tailieunhanh - báo cáo khoa học: "From PALSA PLUS to PALM PLUS: adapting and developing a South African guideline and training intervention to better integrate HIV/AIDS care with primary care in rural health centers in Malawi"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: From PALSA PLUS to PALM PLUS: adapting and developing a South African guideline and training intervention to better integrate HIV/AIDS care with primary care in rural health centers in Malawi | Schull et al. Implementation Science 2011 6 82 http content 6 1 82 Implementation Science IMPLEMENTATION SCIENCE RESEARCH Open Access From PALSA PLUS to PALM PLUS adapting and developing a South African guideline and training intervention to better integrate HIV AIDS care with primary care in rural health centers in Malawi 5 15 5 1 1 Michael J Schull Ruth Cornick Sandy Thompson Gill Faris Lara Fairall Barry Burciul Sumeet Sodhi z5 6 7 8 9 6 Z k5 Beverley Draper Martias Joshua Martha Mondiwa Hastings Banda Damson Kathyola Eric Bateman and Merrick Zwarenstein1 3 4 Abstract Background Only about one-third of eligible HIV AIDS patients receive anti-retroviral treatment ART . Decentralizing treatment is crucial to wider and more equitable access but key obstacles are a shortage of trained healthcare workers HCW and challenges integrating HIV AIDS care with other primary care. This report describes the development of a guideline and training program PALM PLUS designed to integrate HIV AIDS care with other primary care in Malawi. PALM PLUS was adapted from PALSA PLUS developed in South Africa and targets middle-cadre HCWs clinical officers nurses and medical assistants . We adapted it to align with Malawi s national treatment protocols more varied healthcare workforce and weaker health system infrastructure. Methods Design The international research team included the developers of the PALSA PLUS program key Malawi-based team members and personnel from national and district level Ministry of Health MoH professional associations and an international non-governmental organization. The PALSA PLUS guideline was extensively revised based on Malawi national disease-specific guidelines. Advice and input was sought from local clinical experts including middle-cadre personnel as well as Malawi MoH personnel and representatives of Malawian professional associations. Results An integrated guideline adapted to Malawian protocols for adults with .