From PALSA PLUS to PALM PLUS: adapting and developing a South African guideline and training intervention to better integrate HIV/AIDS care with primary care in rural health centers in Malawi

Simple item page
dc.contributor.authorSchull, Michaelen_ZA
dc.contributor.authorCornick, Ruthen_ZA
dc.contributor.authorThompson, Sandyen_ZA
dc.contributor.authorFaris, Gillen_ZA
dc.contributor.authorFairall, Laraen_ZA
dc.contributor.authorBurciul, Barryen_ZA
dc.contributor.authorSodhi, Sumeeten_ZA
dc.contributor.authorDraper, Beverleyen_ZA
dc.contributor.authorJoshua, Martiasen_ZA
dc.contributor.authorMondiwa, Marthaen_ZA
dc.contributor.authorBanda, Hastingsen_ZA
dc.contributor.authorKathyola, Damsonen_ZA
dc.contributor.authorBateman, Ericen_ZA
dc.contributor.authorZwarenstein, Merricken_ZA
dc.date.accessioned2015-11-18T03:55:44Z
dc.date.available2015-11-18T03:55:44Z
dc.date.issued2011en_ZA
dc.description.abstractBACKGROUND: Only about one-third of eligible HIV/AIDS patients receive anti-retroviral treatment (ART). Decentralizing treatment is crucial to wider and more equitable access, but key obstacles are a shortage of trained healthcare workers (HCW) and challenges integrating HIV/AIDS care with other primary care. This report describes the development of a guideline and training program (PALM PLUS) designed to integrate HIV/AIDS care with other primary care in Malawi. PALM PLUS was adapted from PALSA PLUS, developed in South Africa, and targets middle-cadre HCWs (clinical officers, nurses, and medical assistants). We adapted it to align with Malawi's national treatment protocols, more varied healthcare workforce, and weaker health system infrastructure.METHODS/DESIGN:The international research team included the developers of the PALSA PLUS program, key Malawi-based team members and personnel from national and district level Ministry of Health (MoH), professional associations, and an international non-governmental organization. The PALSA PLUS guideline was extensively revised based on Malawi national disease-specific guidelines. Advice and input was sought from local clinical experts, including middle-cadre personnel, as well as Malawi MoH personnel and representatives of Malawian professional associations. RESULTS: An integrated guideline adapted to Malawian protocols for adults with respiratory conditions, HIV/AIDS, tuberculosis, and other primary care conditions was developed. The training program was adapted to Malawi's health system and district-level supervision structure. PALM PLUS is currently being piloted in a cluster-randomized trial in health centers in Malawi (ISRCTN47805230).DISCUSSION:The PALM PLUS guideline and training intervention targets primary care middle-cadre HCWs with the objective of improving HCW satisfaction and retention, and the quality of patient care. Successful adaptations are feasible, even across health systems as different as those of South Africa and Malawi.en_ZA
dc.identifier.apacitationSchull, M., Cornick, R., Thompson, S., Faris, G., Fairall, L., Burciul, B., ... Zwarenstein, M. (2011). From PALSA PLUS to PALM PLUS: adapting and developing a South African guideline and training intervention to better integrate HIV/AIDS care with primary care in rural health centers in Malawi. <i>Implementation Science</i>, http://hdl.handle.net/11427/15066en_ZA
dc.identifier.chicagocitationSchull, Michael, Ruth Cornick, Sandy Thompson, Gill Faris, Lara Fairall, Barry Burciul, Sumeet Sodhi, et al "From PALSA PLUS to PALM PLUS: adapting and developing a South African guideline and training intervention to better integrate HIV/AIDS care with primary care in rural health centers in Malawi." <i>Implementation Science</i> (2011) http://hdl.handle.net/11427/15066en_ZA
dc.identifier.citationSchull, M. J., Cornick, R., Thompson, S., Faris, G., Fairall, L., Burciul, B., ... & Zwarenstein, M. (2011). From PALSA PLUS to PALM PLUS: adapting and developing a South African guideline and training intervention to better integrate HIV/AIDS care with primary care in rural health centers in Malawi. Implement Sci, 6, 82.en_ZA
