Assessing the quality of HIV/AIDS services at military health facilities in Zambia.
Identifieur interne : 001221 ( PubMed/Checkpoint ); précédent : 001220; suivant : 001222Assessing the quality of HIV/AIDS services at military health facilities in Zambia.
Auteurs : Y M Kim [États-Unis] ; J. Banda ; C. Hiner ; M. Tholandi ; E. Bazant ; S. Sarkar ; A S A. Andrade ; C. MakwalaSource :
- International journal of STD & AIDS [ 1758-1052 ] ; 2013.
Descripteurs français
- KwdFr :
- Agents antiVIH (administration et posologie), Charge de travail, Enquêtes sur les soins de santé, Femelle, Grossesse, Humains, Hôpitaux militaires (normes), Infections à VIH (traitement médicamenteux), Installations militaires, Mâle, Personnel de santé, Prestations des soins de santé (normes), Prise en charge prénatale (normes), Qualité des soins de santé (normes), Services de santé maternelle (normes), Thérapie antirétrovirale hautement active, Transmission verticale de maladie infectieuse (), Zambie, Évaluation de programme.
- MESH :
- administration et posologie : Agents antiVIH.
- normes : Hôpitaux militaires, Prestations des soins de santé, Prise en charge prénatale, Qualité des soins de santé, Services de santé maternelle.
- traitement médicamenteux : Infections à VIH.
- Charge de travail, Enquêtes sur les soins de santé, Femelle, Grossesse, Humains, Installations militaires, Mâle, Personnel de santé, Thérapie antirétrovirale hautement active, Transmission verticale de maladie infectieuse, Zambie, Évaluation de programme.
- Wicri :
- geographic : Zambie.
English descriptors
- KwdEn :
- Anti-HIV Agents (administration & dosage), Antiretroviral Therapy, Highly Active, Delivery of Health Care (standards), Female, HIV Infections (drug therapy), Health Care Surveys, Health Personnel, Hospitals, Military (standards), Humans, Infectious Disease Transmission, Vertical (prevention & control), Male, Maternal Health Services (standards), Military Facilities, Pregnancy, Prenatal Care (standards), Program Evaluation, Quality of Health Care (standards), Workload, Zambia.
- MESH :
- chemical , administration & dosage : Anti-HIV Agents.
- geographic : Zambia.
- drug therapy : HIV Infections.
- prevention & control : Infectious Disease Transmission, Vertical.
- standards : Delivery of Health Care, Hospitals, Military, Maternal Health Services, Prenatal Care, Quality of Health Care.
- Antiretroviral Therapy, Highly Active, Female, Health Care Surveys, Health Personnel, Humans, Male, Military Facilities, Pregnancy, Program Evaluation, Workload.
Abstract
After rapidly scaling up HIV/AIDS-related health services, the Zambian Defence Force (ZDF) has become concerned with assuring their quality. This evaluation assesses provider performance at eight ZDF facilities based on direct observations of 191 antenatal care (ANC) consultations and 175 follow-up consultations for antiretroviral therapy (ART). In addition, 43 ZDF health providers were interviewed about the work environment and service quality. On-the-job performance varied widely: providers completed as few as 0% and as many as 100% of tasks associated with each performance standard. Overall scores averaged 66% (range: 47-93%) for ANC consultations and 60% (range: 37-100%) for ART consultations. Perceptions of the work environment were generally positive, but 57% of providers lack confidence in their clinical skills and 42% think staffing is insufficient. These findings, which point to the unique opportunities and challenges in the military setting, will be used to guide a quality improvement initiative.
