Peltzer Karl, Prado Guillermo, Horigian Viviana, Weiss Stephen, Cook Ryan, Sifunda Sibusiso, Jones Deborah
HIV/AIDS/STIs and TB (HAST) Research Programme, Human Sciences Research Council, Pretoria, South Africa; Department of Research and Innovation, University of Limpopo, Turfloop, South Africa; ASEAN Institute for Health Development, Madidol University, Salaya, Thailand.
Center for Prevention Implementation Methodology (CePIM) for Drug Abuse and Sexual Risk Behavior, University of Miami, Miami, USA; Florida Node Alliance of the National Drug Abuse Treatment Clinical Trials Network, University of Miami, Miami, USA.
J Psychol Afr. 2016;26(5):415-418. Epub 2016 Oct 25.
This study explores organisational and individual provider influences on prevention of mother-to-child transmission (PMTCT) implementation at 12 community health centres (CHCs) in a rural South African setting. Clinic staff members ( = 103; females = 86%, nurse managers = 9.7%, nurses = 54.4%, lay health workers = 35.9%) were surveyed on PMTCT implementation acceptability and skills. The data were analysed using descriptive statistics comparing PMTCT protocol implementation achievements and clinic-level PMTCT indicators. Results indicate that staff were very positive about the frequency at which each element of the PMTCT protocol was achieved. Several areas where gaps in conformity to the PMTCT protocol were identified including delivery at the clinic, HIV retesting, provision of anti-retroviral treatment (ART) and six-week polymerase chain reaction (PCR) testing. It was unclear what organisational or individual characteristics contributed to this variation. Overall, providers' perception of barriers to care and human resource capacity were unrelated to performance and fidelity of protocol implementation.
本研究探讨了在南非农村地区的12个社区卫生中心（CHC）中，组织和个体提供者对预防母婴传播（PMTCT）实施情况的影响。对诊所工作人员（n = 103；女性占86%，护士经理占9.7%，护士占54.4%，非专业卫生工作者占35.9%）进行了关于PMTCT实施可接受性和技能的调查。使用描述性统计分析数据，比较PMTCT方案实施成果和诊所层面的PMTCT指标。结果表明，工作人员对PMTCT方案各要素的达成频率非常乐观。确定了几个与PMTCT方案不一致的领域，包括在诊所分娩、艾滋病毒复检、提供抗逆转录病毒治疗（ART）和六周聚合酶链反应（PCR）检测。尚不清楚哪些组织或个体特征导致了这种差异。总体而言，提供者对护理障碍和人力资源能力的看法与方案实施的绩效和保真度无关。