dc.identifier.ris TY - Journal Article AU - Schull, Michael AU - Cornick, Ruth AU - Thompson, Sandy AU - Faris, Gill AU - Fairall, Lara AU - Burciul, Barry AU - Sodhi, Sumeet AU - Draper, Beverley AU - Joshua, Martias AU - Mondiwa, Martha AU - Banda, Hastings AU - Kathyola, Damson AU - Bateman, Eric AU - Zwarenstein, Merrick AB - BACKGROUND: Only about one-third of eligible HIV/AIDS patients receive anti-retroviral treatment (ART). Decentralizing treatment is crucial to wider and more equitable access, but key obstacles are a shortage of trained healthcare workers (HCW) and challenges integrating HIV/AIDS care with other primary care. This report describes the development of a guideline and training program (PALM PLUS) designed to integrate HIV/AIDS care with other primary care in Malawi. PALM PLUS was adapted from PALSA PLUS, developed in South Africa, and targets middle-cadre HCWs (clinical officers, nurses, and medical assistants). We adapted it to align with Malawi's national treatment protocols, more varied healthcare workforce, and weaker health system infrastructure.METHODS/DESIGN:The international research team included the developers of the PALSA PLUS program, key Malawi-based team members and personnel from national and district level Ministry of Health (MoH), professional associations, and an international non-governmental organization. The PALSA PLUS guideline was extensively revised based on Malawi national disease-specific guidelines. Advice and input was sought from local clinical experts, including middle-cadre personnel, as well as Malawi MoH personnel and representatives of Malawian professional associations. RESULTS: An integrated guideline adapted to Malawian protocols for adults with respiratory conditions, HIV/AIDS, tuberculosis, and other primary care conditions was developed. The training program was adapted to Malawi's health system and district-level supervision structure. PALM PLUS is currently being piloted in a cluster-randomized trial in health centers in Malawi (ISRCTN47805230).DISCUSSION:The PALM PLUS guideline and training intervention targets primary care middle-cadre HCWs with the objective of improving HCW satisfaction and retention, and the quality of patient care. Successful adaptations are feasible, even across health systems as different as those of South Africa and Malawi. DA - 2011 DB - OpenUCT DO - 10.1186/1748-5908-6-82 DP - University of Cape Town J1 - Implementation Science LK - https://open.uct.ac.za PB - University of Cape Town PY - 2011 T1 - From PALSA PLUS to PALM PLUS: adapting and developing a South African guideline and training intervention to better integrate HIV/AIDS care with primary care in rural health centers in Malawi TI - From PALSA PLUS to PALM PLUS: adapting and developing a South African guideline and training intervention to better integrate HIV/AIDS care with primary care in rural health centers in Malawi UR - http://hdl.handle.net/11427/15066 ER - en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/15066
dc.identifier.urihttp://dx.doi.org/10.1186/1748-5908-6-82
dc.identifier.vancouvercitationSchull M, Cornick R, Thompson S, Faris G, Fairall L, Burciul B, et al. From PALSA PLUS to PALM PLUS: adapting and developing a South African guideline and training intervention to better integrate HIV/AIDS care with primary care in rural health centers in Malawi. Implementation Science. 2011; http://hdl.handle.net/11427/15066.en_ZA
dc.language.isoengen_ZA
dc.publisherBioMed Central Ltden_ZA
dc.publisher.departmentDivision of Pulmonologyen_ZA
dc.publisher.facultyFaculty of Health Sciencesen_ZA
dc.publisher.institutionUniversity of Cape Town
dc.rightsThis is an Open Access article distributed under the terms of the Creative Commons Attribution Licenseen_ZA
dc.rights.holder2011 Schull et al; licensee BioMed Central Ltd.en_ZA
dc.rights.urihttp://creativecommons.org/licenses/by/2.0en_ZA
dc.sourceImplementation Scienceen_ZA
dc.source.urihttp://www.implementationscience.com/en_ZA
dc.subject.otherMaternal Health Serviceen_ZA
dc.subject.otherHIV Positive Motheren_ZA
dc.subject.otherART Initiationen_ZA
dc.titleFrom PALSA PLUS to PALM PLUS: adapting and developing a South African guideline and training intervention to better integrate HIV/AIDS care with primary care in rural health centers in Malawien_ZA
dc.typeJournal Articleen_ZA
uct.type.filetypeText
uct.type.filetypeImage
uct.type.publicationResearchen_ZA
uct.type.resourceArticleen_ZA
Files
Original bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
Schull_From_PALSA_PLUS_2011.pdf
Size:
265.12 KB
Format:
Adobe Portable Document Format
Description:
Download
Collections
Journal Articles