DOI: 10.1177/0956462412472811
PubMed: 23970703
Affiliations:
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Makwala</name></author></analytic><series><title level="j">International journal of STD & AIDS</title><idno type="eISSN">1758-1052</idno><imprint><date when="2013" type="published">2013</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Anti-HIV Agents (administration & dosage)</term><term>Antiretroviral Therapy, Highly Active</term><term>Delivery of Health Care (standards)</term><term>Female</term><term>HIV Infections (drug therapy)</term><term>Health Care Surveys</term><term>Health Personnel</term><term>Hospitals, Military (standards)</term><term>Humans</term><term>Infectious Disease Transmission, Vertical (prevention & control)</term><term>Male</term><term>Maternal Health Services (standards)</term><term>Military Facilities</term><term>Pregnancy</term><term>Prenatal Care (standards)</term><term>Program Evaluation</term><term>Quality of Health Care (standards)</term><term>Workload</term><term>Zambia</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Agents antiVIH (administration et posologie)</term><term>Charge de travail</term><term>Enquêtes sur les soins de santé</term><term>Femelle</term><term>Grossesse</term><term>Humains</term><term>Hôpitaux militaires (normes)</term><term>Infections à VIH (traitement médicamenteux)</term><term>Installations militaires</term><term>Mâle</term><term>Personnel de santé</term><term>Prestations des soins de santé (normes)</term><term>Prise en charge prénatale (normes)</term><term>Qualité des soins de santé (normes)</term><term>Services de santé maternelle (normes)</term><term>Thérapie antirétrovirale hautement active</term><term>Transmission verticale de maladie infectieuse ()</term><term>Zambie</term><term>Évaluation de programme</term></keywords><keywords scheme="MESH" type="chemical" qualifier="administration & dosage" xml:lang="en"><term>Anti-HIV Agents</term></keywords><keywords scheme="MESH" type="geographic" xml:lang="en"><term>Zambia</term></keywords><keywords scheme="MESH" qualifier="administration et posologie" xml:lang="fr"><term>Agents antiVIH</term></keywords><keywords scheme="MESH" qualifier="drug therapy" xml:lang="en"><term>HIV Infections</term></keywords><keywords scheme="MESH" qualifier="normes" xml:lang="fr"><term>Hôpitaux militaires</term><term>Prestations des soins de santé</term><term>Prise en charge prénatale</term><term>Qualité des soins de santé</term><term>Services de santé maternelle</term></keywords><keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Infectious Disease Transmission, Vertical</term></keywords><keywords scheme="MESH" qualifier="standards" xml:lang="en"><term>Delivery of Health Care</term><term>Hospitals, Military</term><term>Maternal Health Services</term><term>Prenatal Care</term><term>Quality of Health Care</term></keywords><keywords scheme="MESH" qualifier="traitement médicamenteux" xml:lang="fr"><term>Infections à VIH</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Antiretroviral Therapy, Highly Active</term><term>Female</term><term>Health Care Surveys</term><term>Health Personnel</term><term>Humans</term><term>Male</term><term>Military Facilities</term><term>Pregnancy</term><term>Program Evaluation</term><term>Workload</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Charge de travail</term><term>Enquêtes sur les soins de santé</term><term>Femelle</term><term>Grossesse</term><term>Humains</term><term>Installations militaires</term><term>Mâle</term><term>Personnel de santé</term><term>Thérapie antirétrovirale hautement active</term><term>Transmission verticale de maladie infectieuse</term><term>Zambie</term><term>Évaluation de programme</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Zambie</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">After rapidly scaling up HIV/AIDS-related health services, the Zambian Defence Force (ZDF) has become concerned with assuring their quality. This evaluation assesses provider performance at eight ZDF facilities based on direct observations of 191 antenatal care (ANC) consultations and 175 follow-up consultations for antiretroviral therapy (ART). In addition, 43 ZDF health providers were interviewed about the work environment and service quality. On-the-job performance varied widely: providers completed as few as 0% and as many as 100% of tasks associated with each performance standard. Overall scores averaged 66% (range: 47-93%) for ANC consultations and 60% (range: 37-100%) for ART consultations. Perceptions of the work environment were generally positive, but 57% of providers lack confidence in their clinical skills and 42% think staffing is insufficient. These findings, which point to the unique opportunities and challenges in the military setting, will be used to guide a quality improvement initiative.