Task-Shifting of Antiretroviral Delivery From Health Care Workers to Persons Living With HIV/AIDS: Clinical Outcomes of a Community-Based Program in Kenya

2010 ◽  
Vol 55 (4) ◽  
pp. 483-490 ◽  
Author(s):  
Henry M Selke ◽  
Sylvester Kimaiyo ◽  
John E Sidle ◽  
Rajesh Vedanthan ◽  
William M Tierney ◽  
...  
Keyword(s):  
Health Care ◽  
Clinical Outcomes ◽  
Health Care Workers ◽  
Task Shifting ◽  
Community Based ◽  
Care Workers ◽  
Persons Living With Hiv ◽  
Living With Hiv ◽  
Hiv Aids

scholarly journals Novel health system strategies for tuberculin skin test-guided Isoniazid preventive therapy

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
E Van Ginderdeuren ◽  
J Bassett ◽  
C F Hanrahan ◽  
L Mutunga ◽  
A Van Rie
Keyword(s):  
Health Care ◽  
Cost Effectiveness ◽  
Health Care Workers ◽  
Fast Track ◽  
Task Shifting ◽  
Preventive Therapy ◽  
Fast Tracking ◽  
Care Workers ◽  
Provider Perspective ◽  
Living With Hiv

Abstract Background Global TB elimination demands a scale-up of Isoniazid preventive therapy (IPT) but tuberculin skin test (TST)-guided IPT poses great logistical and human resource challenges. Objectives Performance of TST self-reading by patients and fast-track TST reading by trained low cadre health care workers (task-shifting) was compared to formal TST reading by high cadre staff in a cohort of 278 South African adults living with HIV. Health economic impact of these novel strategies was assessed from a provider and societal perspective and simulations were performed for 5 other countries (USA, Germany, Brazil, India, Russia) to evaluate generalizability. In addition, accuracy of TST at antiretroviral treatment (ART) initiation was assessed by a repeat TST 6 and 12 month later. Results TST self-reading was highly accurate, with 89% sensitivity (95% CI 80, 95) and 100% specificity (95% CI 97,100) for detecting presence/absence of any induration. Agreement in TST reading between low and high cadre health care workers was very high (kappa 0.97). Compared to standard of care, a combined fast-track, task-shifting and self-reading strategy reduced TST reading costs in South Africa from a patient perspective by 81% and from a provider perspective by 92%. In all 5 countries simulated, TST reading cost was reduced by ≥ 78 % from a provider perspective. Repeat testing at 6 and 12 months showed high (31%, 95% CI 23, 40) TST conversion during the first 12 months of ART. Conclusions Empiric IPT for all people living with HIV followed by TST assessment after 6 or 12 months to identify those in need for lifelong IPT could increase the effectiveness of IPT programs. TST self-reading to reduce the number of patients that need to return for TST reading (to only those patients with self-determined presence of any induration) together with fast-tracking and task-shifting of TST reading could increase cost-effectiveness and reduce patient costs associated with IPT programs. Key messages Novel strategies are essential to control TB. Task-shifting, fast-tracking and patient TST self-reading empower patients and HCWs; optimal TST timing can increase cost-effectiveness of IPT programs.

scholarly journals Role of health care workers in the care and support of women living with HIV/AIDS experiencing intimate partner violence: the case of women attending care and treatment clinic in Singida region, Tanzania

2021 ◽  
Vol 8 (5) ◽  
pp. 2104
Author(s):  
Agnes L. Kosia ◽  
Tumaini Nyamhanga ◽  
Gasto Frumence ◽  
Deodatus Kakoko ◽  
Ave Maria Semakafu
Keyword(s):  
Health Care ◽  
Health Care Workers ◽  
Partner Violence ◽  
Intimate Partner ◽  
Women Living With Hiv ◽  
Care And Support ◽  
Care Workers ◽  
Treatment Clinic ◽  
Living With Hiv ◽  
Hiv Aids

Background: Intimate partner violence (IPV) is behaviour within intimate relationship that causes physical, sexual and psychological harm. Health care workers (HCW) have a big role to play for women living with HIV/AIDS (LWHA) who are experiencing IPV. The understanding and perception of IPV towards health care workers is very important in the provision of integrated holistic care.Methods: This was a qualitative study where data was collected through in-depth interviews and focus group discussions for 24 HCW, working at a care and treatment clinic and prevention of mother to child transmission of HIV/AIDS. Content analysis was used to analyse the data.Results: The study findings showed that HCW had their own meaning and understanding of IPV that was when a male partner does something wrong to his female partner which was associated with beating, use of abusive language and refusal to provide basic needs. HCW had various roles in caring and supporting women LWHA experiencing IPV. They provided emergency medical services, health education which helped them to cope with their HIV/AIDS disease, counselled on the importance of adhering to their antiretroviral treatment medications and referral services which helped them to address their IPV as women LWHA.Conclusions: The study concluded that HCW had a very important role to play in care and support of women LWHA. They needed more training on IPV so that they will be able to provide care and support to all women living with HIV/AIDS experiencing IPV and the community at large.

