SOCIAL WORK WITH HIV-POSITIVE CLIENTS AND THEIR SEXUAL PARTNERS

The crisis in the Ukrainian society, reducing the motivation for a healthy lifestyle, low sexual culture help to increase the number of HIV-positive people in Ukraine. One of the central tasks facing modern state is the organization of social work with clients with HIV-AIDS. The purpose of the article is to substantiate theoretically the features of social work with HIV-positive clients and their sexual partners. Methods: analysis of scientific sources on the programs implementation on healthy lifestyles and HIV/AIDS among young people; summarize the experience of social work with HIV-positive clients, survey specialists organizations working in HIV services; statistical analysis of research results; comparison of theoretical analysis and survey. Results. Despite a widespread public awareness about ways of HIV transmission in the minds of most people, there are myths and stereotypes about HIV, causing people living with HIV and their sexual partners suffer from stigma and discrimination. The main problems, according to the survey, which refer HIV-positive clients to social institutions in Cherkassy (PLWH «Heart to heart», CF «Insight», Cherkasy regional branch of all-Ukrainian charitable organization all-Ukrainian network of PLHIV) are: conflicts in the family – 87.8%; Fear of disclosure of HIV status to partner/PLHIV-stigma – 74.2%; Alcohol addiction, drug addiction, gambling – 57.5%; social exclusion and disintegration – 68.1%; lack of motivation to preserve their own health or partner – 62.1%; not understanding their needs – 77.2%; ART adherence immature skills – 51.5%; Knowledge about the lack of access to health services – 74.2%. Analysis of survey experts of social sphere made it possible to distinguish priority forms and methods of social work with people living with HIV and their sexual partners, counseling, self-help groups, information sessions, interviews, persuasion, mediation, and others. The success of social work depends not only HIV-positive and their sexual partner to participate in the socio-psychological rehabilitation, but also involvement in helping their immediate environment. An algorithm of social work with a couple where one partner has HIV-positive status, which provides for the implementation of four successive stages: at the preparatory stage is the acquaintance with the couple; the design stage (analysis of resources to solve the problem, study the risks taken every particular case, the same stigma alcohol/drug distorted religious beliefs, lack of work and residence); an active stage (the expertise to meet the needs of customers, involving various professionals, according to customer needs, attend self-help groups to support personal motivation and resources); at the stage of monitoring (via analysis of customer feedback and performance comparison of project evaluation, if necessary, change the focus of the problem and develop a new action plan). Originality. The analysis of the needs of HIV-positive clients and social problems specialists providing social services in the field of HIV services. Conclusion. Thus, HIV-positive clients and their sex partners have a number of social problems are concentrated in their personal relationships, unresolved which has a great impact on the treatment of people living with HIV. Designated sphere of professional activity of social workers needs to introduce new forms of work with HIV-positive clients and their sexual partners, based on mutual respect and support.