Talashek Marie L, Kaponda Chrissie P N, Jere Diana L, Kafulafula Ursula, Mbeba Mary M, McCreary Linda L, Norr Kathleen
University of Illinois, Chicago, IL, USA.
J Assoc Nurses AIDS Care. 2007 Jul-Aug;18(4):41-50. doi: 10.1016/j.jana.2007.05.007.
Health workers have high potential as HIV prevention leaders, but health system and individual barriers limit their impact. This descriptive qualitative study identified the HIV prevention needs of rural health workers to use as a basis for tailoring an HIV/AIDS risk-reduction intervention. Data included interviews with 9 health administrators, 22 focus groups with 200 health workers, and 12 observations of caregivers in two rural districts. Health system barriers identified included lack of essential supplies, staff shortages, overcrowded facilities, and lack of training. Individual barriers included hopelessness, stigmatizing attitudes, knowledge gaps, and risky personal behaviors. Health workers also expressed willingness to be HIV prevention leaders and role models. Most results agree with previous African studies. Personal risky behaviors and willingness to be HIV prevention leaders have not been previously reported. Results provide insights for developing effective interventions and health policies to address health workers' HIV prevention needs.
卫生工作者作为艾滋病毒预防领导者具有很大潜力，但卫生系统和个人层面的障碍限制了他们的影响力。这项描述性定性研究确定了农村卫生工作者的艾滋病毒预防需求，以此为基础量身定制一项减少艾滋病毒/艾滋病风险的干预措施。数据包括对9名卫生管理人员的访谈、与200名卫生工作者进行的22次焦点小组讨论，以及在两个农村地区对护理人员的12次观察。确定的卫生系统障碍包括基本用品短缺、人员短缺、设施拥挤和缺乏培训。个人层面的障碍包括绝望情绪、污名化态度、知识差距和危险的个人行为。卫生工作者还表示愿意成为艾滋病毒预防领导者和榜样。大多数结果与之前非洲的研究一致。个人危险行为以及成为艾滋病毒预防领导者的意愿此前尚未有报道。研究结果为制定有效的干预措施和卫生政策以满足卫生工作者的艾滋病毒预防需求提供了见解。
