Le SIDA en Afrique subsaharienne (serveur d'exploration)

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<TEI>
<teiHeader>
<fileDesc>
<titleStmt>
<title xml:lang="en">Implementation of HIV Prevention Interventions in Resource Limited Settings: the Partner Project</title>
<author>
<name sortKey="Jones, Deborah" sort="Jones, Deborah" uniqKey="Jones D" first="Deborah" last="Jones">Deborah Jones</name>
<affiliation>
<nlm:aff id="A1">University of Miami Miller School of Medicine</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Weiss, Stephen M" sort="Weiss, Stephen M" uniqKey="Weiss S" first="Stephen M." last="Weiss">Stephen M. Weiss</name>
<affiliation>
<nlm:aff id="A1">University of Miami Miller School of Medicine</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Arheart, Kris" sort="Arheart, Kris" uniqKey="Arheart K" first="Kris" last="Arheart">Kris Arheart</name>
<affiliation>
<nlm:aff id="A1">University of Miami Miller School of Medicine</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Cook, Ryan" sort="Cook, Ryan" uniqKey="Cook R" first="Ryan" last="Cook">Ryan Cook</name>
<affiliation>
<nlm:aff id="A1">University of Miami Miller School of Medicine</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Chitalu, Ndashi" sort="Chitalu, Ndashi" uniqKey="Chitalu N" first="Ndashi" last="Chitalu">Ndashi Chitalu</name>
<affiliation>
<nlm:aff id="A2">University Teaching Hospital, University of Zambia School of Medicine</nlm:aff>
</affiliation>
</author>
</titleStmt>
<publicationStmt>
<idno type="wicri:source">PMC</idno>
<idno type="pmid">23963855</idno>
<idno type="pmc">3880645</idno>
<idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3880645</idno>
<idno type="RBID">PMC:3880645</idno>
<idno type="doi">10.1007/s10900-013-9753-2</idno>
<date when="2014">2014</date>
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<title xml:lang="en" level="a" type="main">Implementation of HIV Prevention Interventions in Resource Limited Settings: the Partner Project</title>
<author>
<name sortKey="Jones, Deborah" sort="Jones, Deborah" uniqKey="Jones D" first="Deborah" last="Jones">Deborah Jones</name>
<affiliation>
<nlm:aff id="A1">University of Miami Miller School of Medicine</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Weiss, Stephen M" sort="Weiss, Stephen M" uniqKey="Weiss S" first="Stephen M." last="Weiss">Stephen M. Weiss</name>
<affiliation>
<nlm:aff id="A1">University of Miami Miller School of Medicine</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Arheart, Kris" sort="Arheart, Kris" uniqKey="Arheart K" first="Kris" last="Arheart">Kris Arheart</name>
<affiliation>
<nlm:aff id="A1">University of Miami Miller School of Medicine</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Cook, Ryan" sort="Cook, Ryan" uniqKey="Cook R" first="Ryan" last="Cook">Ryan Cook</name>
<affiliation>
<nlm:aff id="A1">University of Miami Miller School of Medicine</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Chitalu, Ndashi" sort="Chitalu, Ndashi" uniqKey="Chitalu N" first="Ndashi" last="Chitalu">Ndashi Chitalu</name>
<affiliation>
<nlm:aff id="A2">University Teaching Hospital, University of Zambia School of Medicine</nlm:aff>
</affiliation>
</author>
</analytic>
<series>
<title level="j">Journal of community health</title>
<idno type="ISSN">0094-5145</idno>
<idno type="eISSN">1573-3610</idno>
<imprint>
<date when="2014">2014</date>
</imprint>
</series>
</biblStruct>
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<textClass></textClass>
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</teiHeader>
<front>
<div type="abstract" xml:lang="en">
<sec id="S1">
<title>Introduction</title>
<p id="P1">Evidence-based HIV prevention interventions have been translated to a variety of contexts across sub-Saharan Africa. Non-specialized community health center (CHC) staff members have been successfully engaged to deliver the interventions, which can be integrated into pre-existing HIV service programs in community-based health care delivery sites. This manuscript describes the process of implementing the Partner Project, a couples HIV risk reduction intervention, and examines the ability of CHC staff to achieve risk reduction outcomes comparable to those of the highly-trained research staff.</p>
</sec>
<sec id="S2">
<title>Methods</title>
<p id="P2">The Partner Project was implemented within the HIV Counseling and Testing program in 6 urban community health clinics in Lusaka, Zambia. One hundred ninety seven HIV-seroconcordant and –discordant couples were sequentially enrolled to the control group or to receive the intervention from Partner research or CHC staff members. Couple members completed assessments on condom use, alcohol use, and intimate partner violence (IPV) at baseline, 6, and 12 months follow-up.</p>
</sec>
<sec id="S3">
<title>Results</title>
<p id="P3">Sexual barrier use outcomes achieved by the CHC staff were comparable to or better than those achieved by the Partner Project research staff, and both were superior to the control group. A reduction in IPV was observed for the entire sample, although no change in alcohol use was observed.</p>
</sec>
<sec id="S4">
<title>Conclusions</title>
<p id="P4">Implementation of HIV prevention interventions at the community level should take advantage of existing resources available within the CHC staff. This is especially relevant in resource limited settings as consideration of the financial and clinical requirements of intervention programs is essential to the achievement of successful program implementation.</p>
