Public-sector ART in the Free State Province, South Africa: Community support as an important determinant of outcome

Wouters, Edwin; Damme, Wim Van; Loon, Francis Van; Rensburg, Dingie van; Meulemans, Herman

doi:10.1016/j.socscimed.2009.07.034

Cited by 98 publications

(119 citation statements)

References 43 publications

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“…A further seven repo rts 26,27,43,44,47,53,55 described outcomes using two or more thresholds of viral suppression. The data from another two papers 24,25 were combined to obtain an estimate of viral suppression in a single cohort. The 48 cohorts in the systematic review comprised 43 single-country cohorts -37 from sub-Saharan Africa, 3 from Asia and 3 from Latin America or the Caribbean -and 5 multi-country cohorts (of which 4 were from subSaharan Africa).…”

Section: Resultsmentioning

confidence: 99%

“…Individuals were reported to have transferred out of only six cohorts included in the review and, in each case, such individuals were excluded from the intention-to-treat estimate of viral suppression. 21,24,25,38,46,48,49 However, only two of the reports included in the review specifically stated that no patient had transferred out. 44,53 For the other 19 cohorts with intentionto-treat estimates of viral suppression, no data on transfers out were presented.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Viral suppression after 12 months of antiretroviral therapy in low- and middle-income countries: a systematic review

McMahon

Elliott

Bertagnolio

et al. 2013

Bull. World Health Organ.

121

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Viral suppression after 12 months of antiretroviral therapy in low- and middle-income countries: a systematic review

McMahon

Elliott

Bertagnolio

et al. 2013

Bull. World Health Organ.

121

View full text Add to dashboard Cite

“…Awareness of the need for more human resources in sub-Saharan Africa became heightened following the emergence of HIV and the availability of ART services (10,108,156 …”

Section: Achievement Of Universal Access To Hiv/aids Treatment For Almentioning

confidence: 99%

“…In many countries, lack of human resources for health care is, along with funding, the central barrier to attaining universal access to and coverage of HIV services (10,156). CHWs have been identified as a key resource for increasing health system access (107,157).…”

Section: Achievement Of Universal Access To Hiv/aids Treatment For Almentioning

confidence: 99%

Community Health Workers in Low-, Middle-, and High-Income Countries: An Overview of Their History, Recent Evolution, and Current Effectiveness

Perry

Zulliger

Rogers

2014

Annu. Rev. Public Health

637

644

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Over the past half-century, community health workers (CHWs) have been a growing force for extending health care and improving the health of populations. Following their introduction in the 1970s, many large-scale CHW programs declined during the 1980s, but CHW programs throughout the world more recently have seen marked growth. Research and evaluations conducted predominantly during the past two decades offer compelling evidence that CHWs are critical for helping health systems achieve their potential, regardless of a country's level of development. In low-income countries, CHWs can make major improvements in health priority areas, including reducing childhood undernutrition, improving maternal and child health, expanding access to family-planning services, and contributing to the control of HIV, malaria, and tuberculosis infections. In many middle-income countries, most notably Brazil, CHWs are key members of the health team and essential for the provision of primary health care and health promotion. In the United States, evidence indicates that CHWs can contribute to reducing the disease burden by participating in the management of hypertension, in the reduction of cardiovascular risk factors, in diabetes control, in the management of HIV infection, and in cancer screening, particularly with hard-to-reach subpopulations. This review highlights the history of CHW programs around the world and their growing importance in achieving health for all.

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“…35 Data from a study from Free State Province, South Africa, showed that the availability of treatment buddies, CHWs and support groups was the most important predictor of treatment success (assessed by CD4 cell count and viral load) throughout the fi rst two years of treatment. 36 CHWs are also gaining support in managing other communicable diseases such as malaria and tuberculosis. For example, rapid diagnostic tests for malaria were accepted and easily used by CHWs in Lusaka Province, Zambia in 2006, resulting in timely detection and the avoidance of overtreatment.…”

Section: Recent Chw Experiencementioning

confidence: 99%

Workforce Resources for Health in Developing Countries

Bangdiwala

Fonn

Okoye³

et al. 2010

Public Health Rev

107

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With increased globalization and interdependence among countries, sustained health worker migration and the complex threats of rapidly spreading infectious diseases, as well as changing lifestyles, a strong health workforce is essential. Building the human resources for health should not only include healthcare professionals like physicians and nurses, but must take into consideration community health workers, mid-level workers and strengthened primary healthcare systems to increase coverage and address the basic health needs of societies. This is especially true in low and middle-income countries where healthcare access is a critical challenge.There is a global crisis in the health workforce, expressed in acute shortages and maldistribution of health workers, geographically and professionally. This massive global shortage, though imprecise quantitatively, is estimated at more than 4 million workers. To respond to this crisis, policies and actions are needed to address the dynamics of the health labour market and the production and management of the health workforce, and to strengthen the performance of existing health systems. Schools of public health need to develop the range of capacity and leadership in addition to the traditional training of healthcare managers and researchers. Countries should fi rst identify their health problems in order to properly address their health worker needs, retention, recruitment and training, if they are to come close to reaching the Millennium Development Goals (MDGs) for health.

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Public-sector ART in the Free State Province, South Africa: Community support as an important determinant of outcome

Cited by 98 publications

References 43 publications

Viral suppression after 12 months of antiretroviral therapy in low- and middle-income countries: a systematic review

Viral suppression after 12 months of antiretroviral therapy in low- and middle-income countries: a systematic review

Community Health Workers in Low-, Middle-, and High-Income Countries: An Overview of Their History, Recent Evolution, and Current Effectiveness

Workforce Resources for Health in Developing Countries

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