
The difficulties faced by these women are numerous, in addition to monitoring pregnancy and challenges of adherence to treatment, they are most often in a situation of great poverty, socially isolated, without adequate housing, sometimes without citizenship status, with several dependent children, without access to child care and often living in situations of domestic violence. As they have difficulty to communicate and be understood, it is not obvious for them to access health and social services.
The support of our caregivers allows these women to regain control of their lives by being better equipped to meet their needs and those of their children. By putting them in contact with food resources, organisations who distribute basic necessities and facilitating their access to health and social services, we help these women regain a minimum of autonomy.