</sec>
</div>
</front>
</TEI>
<pmc article-type="research-article">
<pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<pmc-dir>properties manuscript</pmc-dir>
<front>
<journal-meta>
<journal-id journal-id-type="nlm-journal-id">7600747</journal-id>
<journal-id journal-id-type="pubmed-jr-id">4666</journal-id>
<journal-id journal-id-type="nlm-ta">J Community Health</journal-id>
<journal-id journal-id-type="iso-abbrev">J Community Health</journal-id>
<journal-title-group>
<journal-title>Journal of community health</journal-title>
</journal-title-group>
<issn pub-type="ppub">0094-5145</issn>
<issn pub-type="epub">1573-3610</issn>
</journal-meta>
<article-meta>
<article-id pub-id-type="pmid">23963855</article-id>
<article-id pub-id-type="pmc">3880645</article-id>
<article-id pub-id-type="doi">10.1007/s10900-013-9753-2</article-id>
<article-id pub-id-type="manuscript">NIHMS518502</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Article</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Implementation of HIV Prevention Interventions in Resource Limited Settings: the Partner Project</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Jones</surname>
<given-names>Deborah</given-names>
</name>
<degrees>PhD</degrees>
<role>Professor</role>
<xref ref-type="aff" rid="A1">a</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Weiss</surname>
<given-names>Stephen M.</given-names>
</name>
<degrees>PhD, MPH</degrees>
<role>Professor</role>
<xref ref-type="aff" rid="A1">a</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Arheart</surname>
<given-names>Kris</given-names>
</name>
<degrees>PhD</degrees>
<role>Associate Professor</role>
<xref ref-type="aff" rid="A1">a</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Cook</surname>
<given-names>Ryan</given-names>
</name>
<degrees>BA</degrees>
<role>Research Associate</role>
<xref ref-type="aff" rid="A1">a</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Chitalu</surname>
<given-names>Ndashi</given-names>
</name>
<degrees>MD, MPH</degrees>
<role>Honorary Lecturer</role>
<xref ref-type="aff" rid="A2">b</xref>
</contrib>
</contrib-group>
<aff id="A1">
<label>a</label>
University of Miami Miller School of Medicine</aff>
<aff id="A2">
<label>b</label>
University Teaching Hospital, University of Zambia School of Medicine</aff>
<author-notes>
<corresp id="FN1">Corresponding Author: Deborah Jones, PhD, Dept. of Psychiatry & Behavioral Sciences, 1400 NW 10
<sup>th</sup>
Ave. Suite 404A, Miami, FL 33136,
<email>djones@med.miami.edu</email>
, t:(305) 243-2041, f:(305)243-2126</corresp>
</author-notes>
<pub-date pub-type="nihms-submitted">
<day>25</day>
<month>9</month>
<year>2013</year>
</pub-date>
<pub-date pub-type="ppub">
<month>2</month>
<year>2014</year>
</pub-date>
<pub-date pub-type="pmc-release">
<day>01</day>
<month>2</month>
<year>2015</year>
</pub-date>
<volume>39</volume>
<issue>1</issue>
<fpage>151</fpage>
<lpage>158</lpage>
<pmc-comment>elocation-id from pubmed: 10.1007/s10900-013-9753-2</pmc-comment>
<abstract>
<sec id="S1">
<title>Introduction</title>
<p id="P1">Evidence-based HIV prevention interventions have been translated to a variety of contexts across sub-Saharan Africa. Non-specialized community health center (CHC) staff members have been successfully engaged to deliver the interventions, which can be integrated into pre-existing HIV service programs in community-based health care delivery sites. This manuscript describes the process of implementing the Partner Project, a couples HIV risk reduction intervention, and examines the ability of CHC staff to achieve risk reduction outcomes comparable to those of the highly-trained research staff.</p>
</sec>
<sec id="S2">
<title>Methods</title>
<p id="P2">The Partner Project was implemented within the HIV Counseling and Testing program in 6 urban community health clinics in Lusaka, Zambia. One hundred ninety seven HIV-seroconcordant and –discordant couples were sequentially enrolled to the control group or to receive the intervention from Partner research or CHC staff members. Couple members completed assessments on condom use, alcohol use, and intimate partner violence (IPV) at baseline, 6, and 12 months follow-up.</p>
</sec>
<sec id="S3">
<title>Results</title>
<p id="P3">Sexual barrier use outcomes achieved by the CHC staff were comparable to or better than those achieved by the Partner Project research staff, and both were superior to the control group. A reduction in IPV was observed for the entire sample, although no change in alcohol use was observed.</p>
</sec>
<sec id="S4">
<title>Conclusions</title>
<p id="P4">Implementation of HIV prevention interventions at the community level should take advantage of existing resources available within the CHC staff. This is especially relevant in resource limited settings as consideration of the financial and clinical requirements of intervention programs is essential to the achievement of successful program implementation.</p>
</sec>
</abstract>
<kwd-group>
<kwd>HIV</kwd>
<kwd>intervention</kwd>
<kwd>couples</kwd>
<kwd>translation</kwd>
<kwd>sexual risk reduction</kwd>
</kwd-group>
<funding-group>
<award-group>
<funding-source country="United States">National Institute of Child Health & Human Development : NICHD</funding-source>
<award-id>R01 HD058481 || HD</award-id>
</award-group>
</funding-group>
</article-meta>
</front>
</pmc>
</record>

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