AMPATH: Living proof that no one has to die from HIV
AMPATH: Living proof that no one has to die from HIV
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DOI：
10.1007/s11606-007-0437-4
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发表时间：
2007-12-01
影响因子：
5.7
通讯作者：
Sidle, John E.
中科院分区：
文献类型：
--
作者：
Inui, Thomas S.;Nyandiko, Winston M.;Sidle, John E.
背景和目的撒哈拉以南非洲的艾滋病毒/艾滋病疫情正在造成人口大量死亡，经济恶化，贫困加剧，并破坏传统社会秩序的稳定。美国总统艾滋病紧急救援计划(PEPFAR)的出台为撒哈拉以南地区预防和治疗艾滋病毒/艾滋病的国家计划提供了大量补充资源，但很少有计划证明有能力利用这些资源迅速扩大规模。在这方面，由印第安纳大学医学院、莫伊大学医学院和肯尼亚埃尔多雷特的莫伊教学和转诊医院合作的AMPATH是一个令人震惊的例外。这份报告总结了AMPATH员工对如何以及为什么会发生这种情况的看法的评估结果。PARTICIPANTS和PROCESS对26名AMPATH员工进行了半结构化、深入的个人访谈并进行了记录。这些访谈的实地笔记由独立评价者生成，并对主题进行仔细的定性分析。结果确定的主题如下：有效创造、与他人联系、有所作为、服务于最需要帮助的人、提供全面的护理以恢复健康生活、作为一个人和一个专业人员成长。这个艾滋病毒/艾滋病项目成功的原因之一是一套在任何情况下都会有帮助的工作价值观和动机，但也许没有什么比让一个复杂的项目在一个资源匮乏的国家的挑战环境中发挥惊人作用的艰苦工作更关键。有时，即使面对很大的困难，人类的精神也会占上风。
BACKGROUND AND OBJECTIVE The HIV/AIDS epidemic in sub-Saharan Africa is decimating populations, deteriorating economies, deepening poverty, and destabilizing traditional social orders. The advent of the U.S. President's Emergency Plan for AIDS Relief (PEPFAR) made significant supplemental resources available to sub-Saharan national programs for the prevention and treatment of HIV/AIDS, but few programs have demonstrated the capacity to use these resources to increase rapidly in size. In this context, AMPATH, a collaboration of Indiana University School of Medicine, the Moi University School of Medicine, and the Moi Teaching and Referral Hospital in Eldoret, Kenya, is a stunning exception. This report summarizes findings from an assessment of AMPATH staff perceptions of how and why this has happened.PARTICIPANTS AND APPROACH Semistructured, in-depth, individual interviews of 26 AMPATH workers were conducted and recorded. Field notes from these interviews were generated by independent reviewers and subjected to close-reading qualitative analysis for themes.RESULTS The themes identified were as follows: creating effectively, connecting with others, making a difference, serving those in great need, providing comprehensive care to restore healthy lives, and growing as a person and a professional.CONCLUSION Inspired personnel are among the critical assets of an effective program. Among the reasons for success of this HIV/AIDS program are a set of work values and motivations that would be helpful in any setting, but perhaps nowhere more critical than in the grueling work of making a complex program work spectacularly well in the challenging setting of a resource-poor country. Sometimes, even in the face of long odds, the human spirit prevails.