对改善儿童和青少年艾滋病治疗效果的干预措施进行过程评估。

IF 1.3 Q4 RESPIRATORY SYSTEM Public Health Action Pub Date : 2022-09-21 DOI:10.5588/pha.22.0009
M Seguin, S Dringus, S Chiomvu, T Apollo, E Sibanda, V Simms, S Bernays, R Chikodzore, N Redzo, P Mlilo, L Ndlovu, P Nzombe, B Ncube, K Kranzer, R Abbas Ferrand, C D Chikwari
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引用次数: 0

摘要

环境:感染艾滋病病毒的儿童和青少年在开始和坚持抗逆转录病毒疗法(ART)方面遇到了挑战。社区卫生工作者(CHWs)为新诊断出感染艾滋病病毒的儿童和青少年提供了一项基于社区的支持性干预措施,即有组织的家访,旨在改善启动、坚持和治疗情况:目的:1)描述干预措施的实施情况;2)探讨社区保健员、护理人员和青少年对干预措施的看法;3)确定实施的障碍和促进因素;4)确定艾滋病毒确诊后 12 个月的治疗结果:设计:我们采用了以下方法1) 对 5 名青少年、11 名照顾者和 6 名儿童保健工作者进行的半结构式访谈(n = 22);2) 28 份儿童保健工作者实地手册;3) 研究参与者的定量数据(人口统计学信息和 HIV 临床结果):结果:41 名儿童至少接受了部分干预。在接受病毒载量检测的儿童中,有 26 人(n = 32,81.3%)的病毒得到抑制。受访者认为,干预有助于坚持抗逆转录病毒疗法,并能增强心理健康。社区保健工作者和家庭之间的便利和融洽关系是实施干预的有利因素。而污名化、寻找参与者方面的挑战以及社区保健员资源不足则是障碍:这项干预措施有助于支持青少年和儿童坚持接受艾滋病治疗。促进因素和障碍可能有助于制定未来的干预措施。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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Process evaluation of an intervention to improve HIV treatment outcomes among children and adolescents.

Setting: Children and adolescents with HIV encounter challenges in initiation and adherence to antiretroviral therapy (ART). A community-based support intervention of structured home visits, aimed at improving initiation, adherence and treatment, was delivered by community health workers (CHWs) to children and adolescents newly diagnosed with HIV.

Objectives: To 1) describe intervention delivery, 2) explore CHW, caregiver and adolescents' perceptions of the intervention, 3) identify barriers and facilitators to implementation, and 4) ascertain treatment outcomes at 12 months' post-HIV diagnosis.

Design: We drew upon: 1) semi-structured interviews (n = 22) with 5 adolescents, 11 caregivers and 6 CHWs, 2) 28 CHW field manuals, and 3) quantitative data for study participants (demographic information and HIV clinical outcomes).

Results: Forty-one children received at least a part of the intervention. Of those whose viral load was tested, 26 (n = 32, 81.3%) were virally suppressed. Interviewees felt that the intervention supported ART adherence and strengthened mental health. Facilitators to intervention delivery were convenience and rapport between CHWs and families. Stigma, challenges in locating participants and inadequate resources for CHWs were barriers.

Conclusion: This intervention was helpful in supporting HIV treatment adherence among adolescents and children. Facilitators and barriers may be useful in developing future interventions.

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来源期刊
Public Health Action
Public Health Action RESPIRATORY SYSTEM-
自引率
0.00%
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29
期刊介绍: Launched on 1 May 2011, Public Health Action (PHA) is an official publication of the International Union Against Tuberculosis and Lung Disease (The Union). It is an open access, online journal available world-wide to physicians, health workers, researchers, professors, students and decision-makers, including public health centres, medical, university and pharmaceutical libraries, hospitals, clinics, foundations and institutions. PHA is a peer-reviewed scholarly journal that actively encourages, communicates and reports new knowledge, dialogue and controversy in health systems and services for people in vulnerable and resource-limited communities — all topics that reflect the mission of The Union, Health solutions for the poor.
期刊最新文献
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