HIV/AIDS

Self-Reported Occupational Exposure to HIV Factors Influencing Its Management Practice: A Study of Healthcare Workers in Tumbi and Dodoma Hospitals, Tanzania

This study was conducted to determine the prevalence of self-reported occupational exposure to HIV among health care workers and explore factors that influence the practice of managing occupational exposure to HIV by health care workers in Tanzania. [from abstract]

Cost-Effectiveness of a Nurse-Based Intervention (AIMS) to Improve Adherence among HIV-Infected Patients: Design of a Multi-Centre Randomised Controlled Trial

Following a recent review suggesting that cost-effectiveness evaluations of adherence interventions for chronic diseases are rare, and that the methodology of such evaluations is poorly described in the literature, this manuscript presents the study protocol for a multi-centre trial evaluating the effectiveness and cost-effectiveness of AIMS among a heterogeneous sample of patients. [from abstract]

Barriers to Implementation of the HIV Guidelines in the IMCI Algorithm among IMCI Trained Health Workers in Zambia

Since 2004, health workers that have undergone integrated management of childhood illness (IMCI) case management training have also received training in HIV assessment, but follow-up showed that 97% of the health workers assessed did not review or mention the HIV guidelines even though they had received the training. This study aimed to explore reasons for non-adherence to HIV guidelines in the IMCI algorithm and make recommendations on how this can be improved. [adapted from abstract]

Occupational Exposure to HIV: A Conflict Situation for Health Workers

This study aimed to determine the frequency of occupational exposure to HIV, the circumstances and predisposing factors, the high-risk groups, the extent to which exposures are reported and the post-exposure prophylaxis utilized by health-care workers and students in a Ugandan hospital. [from abstract]

Keeping Health Staff Healthy: Evaluation of a Workplace Initiative to Reduce Morbidity and Mortality from HIV/AIDS in Malawi

This study evaluated two workplace initiatives providing medical services, including HIV care; and a support group for HIV-positive staff to determine the uptake and outcome of HIV testing and counselling among health staff and their dependents; uptake and outcomes of antiretroviral therapy among health staff; and membership and activities of the support group. [adapted from abstract]

Changes in Clients' Care Ratings after HIV Prevention Training of Hospital Workers in Malawi

This study examined the changes in clients’ health-care ratings before and after hospital workers received an HIV prevention intervention in Malawi, which increased the workers’ personal and work-related HIV prevention knowledge, attitudes and preventive behaviors. [from abstract]

Clinical Staging of HIV-Related Illness in Mozambique: Performance of Nonphysician Clinicians Based on Direct Observation of Clinical Care and Implications for Health Worker Training

In Mozambique, clinical staging may be the primary determinant of HIV/AIDS treatment decisions, and the task of staging commonly falls to non-physician clinicians. This study evaluated the quality of performance in clinical staging two years after the first Mozambican clinicians were trained in HIV/AIDS care. [adapted from abstract]

Assessment of HIV Post-Exposure Prophylaxis Use among Health Workers of Governmental Health Institutions in Jimma Zone, Oromiya Region, Southwest Ethiopia

This study was conducted to assess the knowledge, practice and factors associated to HIV post-exposure prophylaxis use among health workers of governmental health institutions in the Jimma zone. [from abstract]

Peer Group Intervention for HIV Prevention among Health Workers in Chile

The authors tested the impacts of a professionally assisted peer-group intervention on Chilean health workers’ HIV-related knowledge, attitudes, and behaviors using a quasi-experimental design with a pretest and 3 month post-test. [from author]

Integrating HIV Treatment with Primary Care Outpatient Services: Opportunities and Challenges from a Scaled-Up Model in Zambia

This paper examines the effect of the integrated model for HIV treatment with other primary care services on the organization of clinic services, and explores service providers’ perceptions of the integrated model. [adapted from abstract]

Community-Based Initiatives for HIV Program Management among Most-at-Risk Populations

This case study explores the significant role of community-based initiatives and the process of collaborating with communit organziations to address HIV within communities of high-risk populations in India. [adapted from author]

Excellent Clinical Outcomes and High Retention in Care Among Adults in a Community-Based HIV Treatment Program in Rural Rwanda

This artical reports the clinical and programatic outcomes at 24 months for a cohort of patients enrolled in a community-based anti-retroviral treatment (ART) program in southeastern Rwanda which provided additional measures of support at the community level, including community-based psychosocial support and directly observed ART delivered by community health workers. [adapted from author]

Human Resource Development and Capacity-Building During China's Rapid Scale-Up of Methadone Maintenance Treatment Services

The purpose of this article is to review human resource development and capacity-building efforts within China’s National Methadone Maintenance Treatment Programme, illustrate changes in program performance metrics over time, and convey lessons that will provide guidance to other developing countries attempting to implement similar programs. [from author]

Voluntary Medical Male Circumcision: Strategies for Meeting the Human Resource Needs of Scale-Up in Southern and Eastern Africa

This study looked at previous literature and conducted a program review to identify approaches that address human resource constraints that would enable scale up of voluntary medical male circumcision for reduction of female-to-male HIV transmission for public health impact. [adapted from abstract]

