HIV/AIDS

Spread of PMTCT and ART Better Care Practices through Collaborative Learning in Tanzania

This evaluation aims to describe and analyze peer-to-peer learning among health workers and the spread of better care practices within regions and across regions improve care provided to those needing HIV and AIDS services. [adapted from summary]

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]

Challenges Faced by Health Workers in Providing Counselling Services to HIV-Positive Children in Uganda: A Descriptive Study

A descriptive study was conducted to explore the challenges health workers face in providing HIV counselling and testing services to children in Uganda. [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]

Tackling Health Workforce Shortages During Antiretroviral Treatment Scale-Up: Experiences from Ethiopia and Malawi

This article draws on the experience of Malawi and Ethiopia, which have been able to successfully increase their health workforce over a relatively short period, allowing scaling up of antiretroviral treatment. [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]

Suspending Judgement: A Report of the Training Workshop on Stigma Reduction for Health Care Workers

This report documents the findings from a three day workshop on HIV
related stigma reduction for health care workers in India. The workshop was organized to test out an approach and materials for training health care workers about HIV related stigma in order to organize a large scale training program for health care workers and to build on the efforts of the World Bank to raise awareness on HIV stigma and discrimination. [adapted from introduction]

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]

Othering the Health Worker: Self-Stigmatization of HIV/AIDS Care among Health Workers in Swaziland

This study explored perceived barriers to accessing HIV/AIDS care and prevention services among health workers in Swaziland by asking health workers about their views on how HIV affects Swaziland’s health workforce and what barriers and strategies health workers have for addressing HIV and using healthcare treatment facilities. [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]

Voluntary HIV Testing and Risky Sexual Behaviours among Health Care Workers: A Survey in Rural and Urban Burkina Faso

This study aims to assess the prevalence of voluntary counselling and testing and high risk behaviours among health care workers in Burkina Faso. [from abstract]

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]

NIMART Rollout to Primary Healthcare Facilities Increases Access to Antiretrovirals in Johannesburg: An Interrupted Time Series Analysis

In this study, decentralisation of anitretroviral treatement (ART) initiation by professional nurses through the Nurse Initiatied Management of Antiretroviral Treatment (NIMART) program was shown to increase ART uptake and reduce workloadat referral facilities, enabling them to concentrate on complicated cases. [adapted from author]

Systematic Review Evaluating the Impact of Task Shifting on Access to Antiretroviral Therapy in Sub-Saharan Africa

This review evaluates whether task shifting of ART initiation and management from physicians to nurses increases access to antiretroviral therapy, the primary purpose cited for the implementation of task shifting policies. [from introduction]

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]

Intention to Voluntary HIV Counseling and Testing (VCT) among Health Professionals in Jimma Zone, Ethiopia: The Theory of Planned Behavior (TPB) Perspective

The aim of this study was to discover the use of voluntary counseling and testing among health professionals in Ethiopia using the theory of planned behavior to determine which factors play a significant role in healthworker use. [adapted from author]

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]

Stigma, an Important Source of Dissatisfaction of Health Workers in HIV Response in Vietnam: A Qualitative Study

This study describes health worker perceptions and explores the factors that influence job satisfaction and dissatisfaction of health personnel working on the HIV response in Vietnam and confirms the relationship between stigmatization of people living with HIV (PLHIV) and stigma experienced by staff because of association with PLHIV from families, colleagues, and society. [adapted from abstract]

How to Keep ART Patients in Long-Term Care: ART Adherence Club Report and Toolkit

This toolkit is simple model that allows patient groups to collect pre-packed, two-month supplies of treatment from lay health workers either at the clinic or outside of the clinic - whether at a local library or at a fellow patients home. Antiretroviral treatment (ART) adherence clubs give stable adherent HIV patients easier access to their treatment, while unclogging clinics and freeing up scarce nurses and doctors to manage new or at-risk HIV patients. [from publisher]