有哪些信誉好的足球投注网站adherence support workers a way to address human resource constraints in antiretroviral treatment programs in the public health setting in zambia坚持支持工人来解决人力资源约束在抗逆转录病毒治疗项目公共卫生设置在赞比亚.pdfVIP
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adherence support workers a way to address human resource constraints in antiretroviral treatment programs in the public health setting in zambia坚持支持工人来解决人力资源约束在抗逆转录病毒治疗项目公共卫生设置在赞比亚
Adherence Support Workers: A Way to Address Human
Resource Constraints in Antiretroviral Treatment
Programs in the Public Health Setting in Zambia
1 1 1 1 2
Kwasi E. Torpey *, Mushota E. Kabaso , Liya N. Mutale , Mpuma K. Kamanga , Albert J. Mwango , James
2 3 3
Simpungwe , Chiho Suzuki , Ya Diul Mukadi
1 Family Health International/Zambia Prevention Care and Treatment Partnership, Lusaka, Zambia, 2 Ministry of Health, Lusaka, Zambia, 3 Family Health International,
Arlington, Virginia, United States of America
Abstract
Background: In order to address staff shortages and improve adherence counseling for people on antiretroviral therapy
(ART), the Zambia Prevention, Care and Treatment Partnership (ZPCT) developed an innovative strategy of training
community volunteers to provide adherence support at the health facility and community levels. The objective of this study
was to assess the effectiveness of these ‘adherence support workers’ (ASWs) in adherence counseling, treatment retention
and addressing inadequate human resources at health facilities.
Methodology/Principal Findings: The study used quantitative and qualitative research techniques at five selected ART sites
in four provinces in Zambia. Five hundred patients on ART were interviewed using a structured questionnaire to compare
the quality of adherence counseling before and after the ASW scheme was introduced at the selected sites and between
ASWs and HCWs after the introduction of ASWs. In addition, 3,903 and 4,972 electronic records of all new patients accessing
antiretroviral therapy for the time period of 12 months before and 12 months after the introduction of ASWs respectively,
were
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