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加速艾滋病防控项目的成功:医护人员能力的重要性。

Accelerating Success of HIV/AIDS Control Programs: The Significance of Health-Care Workers' Competence.

作者信息

Byamugisha Tanazio, Alinda Fred, Tushaboha Samuel Lev, Kwemarira Godwin, Kyambade Mahadih

机构信息

Kibaale District Civil Society Organization Network, Kagadi, Uganda.

Institute Research and Innovation Centre, Uganda Management Institute, Kampala, Uganda.

出版信息

HIV AIDS (Auckl). 2024 Sep 28;16:367-377. doi: 10.2147/HIV.S478956. eCollection 2024.

Abstract

BACKGROUND

  • Despite the competence-building framework and interventions, the success of HIV/AIDS prevention and treatment programs remains unsatisfactory with scanty empirical evidence on the significance of professional competence to the success of HIV/AIDS control programs.

METHODS

  • Using a triangulation of quantitative and qualitative data, from 40 health-care workers and 9 managers of the HIV/AIDS program in Kagadi District, this article analyzes the professional and cultural competencies among health-care workers and the significance of the competencies to the success of HIV/AIDS control programs. Descriptive statistics were generated to describe health-care workers' opinions on their competence and success of HIV/AIDS control programs. In addition, a regression model was fitted to estimate the contribution of health-care workers' competence to the success of HIV/AIDS control programs. This quantitative analysis was triangulated with a thematic analysis of key informants' views.

RESULTS

  • Findings indicate that health-care workers' competence bears a positive statistically significant contribution to the success of HIV/AIDS control programs. Employee competence is necessary but not sufficient to foster the full realization of desired results from HIV/AIDS control programs.

CONCLUSION

  • Managers of HIV/AIDS control programs need to prioritize and continuously train health-care workers to boost their professional and cultural skills to effectively deliver interventional activities under HIV/AIDS control programs. Additionally, improving the working environment of health-care workers is critical to improve their motivation towards greater success of HIV/AIDS control programs.
摘要

背景

尽管有能力建设框架和干预措施,但艾滋病毒/艾滋病预防和治疗项目的成效仍不尽人意,关于专业能力对艾滋病毒/艾滋病防控项目成功的重要性,实证证据匮乏。

方法

本文采用定量和定性数据相结合的方法,对卡加迪区40名医护人员和9名艾滋病毒/艾滋病项目管理人员进行了研究,分析了医护人员的专业和文化能力以及这些能力对艾滋病毒/艾滋病防控项目成功的重要性。生成描述性统计数据以描述医护人员对其能力以及艾滋病毒/艾滋病防控项目成效的看法。此外,拟合了一个回归模型,以估计医护人员的能力对艾滋病毒/艾滋病防控项目成功的贡献。这种定量分析与对关键信息提供者观点的主题分析相结合。

结果

研究结果表明,医护人员的能力对艾滋病毒/艾滋病防控项目的成功具有统计学上的显著正向贡献。员工能力对于促进充分实现艾滋病毒/艾滋病防控项目的预期成果是必要的,但并不充分。

结论

艾滋病毒/艾滋病防控项目的管理人员需要优先考虑并持续培训医护人员,以提升他们的专业和文化技能,从而有效地开展艾滋病毒/艾滋病防控项目下的干预活动。此外,改善医护人员的工作环境对于提高他们实现艾滋病毒/艾滋病防控项目更大成功的积极性至关重要。

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