The Relationship of Repeated Technical Assistance Support Visits to the Delivery of Positive Health, Dignity, and Prevention (PHDP) Messages by Healthcare Providers in Mozambique: A Longitudinal Multilevel Analysis
| Autor: | Sarah A. Gutin MPH, K. Rivet Amico PhD, Elsa Hunguana, António Orlando Munguambe, Carol Dawson Rose PhD |
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| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: | |
| Zdroj: | Journal of the International Association of Providers of AIDS Care, Vol 16 (2017) |
| Druh dokumentu: | article |
| ISSN: | 2325-9582 23259574 |
| DOI: | 10.1177/2325957417724206 |
| Popis: | Background: Positive health, dignity, and prevention (PHDP) is Mozambique’s strategy to engage clinicians in the delivery of prevention messages to their HIV-positive clients. This national implementation strategy uses provider trainings on offering key messages and focuses on intervening on 9 evidence-based risk reduction areas. We investigated the impact of longitudinal technical assistance (TA) as an addition to this basic training. Methods: We followed 153 healthcare providers in 5 Mozambican provinces over 6 months to evaluate the impact of on-site, observation-based TA on PHDP implementation. Longitudinal multilevel models were estimated to model change in PHDP message delivery over time among individual providers. Results: With each additional TA visit, providers delivered about 1 additional PHDP message ( P < .001); clinicians and nonclinicians started at about the same baseline level, but clinicians improved more quickly ( P = .004). Message delivery varied by practice sector; maternal and child health sectors outperformed other sectors. Conclusion: Longitudinal TA helped reach the programmatic goals of the PHDP program in Mozambique. |
| Databáze: | Directory of Open Access Journals |
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