Implementing antiretroviral therapy programs in resource-constrained settings: lessons from Monze, Zambia.

Abstract:

:We describe the impact of an antiretroviral therapy program on human resource utilization and service delivery in a rural hospital in Monze, Zambia, using qualitative data. We assess project impact on staff capacity utilization, service delivery, and community perception of care. Increased workload resulted in fatigue, low staff morale, and exacerbated critical manpower shortages, but also an increase in users of antiretroviral therapy, improvement in hospital infrastructure and funding, and an overall community satisfaction with service delivery. Integrating HAART programs within existing hospital units and services may be a good alternative to increase overall efficiency.

journal_name

J Public Health Policy

authors

Adedimeji A,Malokota O,Manafa O

doi

10.1057/jphp.2011.4

subject

Has Abstract

pub_date

2011-05-01 00:00:00

pages

198-210

issue

2

eissn

0197-5897

issn

1745-655X

pii

jphp20114

journal_volume

32

pub_type

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