The Role of Community Health Workers in HIV Care Engagement: A Qualitative Study of Stakeholder Perspectives in Tanzania.
The Role of Community Health Workers in HIV Care Engagement: A Qualitative Study of Stakeholder Perspectives in Tanzania.
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DOI：
10.1097/jnc.0000000000000267
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发表时间：
2021-11-01
期刊：
影响因子：
--
通讯作者：
Relf MV
中科院分区：
文献类型：
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作者：
Knettel BA;Fernandez KM;Wanda L;Amiri I;Cassiello-Robbins C;Watt MH;Mmbaga BT;Relf MV
在艾滋病毒护理方面的保留不佳是全球流行病的主要驱动因素，包括在撒哈拉以南非洲。在坦桑尼亚，国家社区艾滋病服务（CBHS）计划整合了志愿者社区卫生工作者（CHW），以支持患者护理工作，并减轻艾滋病诊所护士的负担;然而，很少有研究评估CHW支持艾滋病护理的价值。我们对48名管理人员、护士、CHW和患者进行了定性访谈，以探讨CBHS计划的优势和局限性。利益相关者认为，CHW在建立信任和提供患者支持方面具有独特的优势。经常与CHW接触的患者将其描述为教育和鼓励的重要来源，但不到一半的受访患者曾与CHW会面。诊所护士描述了与CHW脱节的感觉，利益相关者强调需要财务，后勤和教育支持，以振兴该计划并有效地解决护理参与的挑战。
Suboptimal retention in HIV care is a major driver of the global epidemic, including in sub-Saharan Africa. In Tanzania, the national Community-Based HIV Services (CBHS) program integrates volunteer community health workers (CHWs) to support patient care engagement and reduce the burden placed on HIV clinic nurses; however, few studies have assessed the value of CHWs supporting HIV care. We conducted qualitative interviews with 48 administrators, nurses, CHWs, and patients to explore strengths and limitations of the CBHS program. Stakeholders believed CHWs are uniquely positioned to establish trust and provide patient support. Patients who had frequent contact with CHWs described them as valued sources of education and encouragement, but fewer than half of the patients interviewed had ever met with a CHW. Clinic nurses described feeling disconnected from CHWs, and stakeholders highlighted the need for financial, logistical, and educational support to rejuvenate the program and effectively address care engagement challenges.