Keeping health staff healthy: evaluation of a workplace initiative to reduce morbidity and mortality from HIV/AIDS in Malawi

 

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dc.contributor.author Bemelmans, Marielle en_ZA
dc.contributor.author van den Akker, Thomas en_ZA
dc.contributor.author Pasulani, Olesi en_ZA
dc.contributor.author Tayub, Nabila en_ZA
dc.contributor.author Hermann, Katharina en_ZA
dc.contributor.author Mwagomba, Beatrice en_ZA
dc.contributor.author Jalasi, Winnie en_ZA
dc.contributor.author Chiomba, Harriet en_ZA
dc.contributor.author Ford, Nathan en_ZA
dc.contributor.author Philips, Mit en_ZA
dc.date.accessioned 2015-11-11T11:57:26Z
dc.date.available 2015-11-11T11:57:26Z
dc.date.issued 2011 en_ZA
dc.identifier.citation Bemelmans, M., van den Akker, T., Pasulani, O., Tayub, N. S., Hermann, K., Mwagomba, B., ... & Philips, M. (2011). Keeping health staff healthy: evaluation of a workplace initiative to reduce morbidity and mortality from HIV/AIDS in Malawi. Journal of the International AIDS Society, 14(1), 1. en_ZA
dc.identifier.uri http://hdl.handle.net/11427/14876
dc.identifier.uri http://dx.doi.org/10.1186/1758-2652-14-1
dc.description.abstract BACKGROUND: In Malawi, the dramatic shortage of human resources for health is negatively impacted by HIV-related morbidity and mortality among health workers and their relatives. Many staff find it difficult to access HIV care through regular channels due to fear of stigma and discrimination. In 2006, two workplace initiatives were implemented in Thyolo District: a clinic at the district hospital dedicated to all district health staff and their first-degree relatives, providing medical services, including HIV care; and a support group for HIV-positive staff. METHODS: Using routine programme data, we evaluated the following outcomes up to the end of 2009: uptake and outcome of HIV testing and counselling among health staff and their dependents; uptake and outcomes of antiretroviral therapy (ART) among health staff; and membership and activities of the support group. In addition, we included information from staff interviews and a job satisfaction survey to describe health workers' opinions of the initiatives. RESULTS: Almost two-thirds (91 of 144, 63%) of health workers and their dependents undergoing HIV testing and counselling at the staff clinic tested HIV positive. Sixty-four health workers had accessed ART through the staff clinic, approximately the number of health workers estimated to be in need of ART. Of these, 60 had joined the support group. Cumulative ART outcomes were satisfactory, with more than 90% alive on treatment as of June 2009 (the end of the study observation period). The availability, confidentiality and quality of care in the staff clinic were considered adequate by beneficiaries. CONCLUSIONS: Staff clinic and support group services successfully provided care and support to HIV-positive health workers. Similar initiatives should be considered in other settings with a high HIV prevalence. en_ZA
dc.language.iso eng en_ZA
dc.publisher BioMed Central Ltd en_ZA
dc.rights This is an Open Access article distributed under the terms of the Creative Commons Attribution License en_ZA
dc.rights.uri http://creativecommons.org/licenses/by/2.0 en_ZA
dc.source Journal of the International AIDS Society en_ZA
dc.source.uri http://www.biomedcentral.com/1758-2652/ en_ZA
dc.subject.other Viral diseases en_ZA
dc.subject.other HIV en_ZA
dc.subject.other AIDS en_ZA
dc.subject.other Occupational diseases en_ZA
dc.subject.other Hospital workers en_ZA
dc.subject.other Stigma en_ZA
dc.subject.other Health services en_ZA
dc.subject.other HAART en_ZA
dc.subject.other Malawi en_ZA
dc.title Keeping health staff healthy: evaluation of a workplace initiative to reduce morbidity and mortality from HIV/AIDS in Malawi en_ZA
dc.type Journal Article en_ZA
dc.rights.holder 2011 Bemelmans et al; licensee BioMed Central Ltd. en_ZA
uct.type.publication Research en_ZA
uct.type.resource Article en_ZA
dc.publisher.institution University of Cape Town
dc.publisher.faculty Faculty of Health Sciences en_ZA
dc.publisher.department Institute of Infectious Disease and Molecular Medicine en_ZA
uct.type.filetype Text
uct.type.filetype Image


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This is an Open Access article distributed under the terms of the Creative Commons Attribution License Except where otherwise noted, this item's license is described as This is an Open Access article distributed under the terms of the Creative Commons Attribution License