PROVIDER CHALLENGES IN IMPLEMENTING ANTENATAL PROVIDER-INITIATED HIV TESTING AND COUNSELING PROGRAMS IN UGANDA
PROVIDER CHALLENGES IN IMPLEMENTING ANTENATAL PROVIDER-INITIATED HIV TESTING AND COUNSELING PROGRAMS IN UGANDA
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DOI：
10.1521/aeap.2010.22.2.87
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发表时间：
2010-04-01
影响因子：
1.8
通讯作者：
Kennedy, Caitlin E.
中科院分区：
文献类型：
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作者：
Medley, Amy M.;Kennedy, Caitlin E.
虽然提供者发起的艾滋病毒检测和咨询（PITC）计划越来越多地在产前护理环境中实施，但有关提供者在提供这些服务时面临的具体挑战的信息很少。通过对乌干达中部10家诊所的30名艾滋病毒产前护理提供者进行定性访谈，我们试图了解乌干达提供者在实施产前PITC计划时面临的具体挑战，包括这些挑战如何影响预防母婴艾滋病毒传播计划。咨询方面的具体挑战包括：为不和谐的夫妇提供咨询，对艾滋病毒感染者的后续行动不完整，男性参与率和艾滋病毒血清状况话语率都很低，以及履行咨询职责的培训和支持不足。卫生系统面临的挑战包括缺乏足够的咨询空间、用品经常“缺货”、咨询师和实验室人员短缺以及转诊服务不足。这些挑战必须得到解决，以优化PITC方案在普及艾滋病毒检测和咨询服务方面的成功。
While provider-initiated HIV testing and counseling (PITC) programs are being increasingly implemented in antenatal care settings, there is scant information about the specific challenges providers face when offering these services. Through qualitative interviews with 30 HIV antenatal care providers from 10 clinics in central Uganda, we sought to understand specific challenges Ugandan providers face in implementing antenatal PITC programs, including how these challenges impact prevention of mother-to-child HIV transmission programs. Counseling-specific challenges included counseling discordant couples, incomplete follow-up of HIV-infected clients, low rates of both male involvement and HIV serostatus discourse, and inadequate training and support to carry out counseling duties. Health system challenges included lack of adequate space for counseling, frequent "stock-outs" of supplies, shortages of both counselors and lab personnel, and inadequate referral services. These challenges must be addressed in order to optimize the success of PITC programs at providing universal access to HIV testing and counseling services.