Making ward-based outreach teams an effective component of human immunodeficiency virus programmes in South Africa.
Making ward-based outreach teams an effective component of human immunodeficiency virus programmes in South Africa.
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DOI：
10.4102/sajhivmed.v19i1.778
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发表时间：
2018
影响因子：
1.7
通讯作者：
Peters RPH
中科院分区：
文献类型：
--
作者：
Naidoo N;Railton J;Jobson G;Matlakala N;Marincowitz G;McIntyre JA;Struthers HE;Peters RPH
实施由社区卫生工作者（chw）组成的病房外展小组（WBOTs）是南非国家卫生部（NDoH）初级卫生保健（PHC）再造战略的三项干预措施之一，旨在改善健康结果。卫生保健中心提供了一个必要的结构，有助于成功实施人类免疫缺陷病毒（HIV）计划，在四个方面：(1)通过健康教育预防HIV感染，(2)通过健康教育和转介联系护理，(3)坚持支持和(4)识别治疗失败的个人。然而，卫生保健规划和艾滋病毒规划方面存在的障碍需要加以解决，以实现最大的影响。其中包括缺乏利益攸关方和社区对wbot的支持，具有挑战性的工作和操作环境，缺乏深入的知识和技能，以及与艾滋病毒相关的污名等社会文化障碍。考虑到其有希望的结构，迫切需要记录世卫组织对整个卫生保健，特别是艾滋病毒规划的贡献，以成功和可持续地将其纳入南非卫生保健系统。
The implementation of ward-based outreach teams (WBOTs), comprised of community health workers (CHWs), is one of the three interventions of the South African National Department of Health’s (NDoH) Primary Health Care (PHC) Re-engineering strategy for improving health outcomes. CHWs provide a necessary structure to contribute to successful implementation of the human immunodeficiency virus (HIV) programme in four ways: (1) prevention of HIV infection by health education, (2) linkage to care by health education and referrals, (3) adherence support and (4) identification of individuals who are failing treatment. However, CHW programme and HIV programme-specific barriers exist that need to be resolved in order to achieve maximum impact. These include a lack of stakeholder and community support for WBOTs, challenging work and operational environments, a lack of in-depth knowledge and skills, and socio-cultural barriers such as HIV-related stigma. Considering its promising structure, documentation of the WBOT contribution to healthcare overall, and the HIV programme in particular, is urgently warranted to successfully and sustainably incorporate it into the South African healthcare system.
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DOI：
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发表时间：
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期刊：
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影响因子：
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