A package of care for HIV in the occupational setting in Africa: results of a pilot intervention
| Autor: | Chester N. Morris, Edward J. Cheevers |
|---|---|
| Rok vydání: | 2002 |
| Předmět: |
Program evaluation
Male medicine.medical_specialty Population Psychological intervention Occupational Health Services Developing country HIV Infections Pilot Projects Condoms Acquired immunodeficiency syndrome (AIDS) Outcome Assessment Health Care medicine Prevalence Humans education Prospective cohort study Health Education Africa South of the Sahara education.field_of_study business.industry Incidence (epidemiology) Public Health Environmental and Occupational Health virus diseases medicine.disease Infectious Diseases Family medicine Workforce Physical therapy Female business |
| Zdroj: | AIDS patient care and STDs. 15(12) |
| ISSN: | 1087-2914 |
| Popis: | We describe a package of care including prevention education and therapeutics for human immunodeficiency virus (HIV) infection in the occupational setting in sub-Saharan Africa and evaluate the outcomes of this package over 1 year. A prospective cohort study was done between 1999 and 2000 in a sugar mill employing 386 men in Kwa-Zulu Natal in South Africa. A package of care for HIV in the occupational setting was developed and implemented in 1999. This response included prevention education and therapeutic components. Outcomes measured included condoms distributed sexually transmitted infections treated numbers of HIV-infected individuals entering into the therapeutic pathway developed and numbers of individuals counselled and tested for HIV. HIV prevalence in this population was 27.15% in January 1999. Between 1999–2000 in this workforce of 386 58 of 102 (54%) individuals with HIV were identified through voluntary counselling and testing. Of these 48 (82.8%) voluntarily entered the HIV treatment pathway. Condom distribution in the sugar mill increased 400% and the number of sexually transmitted infections treated at the mill decreased by 88% during this time period. Using AVERT software to model HIV infection over time a decrease in incidence of 91.67% from that expected in this population was calculated. 11 HIV infections were averted in a single year of this program. HIV/acquired immune deficiency syndrome (AIDS) is prevalent in the occupational setting in South Africa. This setting can provide a venue for HIV care and prevention. A package of care for HIV including prevention education and therapeutics can be effective in both providing care for HIV-infected individuals and preventing new infections. (author’s) |
| Databáze: | OpenAIRE |
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