Assessment of Knowledge, Attitude and Practice towards Post Exposure Prophylaxis for HIV among Health Care Workers in Gondar, North West Ethiopia

HIV/AIDS infection of workers in health care facilities has become a major health problem. The aim of the study was to assess knowledge, attitude and practice of health care workers towards post exposure prophylaxis for HIV. [adapted from abstract]

Integrating HIV Care into Nurse-Led Primary Health Care Services in South Africa: A Synthesis of Three Linked Qualitative Studies

This study documents different factors influencing models of integration within clinics of HIV care into nurse-led primary care services to increase access to treatment for people living with HIV/AIDS in high HIV burden countries. [adapted from abstract]

Promising Practices in Community Engagement for Elimination of New HIV Infections among Children by 2015 and Keeping Their Mothers Alive

This review was commissioned to help address the information gap around the essential and complementary role of communities in prevention of mother to child transmission. In particular, this study sought to identify and share promising practices for community-based interventions that can strengthen programs and facilitate efforts to stop HIV transmission to children and enable their mothers to remain healthy. [adapted from author]

Effectiveness of a Community-Based Positive Prevention Intervention for People Living with HIV Who Are Not Receiving Antiretroviral Treatment: A Prospective Cohort Study

This controlled study aimed to assess the effectiveness of a personalized HIV risk-reduction intervention delivered by community health workers to people who know they have HIV and who are not on treatment. [from author]

Evaluation of a Well-Established Task-Shifting Initiative: The Lay Counselor Cadre in Botswana

This study examined the Botswana lay counselor cadre, a task shifting initiative, to explore effectiveness and contribution to the health workforce. [from abstract]

Integrating Palliative Care into HIV Services: A Practical Toolkit for Implementers

The purpose of this toolkit is to provide HIV care and
treatment programme managers and clinicians with practical
steps on how to integrate palliative care into adult and
paediatric HIV services. [from author]

Experiences of Health Care Providers with Integrated HIV and Reproductive Health Services in Kenya: A Qualitative Study

This qualitative study was conducted among frontline health workers to explore provider experiences with integration in order to ascertain their significance to the performance of integrated health facilities. [from abstract]

HIV/AIDS Control Programmes in Developing Countries: The Role of Human Resource

In this paper, the authors discussed the evidence based solutions to the problem of human resources in the health sector to combat HIV/AIDS and other diseases in developing countries. [adapted from abstract]

Human Resources Crisis in Southern Countries: A Major Obstacle to the Fight Against HIV

Conseil national du sida wished to delve further into the human resources crisis in Southern countries. It therefore sought to identify the main causes and determining factors behind the said crisis and to put forth various strategies in an attempt to turn that trend around. [from author]

Mobile Learning for HIV/AIDS Health Care Workers' Training in Resource-Limited Settings

This paper gives an overview of the approaches, methods and materials used in a mobile-based educational platform designed to enable health care workers involved in HIV/AIDS care in urban peripheral stations in Peru to access the state-of-the-art in HIV treatment and care. [adapted from introduction]

Leveraging the Private Health Sector to Enhance HIV Service Delivery in Lower-Income Countries

This article reviews findings on the types of HIV/AIDS services provided by the private health sector in developing countries and elaborates on the role of private providers of HIV services in Ethiopia. [from abstract]

HIV and Human Resources Challenges in Papua New Guinea: An Overview

The HIV epidemic in Papua New Guinea (PNG) presents major challenges, including significant human resources challenges. This report presents an overview of the available global literature on HIV and human resources, collates information on the workforce responses to HIV in PNG and highlights human resource issues specific to HIV in PNG. [from summary]

Integrating Family Planning and HIV/AIDS Services: Health Workforce Considerations

Governments and the global health community are increasingly paying attention to maximizing and measuring impact through service delivery integration efforts in family planning/HIV service integration. This technical brief assesses the evidence on the role of health workers in the integration of family planning and HIV services and discusses key health worker considerations when integrating these services. [from publisher]

Cold Comfort for Healthcare Workers? Medico-Ethical Dilemmas Facing a Healthcare Worker after Occupational Exposure to HIV

This paper discusses the ethical and legal constraints on a healthcare worker who has been occupationally exposed to possible HIV infection in circumstances where the patient will not/is not in a position to give consent to be tested to establish his/her HIV status, which is a prerequisite for the healthworker to receive postexposure prophylaxis in South Africa. [adapted from abstract]

Engagement of Non-Government Organizations and Community Care Workers in Collaborative TB/HIV Activities Including Prevention of Mother to Child Transmission in South Africa: Opportunities and Challenges

Using South Africa as a case study, this article reports on the engagement of non-governmental organizations and community care workers in the implementation of collaborative tuberculosis/HIV activities in rural South Africa, including extent of participation and constraints and opportunities to enhance effective participation. [adapted from abstract]

Healthcare Workforce: Who Cares and Where?

This webcast session from the XIX International AIDS Conference presents issues in the workforce crisis and highlights strategies being implemented to improve the numbers and quality of the HIV healthcare workforce. [adapted from publisher]