AIDS 2010 - Vienna 18-23 July 2010 - XVIII International AIDS Conference

Strategies to Support Health Workers to Deliver Care	MOPDE3

Type:

Oral Poster Discussion

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Location:

MR 6

Schedule:

13:00 - 14:00, 19.07.2010

Code:

MOPDE3

Chairs:

Wim Van Damme, Belgium
Masamine Jimba, Japan

Presentations in this session:

13:00
Introduction
Presented by Masamine Jimba, Japan

13:00
MOPDE301
Abstract Task shifting - a strategic response to human resource for health crisis: qualitative evaluation of hospital based HIV clinics in north central Nigeria
Presented by Emilia Iwu, United States
E. Iwu^1,2, I. Ekwede³, I. Ezebuihe⁴, O. Caroline³, E. Umaru⁵, A. Gomwalk⁵, M. Moen⁶, R. Riel⁴, J. Johnson⁷
¹Universit of Maryland, School of Nursing & School of Medicine, Family & Community Nursing, Office of Global Health, Baltimore, United States, ²Institute of Human Virology Nigeria, Community Medicine, Abuja, Nigeria, ³University of Maryland, School of Nursing, Office of Global Health, Baltimore, United States, ⁴University of Maryland, School of Nursing, Office of Global Health, Baltimore, United States, ⁵University of Maryland, School of Medicine, Institute of Human Virology, Nigeria, Abuja, Nigeria, ⁶University of Maryland, School of Nursing, Family & Community Health, Baltimore, United States, ⁷University of Maryland, School of Nursing, Family & Community Health, Office of Global Health, Baltimore, United States

13:05
MOPDE302
Abstract Improving STI counseling services of non-formal providers through academic detailing by medical representatives
Presented by Haribondhu Sarma, Bangladesh
H. Sarma¹, S. Khan², E. Oliveras³
¹ICDDR,B, Health System and Infectious Diseases Division, Dhaka, Bangladesh, ²Save the Children USA, Bangladesh Country Office, HIV/AIDS Program, Dhaka, Bangladesh, ³Pathfinder International, Watertown, United States

13:10
MOPDE303
Abstract Maximizing utilization of existing staff time at two HIV treatment sites in Jamaica
Presented by Fiona Walsh, United States
F. Walsh¹, M. Aung², J. Lowe³, M. Clarke², E. McCarthy¹
¹Clinton Health Access Initiative, Center for Strategic Health Operations Research, Boston, United States, ²Ministry of Health - Jamaica, Western Region Health Authority, Montego Bay, Jamaica, ³Clinton Health Access Initiative, CHAI Jamaica, Kingston, Jamaica

13:15
MOPDE304
Abstract Staff savings and credit scheme: is it the way to reduce financial stress on devoted service providers? TASO Uganda experience
Presented by Emmanuel Wandera, Uganda
E. Wandera¹, C. Barugahare¹, K. Mugisha², F. Wasagami³, J. Birungi³, P. Sebanja⁴
¹The AIDS Support Organisation (TASO), Internal Audit, Kampala, Uganda, ²The AIDS Support Organisation (TASO), Capacity Building, Kampala, Uganda, ³The AIDS Support Organisation (TASO), Planning and Strategic Information, Kampala, Uganda, ⁴The AIDS Support Organisation (TASO), Advocacy, Kampala, Uganda

13:20
MOPDE305
Abstract The role of treatment supporters in TB management
Presented by Nelson Seruma, Uganda
N. Seruma
Kamwokya Christian Caring Community, Monitoring and Evaluation, Kampala, Uganda

Rapporteur report

Track E report by Patty WEBSTER

In the session Strategies to Support Health Workers to Deliver Care, University of Maryland Office of Global Health reported on a task shifting intervention at one clinic in Abuja, Nigeria that showed decreases in: client waiting times by more than 60%, time spent in clinics by 36% and physician workload by 41%. Patient and nurse satisfaction improved, despite increases in nurses’ workload. Proper training, role definition and support were noted as critical for task shifting to succeed. It was also noted that patient outcomes would need to be studied to further identify impact. Haribondhu Sarma from ICDDR in Bangladesh reported on a novel strategy of engaging medical representatives from pharmaceutical companies to help educate non-formal providers (NFP) of care in STI counseling. Clients who were counseled by these trained NFPs received more complete counseling advice and critical health messaging and reported better staff attitudes than those clients who were counseled by NFPs in the control group (not receiving any training from medical representatives). Results showed promise that academic detailing could be a tool for training non-formal providers. F. Walsh from the Clinton Health Access Initiative reported a 2 1/4 hour average time saving for physicians in ART clinics in Jamaica when changing practice from monthly clinical ART follow-up visits to 3-monthly follow-up visits for stable patients. This practice resulted in a 19% increase in physician time. The AIDS Support Organization in Uganda investigated staff savings and credit schemes as a mechanism for improving motivation and retention.