Adherence Support Workers: A Way to Address Human Resource Constraints in Antiretroviral Treatment Programs in the Public Health Setting in Zambia

Advances in antiretroviral treatment mean that patients in the public health system can be given more options in the management of their treatment. Although public health programmes tend to offer one-size-fits-all approaches, patients might benefit from a more flexible approach. In particular, we propose that people with HIV should be given more choice with regard to when to start treatment, and patients who experience efavirenz side-effects should be encouraged to switch to other medications, which will be facilitated by faster registration and lower prices of newer antiretrovirals.

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Importance of best Human Resource Management Practices and the need for a Human Resource Information System (HRIS) for the Public Health Sector in Sri Lanka

Sri Lanka Journal of Bio-Medical Informatics ◽

10.4038/sljbmi.v3i2.2449 ◽

2013 ◽

Vol 3 (2) ◽

pp. 55 ◽

Cited By ~ 3

Author(s):

L.M. Mujeeb

Keyword(s):

Public Health ◽

Information System ◽

Resource Management ◽

Human Resource Management ◽

Human Resource ◽

Management Practices ◽

Health Sector ◽

The Public ◽

Resource Information ◽

Human Resource Management Practices

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IMPLEMENTATION OF AN ELECTRONIC RUBRIC FOR THE EVALUATION OF PHYSIOTHERAPY STUDENTS’ CLINICAL PRACTICES IN THE PUBLIC HEALTH SETTING

ICERI2020 Proceedings ◽

10.21125/iceri.2020.0261 ◽

2020 ◽

Author(s):

Marta Aguilar Rodríguez ◽

Mercè Balasch-Bernat ◽

Maria-Arantzazu Ruescas-Nicolau ◽

Anna Arnal-Gómez ◽

Laura Fuentes-Aparicio

Keyword(s):

Public Health ◽

Clinical Practices ◽

The Public ◽

Public Health Setting ◽

Physiotherapy Students

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PIN32 - THE PUBLIC HEALTH AND ECONOMIC IMPACT OF INCREASED SCREENING AND IMMEDIATE INITIATION OF ANTIRETROVIRAL TREATMENT FOR HIV-1 IN THE UK

Value in Health ◽

10.1016/j.jval.2018.09.1351 ◽

2018 ◽

Vol 21 ◽

pp. S226

Author(s):

A.E. Davis ◽

A.J. Brogan ◽

S.E. Talbird

Keyword(s):

Public Health ◽

Economic Impact ◽

Antiretroviral Treatment ◽

The Public ◽

The Uk ◽

Hiv 1

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A6 Does treatment cause virulence changes in HIV-1?

Virus Evolution ◽

10.1093/ve/vez002.005 ◽

2019 ◽

Vol 5 (Supplement_1) ◽

Author(s):

David Hodgson ◽

Stéphane Hué ◽

Jasmina Panovska-Griffiths ◽

Atila Iamarino ◽

Katherine E Atkins

Keyword(s):

Public Health ◽

Health Effect ◽

Treatment Programs ◽

Mathematical Framework ◽

The Public ◽

Test And Treat ◽

Model Predictions ◽

The Mathematical Model ◽

The Relationship ◽

Hiv 1

Abstract Antiretroviral treatment (ART) has provided substantial benefits for HIV-1-infected patients and has reduced incidence in areas with high uptake since its introduction in the late 1980s. As ART has led to shifts in the worldwide epidemiology of HIV-1, it may also have the potential to cause concomitant selective pressure on the virus population. Evidence for changes in HIV-1 virulence since the introduction of ART appears to be inconsistent. As well as reviewing both empirical and theoretical studies on the likely impact of ART on HIV-1 virulence, we developed a mathematical framework to evaluate the likely impact of ART on virulence selection under the widespread treatment programs and the future impact of recent test-and-treat recommendations. By quantifying both the relationship between virulence changes with the transmissibility through disease progression and the speed of diagnosis and treatment, we reconcile observational studies on virulence changes with the mathematical model predictions. On adoption of new test-and-treat programs—synonymous with early detection and immediate treatment—it is likely that increased virulence will be observed. Our findings highlight the potential public health consequences of mass treatment and the ensuing requirement for greater access and adherence to nullify the public health effect of these virulence changes.

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