Human resources requirements for highly active antiretroviral therapy scale-up in Malawi

Muula, Adamson S; Chipeta, John; Siziya, Seter; Rudatsikira, Emmanuel; Mataya, Ronald; Kataika, Edward

doi:10.1186/1472-6963-7-208

Cited by 38 publications

(35 citation statements)

References 25 publications

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“…12 One of the reasons why patients had to wait for a long time is that there is a large number of HIV patients attending the clinics while few doctors are employed to provide the services. Lack of human resources has been shown to be an important obstacle affecting health care service provision 11,13 .…”

Section: Discussionmentioning

confidence: 99%

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Patient satisfaction with health care services provided at HIV clinics at Amana and Muhimbili hospitals in Dar es Salaam

Kagashe¹,

Rwebangila²

2011

Af Hlth Sci

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Section: Discussionmentioning

confidence: 99%

“…doctors, nurses, laboratory and pharmacy services. 7,8,9 The general physical appearance of the clinic as well as the general environment of the premises also influences the overall satisfaction of the patient. 10 Length of waiting time before seeing the doctor has also been shown to influence patient satisfaction.…”

Section: Introductionmentioning

confidence: 99%

Patient satisfaction with health care services provided at HIV clinics at Amana and Muhimbili hospitals in Dar es Salaam

Kagashe¹,

Rwebangila²

2011

Af Hlth Sci

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“…1 HIV care and treatment programs in resource-limited settings are constrained in their capacity to provide antiretroviral therapy to all individuals who may need it. [2][3][4][5] In addition, as treatment rollout continues in resource-limited settings, viral resistance to the limited available therapy will become an increasing problem, [6][7][8][9][10] further underscoring the need for effective HIV prevention. Although some efforts, including condom use and reduction in the number of sexual partners, have provided meaningful results in terms of HIV prevention, there are limited data in the prevention literature to support long-term behavioral change.…”

Section: Introductionmentioning

confidence: 99%

Safety and Immunogenicity of the MRKAd5 gag HIV Type 1 Vaccine in a Worldwide Phase 1 Study of Healthy Adults

Nicholson

DiCandilo

Kublin

et al. 2011

AIDS Research and Human Retroviruses

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The safety and immunogenicity of the MRK adenovirus type 5 (Ad5) HIV-1 clade B gag vaccine was assessed in an international Phase I trial. Three-hundred and sixty healthy HIV-uninfected adults were enrolled on five continents. Subjects received placebo or 1Â10 9 or 1Â10 10 viral particles (vp) per dose of the MRKAd5 HIV-1 gag vaccine at day 1, week 4, and week 26. Immunogenicity was evaluated using an IFN-g ELISPOT gag 15-mer assay with positive responses defined as !55 SFC/10 6 PBMCs and !4-fold over mock control. The vaccine was well tolerated. The most common adverse events were injection site reactions, headache, pyrexia, diarrhea, fatigue, and myalgia. At week 30, geometric mean ELISPOT responses were 24, 114, and 226 SFC/10 6 PBMCs in the placebo, 1Â10 9 vp/dose, and 1Â10 10 vp/dose groups, respectively. Overall, responses to 1Â10 10 vp were 85% and 68% in subjects with low ( 200) and high (>200) baseline Ad5 titers, respectively. The MRKAd5 HIV-1 gag vaccine was immunogenic in diverse geographic regions. Gag ELISPOT responses were greater in the 1Â10 10 vp/dose groups than in the 1Â10 9 vp/dose groups. Data from this first international study indicate that adenovirus-vectored vaccines are well tolerated and may be immunogenic in subjects from regions with high prevalence of preexisting Ad5 immunity.

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“…A number of factors have been shown to influence clients' satisfaction with health care services including clients' socio-demographic characters, physical appearance of the hospital, general environment of the premises, clients' personal understanding and expectations from various health care services (Muula et al, 2007;Tsasis et al, 2002;Muhondwa et al, 2008).…”

Section: Introductionmentioning

confidence: 99%

Health care providers satisfaction with the clinical laboratory service of Nekemte Referral Hospital, Western Ethiopia

Ejeta¹,

Tadele²,

Desalegn³

et al. 2015

Int. J. Med. Med. Sci.

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The objective of this study was to assess health care providers' satisfaction with the service provided by the clinical laboratory personnel at Nekemte Referral Hospital, Western Ethiopia to determine the level of satisfaction of health care providers on clinical laboratory services. A cross sectional study was conducted from March to April, 2014 at Nekemte Referral Hospital. The data was collected from 105 randomly selected health professionals. The collected data was analysed using Statistical Package for Social Sciences (SPSS) version 20 statistical software. Bivariate and multivariate logistic regression analyses were used to assess the association between treatment outcomes and predictor variables. The overall satisfaction for all health care professionals on clinical laboratory services was 62.86%, while specific professional level of satisfaction was 51.2% for nurses, 65.0% for physicians, 75.0% for health officer (Assistant physician) and 85.7% for midwifes. Lack of adequacy of laboratory materials, absence of a timely report of critical values, lack of getting urgent results on time, and inadequacy of test menu on laboratory request forms were areas mentioned as sources of dissatisfaction. The overall degree of customers' satisfaction with laboratory services was good. But the study showed room for improvement. In addition to taking intervention, the root causes of dissatisfaction need to be investigated and means of improving the satisfaction level should be designed and implemented.

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Human resources requirements for highly active antiretroviral therapy scale-up in Malawi

Cited by 38 publications

References 25 publications

Patient satisfaction with health care services provided at HIV clinics at Amana and Muhimbili hospitals in Dar es Salaam

Patient satisfaction with health care services provided at HIV clinics at Amana and Muhimbili hospitals in Dar es Salaam

Safety and Immunogenicity of the MRKAd5 gag HIV Type 1 Vaccine in a Worldwide Phase 1 Study of Healthy Adults

Health care providers satisfaction with the clinical laboratory service of Nekemte Referral Hospital, Western Ethiopia

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