埃塞俄比亚亚的斯亚贝巴Akaki Kality副市公共卫生机构艾滋病毒/艾滋病自愿咨询和检测服务的实施评估

IF 1.5 Q4 INFECTIOUS DISEASES
Awoke Masrie, Samrawit Shawel, Aklilu Tamire, Miheret Mandefro, Tilaye Gebru, Meskerem Seboka Ergiba, Muluneh Getachew
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引用次数: 0

摘要

背景:自愿咨询和检测(VCT)是全球公认的预防和治疗艾滋病的有效方法。它使人们能够了解自己的艾滋病毒状况,在知情的情况下选择是否接受检测,评估自己感染艾滋病毒的个人风险,并制定降低风险的计划。本研究旨在评估埃塞俄比亚亚的斯亚贝巴Akaki Kality副城市公共卫生设施的VCT服务进程。方法与材料:2021年5月12日至6月12日采用混合方法的案例研究评价设计。在研究期间,共采访了244名客户。此外,还进行了12次直接观察,审查了过去6个月至研究期间的文件,并进行了12次关键资料提供者访谈。定量数据输入Epi data 4.6,导出到SPSS 25进行分析。单因素分析已完成,并以表格和文本形式呈现。定性数据被转录、翻译、编码,并使用专题分析进行分析。整个服务实现过程是在预先确定的判断标准的基础上度量的。结果:VCT服务实施的总体水平为83.84%,其中资源的可获得性(84.8%)、服务提供者对国家指南的符合性(85.38%)和客户满意度(76.93%)有贡献。在过去的三个月里,有一家医院的检测试剂盒缺货,所有的VCT咨询和测试室都缺乏视听隐私。支持性监督、在咨询期间使用信息、教育和宣传材料、将所有艾滋病毒阳性客户与治疗和护理服务联系起来、以及发送完整报告的做法需要一些改进。结论:总体而言,服务的实施是令人满意的,但需要采取进一步的行动来改善资源的可用性,确保提供者遵守国家指导方针,并提高服务的地位。此外,世界卫生组织和亚的斯亚贝巴卫生局应定期监督和提供反馈。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Implementation Evaluation of HIV/AIDS Voluntary Counseling and Testing (VCT) Service at Public Health Facilities of Akaki Kality Sub-City, Addis Ababa, Ethiopia.

Implementation Evaluation of HIV/AIDS Voluntary Counseling and Testing (VCT) Service at Public Health Facilities of Akaki Kality Sub-City, Addis Ababa, Ethiopia.

Implementation Evaluation of HIV/AIDS Voluntary Counseling and Testing (VCT) Service at Public Health Facilities of Akaki Kality Sub-City, Addis Ababa, Ethiopia.

Implementation Evaluation of HIV/AIDS Voluntary Counseling and Testing (VCT) Service at Public Health Facilities of Akaki Kality Sub-City, Addis Ababa, Ethiopia.

Background: Voluntary Counseling and Testing (VCT) is widely acknowledged globally as an effective method for preventing and treating HIV/AIDS. It allows people to understand their HIV status, make informed choices about getting tested for it, evaluate their personal risk of contracting HIV, and create plans to reduce that risk. The study aimed to evaluate the process of VCT services in public health facilities of Akaki Kality sub-city, Addis Ababa, Ethiopia.

Methods and materials: A case study evaluation design with a mixed method was employed from May 12 to June 12, 2021. A total of 244 clients were interviewed during the study period. Furthermore, 12 direct observations, a review of documents from the past six months to the study period, and 12 key informant interviews were conducted. Quantitative data were entered into Epi data 4.6 and exported to SPSS version 25 for analysis. Univariate analysis was done and presented in tables and texts. Qualitative data were transcribed, translated, coded, and analyzed using thematic analysis. The overall service implementation process was measured on the basis of pre-determined judgmental criteria.

Results: The overall level of VCT service implementation was 83.84%, to which the availability of resources (84.8%), compliance of service providers with the national guidelines (85.38%), and client satisfaction (76.93%) contributed. One facility had stock-outs of test kits in the last three months, and all VCT counseling and testing rooms lacked audio-visual privacy. Supportive supervision, the use of IEC materials during counseling, linking all HIV-positive clients to treatment and care services, and sending complete reports were practiced in a way that needs some improvement.

Conclusion: Overall, the service implementation was deemed satisfactory, but further action is required to improve resource availability, ensure provider compliance with national guidelines, and enhance the status of the service. In addition, the Woreda Health Office and Addis Abeba Health Bureau should regularly supervise and provide feedback.

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来源期刊
CiteScore
3.00
自引率
6.70%
发文量
61
审稿时长
16 weeks
期刊介绍: About Dove Medical Press Dove Medical Press Ltd is part of Taylor & Francis Group, the Academic Publishing Division of Informa PLC. We specialize in the publication of Open Access peer-reviewed journals across the broad spectrum of science, technology and especially medicine. Dove Medical Press was founded in 2003 with the objective of combining the highest editorial standards with the ''best of breed'' new publishing technologies. We have offices in Manchester and London in the United Kingdom, representatives in Princeton, New Jersey in the United States, and our editorial offices are in Auckland, New Zealand. Dr Scott Fraser is our Medical Director based in the UK. He has been in full time clinical practice for over 20 years as well as having an active research interest.
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