Lefeuvre Delphine, Dieng Mamadou, Lamara Farid, Raguin Gilles, Michon Christophe
Sante Publique. 2014 Nov-Dec;26(6):879-88.
Faced with the lack of human resources manage people living with HIV/AIDS (PLWHA) in developing countries, community health workers (CHWs) provide support to health professionals. The objective of this study was to describe the characteristics of CHWs and study the impact of their intervention on HIV care. A literature search was performed on Pubmed and the websites of international organizations.
A literature review was conducted, including studies describing the impact of the CHWs' intervention on the care of PLWHA.
Thirteen articles were selected concerning twelve studies. The names and functions of CHWs are multiple; training and remuneration are very heterogeneous. Nevertheless, the impact of their intervention appears to be positive. Trials comparing community-based care versus hospital care show no difference between the two in terms of survival, retention, viral load or CD4 counts. The support provided by CHWs improves quality of life, compliance and self-confidence and decreases stigma (qualitative studies). It also allows coverage of previously remote areas.
CHWs have various names, functions, formations and salaries. Their actions appear to have a positive impact both on the therapeutic management of PLHIV and on strengthening health systems. Recognition of CHWs by health systems remains marginal and remains a public health priority.
面对发展中国家缺乏人力资源来管理艾滋病毒/艾滋病感染者（PLWHA）的情况，社区卫生工作者（CHWs）为卫生专业人员提供支持。本研究的目的是描述社区卫生工作者的特征，并研究他们的干预对艾滋病毒护理的影响。在PubMed和国际组织网站上进行了文献检索。
进行了一项文献综述，包括描述社区卫生工作者干预对艾滋病毒/艾滋病感染者护理影响的研究。
选定了13篇文章，涉及12项研究。社区卫生工作者的名称和职能多种多样；培训和薪酬差异很大。然而，他们干预的影响似乎是积极的。比较社区护理与医院护理的试验表明，两者在生存率、留存率、病毒载量或CD4细胞计数方面没有差异。社区卫生工作者提供的支持改善了生活质量、依从性和自信心，并减少了耻辱感（定性研究）。它还使以前偏远的地区能够得到覆盖。
社区卫生工作者有不同的名称、职能、培训形式和薪酬。他们的行动似乎对艾滋病毒感染者的治疗管理和加强卫生系统都有积极影响。卫生系统对社区卫生工作者的认可仍然有限，仍然是公共卫生的一个优先事项。