scholarly journals A health education programme to enhance the knowledge and communication skills of health care workers who serve people living with HIV / AIDS on HAART in Namibia

2015 ◽  
Vol 4 (2) ◽  
pp. 137 ◽  
Author(s):  
Mwakanyadzenin Abigail Chipare ◽  
Agnes van Dyk ◽  
Hans Justus Amukugo
Keyword(s):  
Health Care ◽  
Communication Skills ◽  
Health Care Workers ◽  
Education Programme ◽  
Communication Process ◽  
People Living With Hiv ◽  
Care Workers ◽  
Health Education Programme ◽  
Living With Hiv ◽  
Hiv Aids

<p>This paper aims at describing the findings of a health education programme that enhances the knowledge and communication skills of health-care workers who serve people living with HIV / AIDS on HAART in Namibia. Namibian health-care workers are unable to provide quality health care services to people who are living with HIV / AIDS (PLWHA) when they do not have the necessary knowledge, as well as adequate interpersonal communication and counselling skills. In a health care facility system, all patients either come from the community, or are referred from the wards or other departments by health-care workers. The health care worker as a sender conveys information (messages), and a patient (receiver) is expected to comprehend these messages and to respond by giving feedback to the sender who, in turn, provides feedback until the communication process is completed. The process should take place in a conducive environment without any interference, such as noise, to allow the swift completion of the communication process. The messages that both parties convey should be clear, accurate, coherent, and concise. This article covered the following: background, methods, ethical measures, results (participants’ responses) conclusions and recommendations.</p>

Towards an AIDS-free generation by 2030: how are South African children, adolescents, caregivers and health care workers coping with HIV?

2021 ◽  
pp. 008124632199217
Author(s):  
Yogan Pillay
Keyword(s):  
Health Care ◽  
Children And Adolescents ◽  
South African ◽  
Health Care Workers ◽  
Policy Makers ◽  
Number Of Children ◽  
Key Stakeholders ◽  
Care Workers ◽  
Free Generation ◽  
Living With Hiv

We are committed to an AIDS free generation by 2030 – nine short years away. This article reflects on the global and South African data on new infections, total number of children and adolescents living with HIV as well as data on vertical transmission. The article includes the voices of key stakeholders in the quest to end HIV in children so that lessons from their experiences can be used by policy makers in strengthening services.

Professional attitude of health care workers toward serving HIV/AIDS patients and drug users: questionnaire design and evaluation of reliability and validity

AIDS Care ◽  
2011 ◽  
Vol 23 (11) ◽  
pp. 1448-1455 ◽  
Author(s):  
Lai-Chu See ◽  
Yu-Ming Shen ◽  
Chia-Ling Chen ◽  
Tsuei-Mi Huang ◽  
Yi-Hua Huang ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Workers ◽  
Drug Users ◽  
Reliability And Validity ◽  
Questionnaire Design ◽  
Aids Patients ◽  
Professional Attitude ◽  
Care Workers ◽  
Hiv Aids

Determining unmet, adequately met, and overly met needs for health care and services for persons living with HIV/AIDS in Mississippi

AIDS Care ◽  
2012 ◽  
Vol 25 (8) ◽  
pp. 973-979 ◽  
Author(s):  
Denise D. Krause ◽  
Warren L. May ◽  
Kenneth R. Butler
Keyword(s):  
Health Care ◽  
Persons Living With Hiv ◽  
Met Needs ◽  
Living With Hiv ◽  
Hiv Aids

scholarly journals A Study on Perception of Health Care Workers In Relation To HIV/AIDS in Jamnagar District

2016 ◽  
Vol 4 (1) ◽  
pp. 30
Author(s):  
Kapil Gandha ◽  
Kishor Dhaduk ◽  
Dipesh Parmar ◽  
Kaushik Lodhiya ◽  
Pradeep Pithadia
Keyword(s):  
Health Care ◽  
Health Care Workers ◽  
Care Workers ◽  
Perception Of Health ◽  
Hiv Aids
Sign in / Sign up

Export Citation Format

Share Document