Giving "Sadness" a Name: The Need for Integrating Depression Treatment into HIV Care in Uganda.
Giving "Sadness" a Name: The Need for Integrating Depression Treatment into HIV Care in Uganda.
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DOI：
10.1177/2325957414557265
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发表时间：
2015-03-01
影响因子：
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通讯作者：
Akena, Dickens
中科院分区：
文献类型：
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作者：
Odokonyero, Raymond;Wagner, Glenn;Akena, Dickens
抑郁症在撒哈拉以南非洲（SSA）的艾滋病毒/艾滋病（PLWHA）感染者中很常见，并可能对艾滋病毒疾病的进展，治疗反应和预防产生重大影响。然而，在该地区的大多数艾滋病毒护理项目中，心理健康服务有限，部分原因是心理健康专业人员严重短缺。为了解决建立一个有效的，可持续的模式，将抑郁症治疗纳入艾滋病毒护理在撒哈拉以南非洲的需要，我们已经开始了一个为期3年的研究项目，INDEPTH乌干达（整合抑郁症治疗和艾滋病毒护理在乌干达），以评估一个任务共享，协议化的方法，提供抗抑郁药护理在10个艾滋病毒诊所在乌干达。在本文中，我们分享了我们的经验，在实施的最初几天，我们认为突出的潜在价值和政策影响任务转移抑郁症护理模式在资源不足的设置确定的两个治疗病例。
Depression is common among people living with HIV/AIDS (PLWHA) in sub-Saharan Africa (SSA), and can have significant consequences for HIV disease progression, treatment response and prevention. Yet mental health services are limited in most HIV care programs in this region, in part due to severe shortages of mental health professionals. To address the need for establishing an effective, sustainable model for integrating depression treatment into HIV care in SSA, we have embarked upon a 3-year research project, INDEPTH Uganda (INtegrating DEPression Treatment and in HIV care in Uganda), to evaluate a task-sharing, protocolized approach to providing antidepressant care in ten HIV clinics in Uganda. In this paper we share our experiences with two treated cases identified during the initial days of implementation, which we believe highlight the potential value and policy implications for task shifting depression care models in under-resourced settings.