HIV policy implementation in two health and demographic surveillance sites in Uganda: findings from a national policy review, health facility surveys and key informant interviews
HIV policy implementation in two health and demographic surveillance sites in Uganda: findings from a national policy review, health facility surveys and key informant interviews
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DOI：
10.1186/s13012-017-0574-z
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发表时间：
2017-04-05
影响因子：
7.2
通讯作者：
Church, Kathryn
中科院分区：
文献类型：
--
作者：
McRobie, Ellen;Wringe, Alison;Church, Kathryn
背景：成功实施艾滋病毒检测、护理和治疗政策对于实现降低这些政策的目标发病率和死亡率至关重要。虽然新的艾滋病毒政策的采用速度很快，但人们对新政策在机构层面的实施情况以及影响这一政策的因素知之甚少。 方法：我们评估了服务于两个健康和人口监测点 (HDSS)（Kyamulibwa 10 个，拉凯 14 个）的卫生机构关于艾滋病毒检测、治疗和保留的国家政策的实施情况。乌干达卫生部于 2013 年审查了艾滋病毒政策文件，并提取了与艾滋病毒服务提供指南的内容和性质相关的预定指标。通过向每个医疗机构的负责人员发放结构化调查问卷来评估机构层面的政策实施情况。政策实施分为广泛（>= 75% 设施）、部分（26-74% 设施）或最低限度（
Background: Successful HIV testing, care and treatment policy implementation is essential for realising the reductions in morbidity and mortality those policies are designed to target. While adoption of new HIV policies is rapid, less is known about the facility-level implementation of new policies and the factors influencing this.Methods: We assessed implementation of national policies about HIV testing, treatment and retention at health facilities serving two health and demographic surveillance sites (HDSS) (10 in Kyamulibwa, 14 in Rakai). Ugandan Ministry of Health HIV policy documents were reviewed in 2013, and pre-determined indicators were extracted relating to the content and nature of guidance on HIV service provision. Facility-level policy implementation was assessed via a structured questionnaire administered to in-charge staff from each health facility. Implementation of policies was classified as wide (>= 75% facilities), partial (26-74% facilities) or minimal (