Mumbwa District Health Office, Mumbwa, Zambia.
Bull World Health Organ. 2010 Oct 1;88(10):788-91. doi: 10.2471/BLT.09.063982. Epub 2010 Sep 3.
Despite the Government's effort to expand services to district level, it is still hard for people living with HIV to access antiretroviral treatment (ART) in rural Zambia. Strong demands for expanding ART services at the rural health centre level face challenges of resource shortages.
The Mumbwa district health management team introduced mobile ART services using human resources and technical support from district hospitals, and community involvement at four rural health centres in the first quarter of 2007. This paper discusses the uptake of the mobile ART services in rural Mumbwa.
Mumbwa is a rural district with an area of 23 000 km² and a population of 167 000. Before the introduction of mobile services, ART services were provided only at Mumbwa District Hospital.
The mobile services improved accessibility to ART, especially for clients in better functional status, i.e. still able to work. In addition, these mobile services may reduce the number of cases "lost to follow-up". This might be due to the closer involvement of the community and the better support offered by these services to rural clients.
These mobile ART services helped expand services to rural health facilities where resources are limited, bringing them as close as possible to where clients live.
尽管政府努力将服务扩展到地区一级，但赞比亚农村地区的艾滋病毒感染者仍然难以获得抗逆转录病毒治疗（ART）。在农村卫生中心一级扩大 ART 服务的强烈需求面临资源短缺的挑战。
2007 年第一季度，姆万扎区卫生管理团队利用来自区医院的人力资源和技术支持，以及社区参与，在四个农村卫生中心推出了流动 ART 服务。本文讨论了农村姆万扎对流动 ART 服务的接受情况。
姆万扎是一个农村地区，面积 23000 平方公里，人口 167000。在推出流动服务之前，只有姆万扎区医院提供 ART 服务。
流动服务改善了获得 ART 的机会，特别是对功能状态较好的患者，即仍能工作的患者。此外，这些流动服务可能会减少“失访”的病例数量。这可能是由于社区的更密切参与以及这些服务为农村患者提供的更好支持。
这些流动的 ART 服务有助于将服务扩展到资源有限的农村卫生机构，使服务尽可能接近患者居住的地方。
