tailieunhanh - báo cáo hóa học:" Keeping health staff healthy: evaluation of a workplace initiative to reduce morbidity and mortality from HIV/AIDS in Malawi"

Tuyển tập các báo cáo nghiên cứu về hóa học được đăng trên tạp chí sinh học đề tài : Keeping health staff healthy: evaluation of a workplace initiative to reduce morbidity and mortality from HIV/AIDS in Malawi | Bemelmans et al. Journal of the International AIDS Society 2011 14 1 http content 14 1 1 JOURNALOF THE INTERNATIONAL AIDS SOCIETY RESEARCH Open Access Keeping health staff healthy evaluation of a workplace initiative to reduce morbidity and mortality from HIV AIDS in Malawi 1 11 1 2 Marielle Bemelmans Thomas van den Akker Olesi Pasulani Nabila Saddiq Tayub Katharina Hermann z t m Pk s3 A i i - I - I - r I 1 I_I s r r I p I r m p. s4 l p k k c r V I 5 6h A I D p I I I r 7 Beatrice Mwagomba Winnie Jalasi Harriet Chiomba Nathan Ford Mit Philips Abstract Background In Malawi the dramatic shortage of human resources for health is negatively impacted by HIV-related morbidity and mortality among health workers and their relatives. Many staff find it difficult to access HIV care through regular channels due to fear of stigma and discrimination. In 2006 two workplace initiatives were implemented in Thyolo District a clinic at the district hospital dedicated to all district health staff and their first-degree relatives providing medical services including HIV care and a support group for HIV-positive staff. Methods Using routine programme data we evaluated the following outcomes up to the end of 2009 uptake and outcome of HIV testing and counselling among health staff and their dependents uptake and outcomes of antiretroviral therapy ART among health staff and membership and activities of the support group. In addition we included information from staff interviews and a job satisfaction survey to describe health workers opinions of the initiatives. Results Almost two-thirds 91 of 144 63 of health workers and their dependents undergoing HIV testing and counselling at the staff clinic tested HIV positive. Sixty-four health workers had accessed ART through the staff clinic approximately the number of health workers estimated to be in need of ART. Of these 60 had joined the support group. Cumulative ART outcomes were satisfactory with more than 90 alive on .