The Relationship of Repeated Technical Assistance Support Visits to the Delivery of Positive Health, Dignity, and Prevention (PHDP) Messages by Healthcare Providers in Mozambique: A Longitudinal Multilevel Analysis
Background: Positive health, dignity, and prevention (PHDP) is Mozambique’s strategy to engage clinicians in the delivery of prevention messages to their HIV-positive clients. This national implementation strategy uses provider trainings on offering key messages and focuses on intervening on 9 evide...
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2017-09-01
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| Series: | Journal of the International Association of Providers of AIDS Care |
| Online Access: | https://doi.org/10.1177/2325957417724206 |
| _version_ | 1818580490357047296 |
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| author | Sarah A. Gutin MPH K. Rivet Amico PhD Elsa Hunguana António Orlando Munguambe Carol Dawson Rose PhD |
| author_facet | Sarah A. Gutin MPH K. Rivet Amico PhD Elsa Hunguana António Orlando Munguambe Carol Dawson Rose PhD |
| author_sort | Sarah A. Gutin MPH |
| collection | DOAJ |
| description | Background: Positive health, dignity, and prevention (PHDP) is Mozambique’s strategy to engage clinicians in the delivery of prevention messages to their HIV-positive clients. This national implementation strategy uses provider trainings on offering key messages and focuses on intervening on 9 evidence-based risk reduction areas. We investigated the impact of longitudinal technical assistance (TA) as an addition to this basic training. Methods: We followed 153 healthcare providers in 5 Mozambican provinces over 6 months to evaluate the impact of on-site, observation-based TA on PHDP implementation. Longitudinal multilevel models were estimated to model change in PHDP message delivery over time among individual providers. Results: With each additional TA visit, providers delivered about 1 additional PHDP message ( P < .001); clinicians and nonclinicians started at about the same baseline level, but clinicians improved more quickly ( P = .004). Message delivery varied by practice sector; maternal and child health sectors outperformed other sectors. Conclusion: Longitudinal TA helped reach the programmatic goals of the PHDP program in Mozambique. |
| first_indexed | 2024-12-16T07:18:25Z |
| format | Article |
| id | doaj.art-7866c5562a57431eb0a5ec56ad665051 |
| institution | Directory Open Access Journal |
| issn | 2325-9582 |
| language | English |
| last_indexed | 2024-12-16T07:18:25Z |
| publishDate | 2017-09-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Journal of the International Association of Providers of AIDS Care |
| spelling | doaj.art-7866c5562a57431eb0a5ec56ad6650512022-12-21T22:39:42ZengSAGE PublishingJournal of the International Association of Providers of AIDS Care2325-95822017-09-011610.1177/2325957417724206The Relationship of Repeated Technical Assistance Support Visits to the Delivery of Positive Health, Dignity, and Prevention (PHDP) Messages by Healthcare Providers in Mozambique: A Longitudinal Multilevel AnalysisSarah A. Gutin MPH0K. Rivet Amico PhD1Elsa Hunguana2António Orlando Munguambe3Carol Dawson Rose PhD4 Department of Community Health Systems, School of Nursing, University of California, San Francisco, CA, USA Department of Health Behavior and Health Education, School of Public Health, University of Michigan, Ann Arbor, MI, USA I-TECH Mozambique, Maputo, Mozambique I-TECH Mozambique, Maputo, Mozambique Department of Community Health Systems, School of Nursing, University of California, San Francisco, CA, USABackground: Positive health, dignity, and prevention (PHDP) is Mozambique’s strategy to engage clinicians in the delivery of prevention messages to their HIV-positive clients. This national implementation strategy uses provider trainings on offering key messages and focuses on intervening on 9 evidence-based risk reduction areas. We investigated the impact of longitudinal technical assistance (TA) as an addition to this basic training. Methods: We followed 153 healthcare providers in 5 Mozambican provinces over 6 months to evaluate the impact of on-site, observation-based TA on PHDP implementation. Longitudinal multilevel models were estimated to model change in PHDP message delivery over time among individual providers. Results: With each additional TA visit, providers delivered about 1 additional PHDP message ( P < .001); clinicians and nonclinicians started at about the same baseline level, but clinicians improved more quickly ( P = .004). Message delivery varied by practice sector; maternal and child health sectors outperformed other sectors. Conclusion: Longitudinal TA helped reach the programmatic goals of the PHDP program in Mozambique.https://doi.org/10.1177/2325957417724206 |
| spellingShingle | Sarah A. Gutin MPH K. Rivet Amico PhD Elsa Hunguana António Orlando Munguambe Carol Dawson Rose PhD The Relationship of Repeated Technical Assistance Support Visits to the Delivery of Positive Health, Dignity, and Prevention (PHDP) Messages by Healthcare Providers in Mozambique: A Longitudinal Multilevel Analysis Journal of the International Association of Providers of AIDS Care |
| title | The Relationship of Repeated Technical Assistance Support Visits to the Delivery of Positive Health, Dignity, and Prevention (PHDP) Messages by Healthcare Providers in Mozambique: A Longitudinal Multilevel Analysis |
| title_full | The Relationship of Repeated Technical Assistance Support Visits to the Delivery of Positive Health, Dignity, and Prevention (PHDP) Messages by Healthcare Providers in Mozambique: A Longitudinal Multilevel Analysis |
| title_fullStr | The Relationship of Repeated Technical Assistance Support Visits to the Delivery of Positive Health, Dignity, and Prevention (PHDP) Messages by Healthcare Providers in Mozambique: A Longitudinal Multilevel Analysis |
| title_full_unstemmed | The Relationship of Repeated Technical Assistance Support Visits to the Delivery of Positive Health, Dignity, and Prevention (PHDP) Messages by Healthcare Providers in Mozambique: A Longitudinal Multilevel Analysis |
| title_short | The Relationship of Repeated Technical Assistance Support Visits to the Delivery of Positive Health, Dignity, and Prevention (PHDP) Messages by Healthcare Providers in Mozambique: A Longitudinal Multilevel Analysis |
| title_sort | relationship of repeated technical assistance support visits to the delivery of positive health dignity and prevention phdp messages by healthcare providers in mozambique a longitudinal multilevel analysis |
| url | https://doi.org/10.1177/2325957417724206 |
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