HIV/AIDS

This report presents the findings and key messages of rapid situation analysis in Mozambique of the human resources for health implications for scaling up to universal access to HIV prevention, treatment, care, and support. [from summary]

The objective of this study was to assess the effectiveness of these adherence support workers in adherence counseling, treatment retention for people on antiretroviral therapy and addressing inadequate human resources at health facilities. [from abstract]

This study, conducted from August to September 2007, utilized a population-based survey to investigate stigmatizing attitudes and acts of discrimination against HIV/AIDS patients among doctors and nurses working in public hospitals in Belize. [from abstract]

This document discusses some of the strategies that have been successful in integrating African traditional medicine (TM) with biomedical medicine and points the way forward for establishing and expanding collaboration with African TM practitioners as part of a broader and more efficient approach to community-based HIV prevention and care. [from author]

The authors provide an overview of maternal health services in the context of the HIV pandemic and outline the role of health professionals in maternal health and HIV prevention, care, and treatment. Particular attention is paid to the potential role of traditional birth attendants in expanding access to quality care. [adapted from author]

This chapter describes Zimbabwe’s experiences in developing national prevention of mother-to-child transmission of HIV in-service and preservice training materials for facility and community-based health workers. It also discusses the specific challenges associated with training materials development in the context of the Zimbabwean national health system. [from author]

The principles and practices outlined in this document are based on the author’s experience with creating a health worker clinical mentorship program for pediatric HIV care in Uganda as part of the continuum of education required to create competent health-care providers. [adapted from author]

This document discusses strategies and experiences in developing training materials and approaches for the implementation of health worker training programs for prevention of mother-to-child transmission of HIV (PMTCT) and pediatric HIV care.

The need to strengthen health-care worker capacity was identified by the Botswana Ministry of Health and confirmed by a training needs assessment conducted in 2001. In response, Botswana embarked on the first phase of a national antiretroviral training program, which this document outlines. [adapted from author]

This document reviews challenges and approaches to popular methodologies and applications of clinical HIV training in order to address the question of what is the optimal approach to training the health workforce for an expanding HIV-treatment program in a resource-limited setting. [adapted from author]

This article presents information and approaches for estimating human resource needs and identifies approaches and innovations to take into consideration as antiretroviral programs are developed, implemented, and monitored. [from author]

As part of the collaborative to improve the efficiency of HIV service delivery, the authors conducted a baseline assessment of HIV/AIDS provider productivity, efficiency, and engagement in Uganda. [adapted from author]

The aim of this study was to determine the use of different types of HIV testing services and to investigate perceptions and experiences of these services with a particular emphasis on the provider initiated testing in three selected districts in Kenya, Tanzania, and, Zambia.

This training manual is a resource to build the leadership, advocacy and management skills of grassroots women leaders and others working in HIV. It is a scaled-down adaptation of the training curriculum used to build the leadership skills and technical expertise of women working on the frontlines in the fight against HIV and AIDS, and to strengthen the capacity of their organizations to advocate for stronger HIV and AIDS policies, programs and resources that meet the distinct needs of women.

This study aimed to evaluate the contribution of community health workers with a focus on identifying the critical elements of an enabling environment that can ensure they provide quality services in a manner that is sustainable for expanding the health workforce to scale up HIV services. [adapted from author]

This chapter of “Developing Pathways and Partnerships” outlines the dimensions of and describes the characteristics of FBO HIV/AIDS initiatives, utilizing where possible evidence from published studies. It explains why FBO initiatives remain poorly understood and receive insufficient support from government sectors and development organizations. It concludes with lessons learned in mainstreaming FBO HIV/AIDS initiatives, suggesting ways in which external agencies can strengthen faith-based HIV/AIDS initiatives and help them align with accepted best practices and public-health strategies.

This curriculum was developed for people living with HIV in the Middle East and North Africa region who wanted to create workshops that provide space for their supportive physicians to discuss stigma in the healthcare setting and unite in their responses to HIV. [from author]

The focus of this brief is on examining how the lack of availability of trained personnel can constrain the ability of the government of Uganda to meet its strategic goals in scaling up antiretroviral treatment (ART). It utilizes a capacity module tool that estimates human resource requirements for HIV interventions. [from author]

Although progress has been made in developing programs to reduce stigma and discrimination, lack of standardized indicators for measuring their effectiveness has inhibited application and scale-up of proven strategies. This working report presents the findings from an internet-based survey designed to validate the items in an health facility and provider stigma measurement tool. The goal was to assess the validity of items designed to measure the key drivers of stigma. [from introduction]

This study documented women’s experiences of accessing ART and prevention of mother-to-child HIV transmission (PMTCT) program. In-depth interviews identified considerable weaknesses within operational HIV service delivery including: shortage in staff and supplies, lack of healthworker knowledge, stigma, and inadequacy of data and information systems for monitoring and evaluation. The analysis suggests that there is great scope for health system change, much of which centers on health personnel capacity and performance. [adapted from author]

This presentation from the 2006 International AIDS Conference outlines discriminatory practices to people living with HIV/AIDS in health care settings, contributing factors, impact on access to care, and changing health care workers’ attitudes. [adapted from author]

Recognizing the global human resources for health (HRH) shortage, the Alliance commissioned a task force to examine the HRH implications of scaling up to reach the Millennium Development Goal 6 of universal access to HIV/AIDS prevention, treatment, care and support by 2010. This report shares the results from this work and describes critical interventions to ensure there are sufficient HRH to support the scale up toward universal access. [from summary]

This article outlines the need for establishing contextually appropriate competencies in HIV and AIDS nursing as a fundamental step toward ensuring success in addressing the pandemic in Southern Africa.

This study assesses the new decentralized service provision system for people living with HIV/AIDS in rural populations in China. [from abstract]

This article examined the association between density of healthcare providers and patient outcomes using a large nationally representative cohort of patients receiving combination antiretroviral therapy in Uganda. [from abstract]

While purely private sector initiatives can also help to achieve HIV/AIDS objectives, this paper focuses on how public-private engagement can more sustainably contribute to health systems strengthening. [from introduction]

This paper we discusses the effect of feedback from current antiretroviral (ART) coverage to future ART human resources need on the sustainability of high levels of ART coverage.

Despite being workers on the front line responding to the public’s HIV and TB care needs, health workers themselves often do not have access to HIV and TB services. These guidelines aim to protect, retain and empower health workers in dealing with the dual threat of HIV and TB and reinforce good practicies for health workers who are living with HIV and/or TB. [adapted from introduction]

This study measures levels of stigma within health care settings in urban and rural Gujarat, in an attempt to understand how this may have contributed to the state’s increasing HIV incidence. [from abstract]

This paper reviews reports on maternal, neonatal and child health, as well as HIV care and treatment services that look at program incentives. [from abstract]