An assessment of the Zimbabwe ministry of health and child welfare provider initiated HIV testing and counselling programme
<p>Abstract</p> <p>Background</p> <p>Provider-initiated HIV testing and counselling (PITC) is widely recommended to ensure timely treatment of HIV. The Zimbabwe Ministry of Health introduced PITC in 2007. We aimed to evaluate institutional capacity to implement PITC and...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
BMC
2012-05-01
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| Series: | BMC Health Services Research |
| Online Access: | http://www.biomedcentral.com/1472-6963/12/131 |
| _version_ | 1818824824783372288 |
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| author | Sibanda Euphemia L Hatzold Karin Mugurungi Owen Ncube Getrude Dupwa Beatrice Siraha Pester Madyira Lydia K Mangwiro Alexio Bhattacharya Gaurav Cowan Frances M |
| author_facet | Sibanda Euphemia L Hatzold Karin Mugurungi Owen Ncube Getrude Dupwa Beatrice Siraha Pester Madyira Lydia K Mangwiro Alexio Bhattacharya Gaurav Cowan Frances M |
| author_sort | Sibanda Euphemia L |
| collection | DOAJ |
| description | <p>Abstract</p> <p>Background</p> <p>Provider-initiated HIV testing and counselling (PITC) is widely recommended to ensure timely treatment of HIV. The Zimbabwe Ministry of Health introduced PITC in 2007. We aimed to evaluate institutional capacity to implement PITC and investigate patient and health care worker (HCW) perceptions of the PITC programme.</p> <p>Methods</p> <p>Purposive selection of health care institutions was conducted among those providing PITC. Study procedures included 1) assessment of implementation procedures and institutional capacity using a semi-structured questionnaire; 2) in-depth interviews with patients who had been offered HIV testing to explore perceptions of PITC, 3) Focus group discussions with HCW to explore views on PITC. Qualitative data was analysed according to Framework Analysis.</p> <p>Results</p> <p>Sixteen health care institutions were selected (two central, two provincial, six district hospitals; and six primary care clinics). All institutions at least offered PITC in part. The main challenges which prevented optimum implementation were shortages of staff trained in PITC, HIV rapid testing and counselling; shortages of appropriate counselling space, and, at the time of assessment, shortages of HIV test kits. Both health care workers and patients embraced PITC because they had noticed that it had saved lives through early detection and treatment of HIV. Although health care workers reported an increase in workload as a result of PITC, they felt this was offset by the reduced number of HIV-related admissions and satisfaction of working with healthier clients.</p> <p>Conclusion</p> <p>PITC has been embraced by patients and health care workers as a life-saving intervention. There is need to address shortages in material, human and structural resources to ensure optimum implementation.</p> |
| first_indexed | 2024-12-19T00:02:01Z |
| format | Article |
| id | doaj.art-2c3f63a01230452a8415946819816eb2 |
| institution | Directory Open Access Journal |
| issn | 1472-6963 |
| language | English |
| last_indexed | 2024-12-19T00:02:01Z |
| publishDate | 2012-05-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Health Services Research |
| spelling | doaj.art-2c3f63a01230452a8415946819816eb22022-12-21T20:46:26ZengBMCBMC Health Services Research1472-69632012-05-0112113110.1186/1472-6963-12-131An assessment of the Zimbabwe ministry of health and child welfare provider initiated HIV testing and counselling programmeSibanda Euphemia LHatzold KarinMugurungi OwenNcube GetrudeDupwa BeatriceSiraha PesterMadyira Lydia KMangwiro AlexioBhattacharya GauravCowan Frances M<p>Abstract</p> <p>Background</p> <p>Provider-initiated HIV testing and counselling (PITC) is widely recommended to ensure timely treatment of HIV. The Zimbabwe Ministry of Health introduced PITC in 2007. We aimed to evaluate institutional capacity to implement PITC and investigate patient and health care worker (HCW) perceptions of the PITC programme.</p> <p>Methods</p> <p>Purposive selection of health care institutions was conducted among those providing PITC. Study procedures included 1) assessment of implementation procedures and institutional capacity using a semi-structured questionnaire; 2) in-depth interviews with patients who had been offered HIV testing to explore perceptions of PITC, 3) Focus group discussions with HCW to explore views on PITC. Qualitative data was analysed according to Framework Analysis.</p> <p>Results</p> <p>Sixteen health care institutions were selected (two central, two provincial, six district hospitals; and six primary care clinics). All institutions at least offered PITC in part. The main challenges which prevented optimum implementation were shortages of staff trained in PITC, HIV rapid testing and counselling; shortages of appropriate counselling space, and, at the time of assessment, shortages of HIV test kits. Both health care workers and patients embraced PITC because they had noticed that it had saved lives through early detection and treatment of HIV. Although health care workers reported an increase in workload as a result of PITC, they felt this was offset by the reduced number of HIV-related admissions and satisfaction of working with healthier clients.</p> <p>Conclusion</p> <p>PITC has been embraced by patients and health care workers as a life-saving intervention. There is need to address shortages in material, human and structural resources to ensure optimum implementation.</p>http://www.biomedcentral.com/1472-6963/12/131 |
| spellingShingle | Sibanda Euphemia L Hatzold Karin Mugurungi Owen Ncube Getrude Dupwa Beatrice Siraha Pester Madyira Lydia K Mangwiro Alexio Bhattacharya Gaurav Cowan Frances M An assessment of the Zimbabwe ministry of health and child welfare provider initiated HIV testing and counselling programme BMC Health Services Research |
| title | An assessment of the Zimbabwe ministry of health and child welfare provider initiated HIV testing and counselling programme |
| title_full | An assessment of the Zimbabwe ministry of health and child welfare provider initiated HIV testing and counselling programme |
| title_fullStr | An assessment of the Zimbabwe ministry of health and child welfare provider initiated HIV testing and counselling programme |
| title_full_unstemmed | An assessment of the Zimbabwe ministry of health and child welfare provider initiated HIV testing and counselling programme |
| title_short | An assessment of the Zimbabwe ministry of health and child welfare provider initiated HIV testing and counselling programme |
| title_sort | assessment of the zimbabwe ministry of health and child welfare provider initiated hiv testing and counselling programme |
| url | http://www.biomedcentral.com/1472-6963/12/131 |
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