Building HIV healthcare worker capacity through telehealth in Vietnam.

Autor:	Pollack TM; The Partnership for Health Advancement in Vietnam, Beth Israel Deaconess Medical Center, Hanoi, Vietnam.; Department of Medicine, Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA., Nhung VTT; The Partnership for Health Advancement in Vietnam, Beth Israel Deaconess Medical Center, Ho Chi Minh City, Vietnam., Vinh DTN; The Partnership for Health Advancement in Vietnam, Beth Israel Deaconess Medical Center, Ho Chi Minh City, Vietnam., Hao DT; The Partnership for Health Advancement in Vietnam, Beth Israel Deaconess Medical Center, Ho Chi Minh City, Vietnam., Trang LTT; The Partnership for Health Advancement in Vietnam, Beth Israel Deaconess Medical Center, Hanoi, Vietnam., Duc PA; The Partnership for Health Advancement in Vietnam, Beth Israel Deaconess Medical Center, Hanoi, Vietnam., Kinh NV; National Hospital of Tropical Diseases, Hanoi, Vietnam., Dung NTH; National Hospital of Tropical Diseases, Hanoi, Vietnam., Dung DL; National Hospital of Obstetrics and Gynaecology, Hanoi, Vietnam., Ninh NT; Hanoi Centre for Disease Control, Hanoi, Vietnam., Huyen HTT; Son La Provincial AIDS Committee, Son La, Vietnam., Huy VX; Hospital for Tropical Diseases, Ho Chi Minh City, Vietnam., Hai DM; Provincial AIDS Committee of HCMC, Ho Chi Minh City, Vietnam., Khanh TH; Department of Infectious Diseases, Pediatric Hospital No 1, Ho Chi Minh City, Vietnam., Hien NTT; Tu Du Hospital, Ho Chi Minh City, Vietnam., Khuong PTA; An Giang Provincial AIDS Committee, Long Xuyen, An Giang, Vietnam., Trong NT; Thai Binh Provincial AIDS Committee, Thai Binh, Vietnam., Lam NV; Vietnam National Hospital of Pediatrics, Hanoi, Vietnam., Phinh VN; The Partnership for Health Advancement in Vietnam, Beth Israel Deaconess Medical Center, Hanoi, Vietnam., Phuong DT; The Partnership for Health Advancement in Vietnam, Beth Israel Deaconess Medical Center, Hanoi, Vietnam., Duat ND; The Partnership for Health Advancement in Vietnam, Beth Israel Deaconess Medical Center, Hanoi, Vietnam., Liem NT; The Partnership for Health Advancement in Vietnam, Beth Israel Deaconess Medical Center, Ho Chi Minh City, Vietnam., Binh NT; The Partnership for Health Advancement in Vietnam, Beth Israel Deaconess Medical Center, Hanoi, Vietnam., Chi NK; Centers for Disease Control and Prevention, Ho Chi Minh City, Vietnam., Yen LN; Centers for Disease Control and Prevention, Hanoi, Vietnam., Cosimi L; Department of Medicine, Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA.
Jazyk:	angličtina
Zdroj:	BMJ global health [BMJ Glob Health] 2020 Apr 08; Vol. 5 (4), pp. e002166. Date of Electronic Publication: 2020 Apr 08 (Print Publication: 2020).
DOI:	10.1136/bmjgh-2019-002166
Abstrakt:	Development of a robust technical assistance system is an essential component of a sustainable HIV response. Vietnam's National HIV Program is transitioning from a largely donor-funded programme to one primarily supported by domestic resources. Telehealth interventions are increasingly being used for training, mentoring and expert consultation in high-resource settings and hold significant potential for use as a tool to build HIV health worker capacity in low and middle-income countries. We designed, implemented and scaled up a novel HIV telehealth programme for Vietnam, with the goal of building a sustainable training model to support the country's HIV workforce needs. Over a 4-year period, HIV telehealth programmes were initiated in 17 public institutions with participation of nearly 700 clinical sites across 62 of the 63 provinces in the country. The telehealth programme was used to deliver certificate training courses, provide clinical mentoring and case-based learning, support programme implementation, provide coaching in quality improvement and disseminate new guidelines and policies. Programme evaluation demonstrated improved health worker self-reported competence in HIV care and treatment and high satisfaction among the programme participants. Lessons learnt from Vietnam's experience with telehealth can inform country programmes looking to develop a sustainable approach to HIV technical assistance and health worker capacity building. Competing Interests: Competing interests: None declared. (© Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.)
Databáze:	MEDLINE
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