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">23970703</PMID><DateCreated><Year>2013</Year><Month>08</Month><Day>23</Day></DateCreated><DateCompleted><Year>2014</Year><Month>02</Month><Day>12</Day></DateCompleted><DateRevised><Year>2013</Year><Month>08</Month><Day>23</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1758-1052</ISSN><JournalIssue CitedMedium="Internet"><Volume>24</Volume><Issue>5</Issue><PubDate><Year>2013</Year><Month>May</Month></PubDate></JournalIssue><Title>International journal of STD & AIDS</Title><ISOAbbreviation>Int J STD AIDS</ISOAbbreviation></Journal><ArticleTitle>Assessing the quality of HIV/AIDS services at military health facilities in Zambia.</ArticleTitle><Pagination><MedlinePgn>365-70</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1177/0956462412472811</ELocationID><Abstract><AbstractText>After rapidly scaling up HIV/AIDS-related health services, the Zambian Defence Force (ZDF) has become concerned with assuring their quality. This evaluation assesses provider performance at eight ZDF facilities based on direct observations of 191 antenatal care (ANC) consultations and 175 follow-up consultations for antiretroviral therapy (ART). In addition, 43 ZDF health providers were interviewed about the work environment and service quality. On-the-job performance varied widely: providers completed as few as 0% and as many as 100% of tasks associated with each performance standard. Overall scores averaged 66% (range: 47-93%) for ANC consultations and 60% (range: 37-100%) for ART consultations. Perceptions of the work environment were generally positive, but 57% of providers lack confidence in their clinical skills and 42% think staffing is insufficient. These findings, which point to the unique opportunities and challenges in the military setting, will be used to guide a quality improvement initiative.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Kim</LastName><ForeName>Y M</ForeName><Initials>YM</Initials><AffiliationInfo><Affiliation>Jhpiego/USA, an affiliate of Johns Hopkins University, 1615 Thames Street, Baltimore MD 21231, USA. ymkim@jhpiego.net</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Banda</LastName><ForeName>J</ForeName><Initials>J</Initials></Author><Author ValidYN="Y"><LastName>Hiner</LastName><ForeName>C</ForeName><Initials>C</Initials></Author><Author ValidYN="Y"><LastName>Tholandi</LastName><ForeName>M</ForeName><Initials>M</Initials></Author><Author ValidYN="Y"><LastName>Bazant</LastName><ForeName>E</ForeName><Initials>E</Initials></Author><Author ValidYN="Y"><LastName>Sarkar</LastName><ForeName>S</ForeName><Initials>S</Initials></Author><Author ValidYN="Y"><LastName>Andrade</LastName><ForeName>A S A</ForeName><Initials>AS</Initials></Author><Author ValidYN="Y"><LastName>Makwala</LastName><ForeName>C</ForeName><Initials>C</Initials></Author></AuthorList><Language>eng</Language><GrantList CompleteYN="Y"><Grant><Agency>PEPFAR</Agency><Country>United States</Country></Grant></GrantList><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2013</Year><Month>06</Month><Day>14</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>Int J STD AIDS</MedlineTA><NlmUniqueID>9007917</NlmUniqueID><ISSNLinking>0956-4624</ISSNLinking></MedlineJournalInfo><ChemicalList><Chemical><RegistryNumber>0</RegistryNumber><NameOfSubstance UI="D019380">Anti-HIV Agents</NameOfSubstance></Chemical></ChemicalList><CitationSubset>IM</CitationSubset><CitationSubset>X</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName 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MajorTopicYN="N">military</Keyword><Keyword MajorTopicYN="N">performance assessment</Keyword><Keyword MajorTopicYN="N">quality improvement</Keyword><Keyword MajorTopicYN="N">standards</Keyword><Keyword MajorTopicYN="N">work environment</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2013</Year><Month>8</Month><Day>24</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2013</Year><Month>8</Month><Day>24</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2014</Year><Month>2</Month><Day>13</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">23970703</ArticleId><ArticleId IdType="pii">0956462412472811</ArticleId><ArticleId IdType="doi">10.1177/0956462412472811</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>États-Unis</li></country></list><tree><noCountry><name sortKey="Andrade, A S A" sort="Andrade, A S A" uniqKey="Andrade A" first="A S A" last="Andrade">A S A. Andrade</name><name sortKey="Banda, J" sort="Banda, J" uniqKey="Banda J" first="J" last="Banda">J. Banda</name><name sortKey="Bazant, E" sort="Bazant, E" uniqKey="Bazant E" first="E" last="Bazant">E. Bazant</name><name sortKey="Hiner, C" sort="Hiner, C" uniqKey="Hiner C" first="C" last="Hiner">C. Hiner</name><name sortKey="Makwala, C" sort="Makwala, C" uniqKey="Makwala C" first="C" last="Makwala">C. Makwala</name><name sortKey="Sarkar, S" sort="Sarkar, S" uniqKey="Sarkar S" first="S" last="Sarkar">S. Sarkar</name><name sortKey="Tholandi, M" sort="Tholandi, M" uniqKey="Tholandi M" first="M" last="Tholandi">M. Tholandi</name></noCountry><country name="États-Unis"><noRegion><name sortKey="Kim, Y M" sort="Kim, Y M" uniqKey="Kim Y" first="Y M" last="Kim">Y M Kim</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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