Evaluation of the effectiveness of an outreach clinical mentoring programme in support of paediatric HIV care scale-up in Botswana
| Autor: | Boitumelo Thuto, Haruna Jibril, Gelane Workneh, Gabriel Anabwani, Neo Gaetsewe, Heather R. Draper, R. Sebastian Wanless, Brianna Kirk, Michael A. Tolle, Leah Scherzer |
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| Rok vydání: | 2012 |
| Předmět: |
Male
Program evaluation Time Factors Health (social science) Adolescent Social Psychology Anti-HIV Agents media_common.quotation_subject education Population MEDLINE Developing country HIV Infections Article Medication Adherence Documentation Nursing Excellence Health care Humans Medicine Child Quality of Health Care Retrospective Studies media_common education.field_of_study Botswana business.industry Mentors Public Health Environmental and Occupational Health Infant Viral Load CD4 Lymphocyte Count Outreach Outcome and Process Assessment Health Care Child Preschool Practice Guidelines as Topic Female business |
| Zdroj: | AIDS Care. 25:11-19 |
| ISSN: | 1360-0451 0954-0121 |
| DOI: | 10.1080/09540121.2012.674096 |
| Popis: | Clinical mentoring by providers skilled in HIV management has been identified as a cornerstone of scaling-up antiretroviral treatment in Africa, particularly in settings where expertise is limited. However, little data exist on its effectiveness and impact on improving the quality-of-care and clinical outcomes, especially for HIV-infected children. Since 2008, the Botswana-Baylor Children’s Clinical Centre of Excellence (COE) has operated an outreach mentoring programme at clinical sites around Botswana. This study is a retrospective review of 374 paediatric charts at four outreach mentoring sites (Mochudi, Phutadikobo, Molepolole, Thamaga) evaluating the effectiveness of the programme as reflected in a number of clinically-relevant areas. Charts from one visit prior to initiation of mentoring and from one visit after approximately one year of mentoring were assessed for statistically-significant differences (p |
| Databáze: | OpenAIRE |
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