Translation and sustainability of an HIV prevention intervention in Lusaka, Zambia.
Translation and sustainability of an HIV prevention intervention in Lusaka, Zambia.
复制标题
赞比亚卢萨卡艾滋病毒预防干预措施的转化和可持续性。
DOI：
10.1007/s13142-013-0237-9
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发表时间：
2014
影响因子：
3.6
通讯作者：
Jones,DeborahLynne
中科院分区：
文献类型：
--
作者：
Vamos,Szonja;Mumbi,Miriam;Cook,Ryan;Chitalu,Ndashi;Weiss,StephenMarshall;Jones,DeborahLynne
The scale-up of HIV treatment programs in sub-Saharan Africa necessitates creative solutions that do not further burden the health system to meet global initiatives in prevention and care. This study assessed the work environment and impact of providing a behavioral risk reduction intervention in six community health centers (CHCs) in Lusaka, Zambia; opportunities and challenges to long-term program sustainability were identified. CHC staff participants (n= 82) were assessed on perceived clinic burden, job satisfaction, and burnout before and after implementation of the intervention. High levels of clinic burden were identified; however, no increase in perceived clinic burden or staff burnout was associated with providing the intervention. The intervention was sustained at the majority of CHCs and also adopted at additional clinics. Behavioral interventions can be successfully implemented and maintained in resource-poor settings. Creative strategies to overcome structural and economic challenges should be applied to enhance translation research.
