Provider Challenges In Implementing Antenatal Provider-Initiated hiv Testing and Counseling Programs in Uganda  

Oleh:

Medley, Amy M. ; Kennedy, Caitlin E.

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: Aids Education and Prevention: An Interdisciplinary Journal vol. 22 no. 02 (Apr. 2010), page 87-99.
Topik: Antenatal Provider-Initiated HIV Testing; Counseling Programs
Fulltext: A94; 2010; 22; 2; 87.win.pdf (526.46KB)

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Perpustakaan PKPM Nomor Panggil: A94 Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

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Isi artikel

While provider-initiated HIV testing and counseling (PITC) programs are being increasingly implemented in antenatal care settings, there is scant information about the specific challenges providers face when offering these services. Through qualitative interviews with 30 HIV antenatal care providers from 10 clinics in central Uganda, we sought to understand specific chsllenges Uganda Providers face in implementing antenatal PITC PROGRAMS, including how these challenges impact prevention of mother-to-child HIV transmission programs. Counseling-specific challenges included counseling discordant couples, incomplete follow-up of HIV-infected clients, low rates of both male involvement and HIV serostatus discourse, and inadequate training and support to carry out counseling duties. Health system challenges included lack of adequate space for counseling, frequent "stock-outs" of supplies, shortages of both counselors and lab personnel, and inadequate referral services. These challenges must be addressed in order to optimize the success of PITC programs at priving universal access to HIV testing and counseling services.

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