Implementing antiretroviral therapy programs in resource-constrained settings: Lessons from Monze, Zambia

Adebola Adedimeji; Oliver Malokota; Ogenna Manafa

doi:10.1057/jphp.2011.4

Implementing antiretroviral therapy programs in resource-constrained settings: Lessons from Monze, Zambia

Adebola Adedimeji
, Oliver Malokota
, Ogenna Manafa

Epidemiology & Population Health

Research output: Contribution to journal › Article › peer-review

4 Scopus citations

Abstract

We describe the impact of an antiretroviral therapy program on human resource utilization and service delivery in a rural hospital in Monze, Zambia, using qualitative data. We assess project impact on staff capacity utilization, service delivery, and community perception of care. Increased workload resulted in fatigue, low staff morale, and exacerbated critical manpower shortages, but also an increase in users of antiretroviral therapy, improvement in hospital infrastructure and funding, and an overall community satisfaction with service delivery. Integrating HAART programs within existing hospital units and services may be a good alternative to increase overall efficiency.

Original language	English (US)
Pages (from-to)	198-210
Number of pages	13
Journal	Journal of Public Health Policy
Volume	32
Issue number	2
DOIs	https://doi.org/10.1057/jphp.2011.4
State	Published - May 2011

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

SDG 3 Good Health and Well-being

Keywords

HIV
Zambia
antiretroviral therapy

ASJC Scopus subject areas

Health Policy
Public Health, Environmental and Occupational Health

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10.1057/jphp.2011.4

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title = "Implementing antiretroviral therapy programs in resource-constrained settings: Lessons from Monze, Zambia",

abstract = "We describe the impact of an antiretroviral therapy program on human resource utilization and service delivery in a rural hospital in Monze, Zambia, using qualitative data. We assess project impact on staff capacity utilization, service delivery, and community perception of care. Increased workload resulted in fatigue, low staff morale, and exacerbated critical manpower shortages, but also an increase in users of antiretroviral therapy, improvement in hospital infrastructure and funding, and an overall community satisfaction with service delivery. Integrating HAART programs within existing hospital units and services may be a good alternative to increase overall efficiency.",

keywords = "HIV, Zambia, antiretroviral therapy",

author = "Adebola Adedimeji and Oliver Malokota and Ogenna Manafa",

note = "Funding Information: The Monze HAART program started in August 2003. Patient enrollment, initially limited to a 10 km radius, quickly expanded following a huge increase in demand from people living with HIV/ AIDS in Monze and environs. The project, situated within the Monze Hospital, was implemented by the non-governmental organization Misereor (the German Catholic Bishops Organization for Development Cooperation) with funding from the US President{\textquoteright}s Emergency Program for AIDS Relief and the Global Fund to Fight AIDS, Tuberculosis, and Malaria.17 At inception, project stakeholders decided to use a stand-alone approach, with resources for directing, supervising, and providing services devoted entirely to the project. This decision was informed by the huge demand for HAART, urgent need to expand access, and more importantly, the donors{\textquoteright} desire to circumvent the weak health system. Hospital staff confirmed a lack of resources essential for effective delivery of such a large-scale antiretroviral therapy program. Copyright: Copyright 2011 Elsevier B.V., All rights reserved.",

year = "2011",

month = may,

doi = "10.1057/jphp.2011.4",

language = "English (US)",

volume = "32",

pages = "198--210",

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N1 - Funding Information: The Monze HAART program started in August 2003. Patient enrollment, initially limited to a 10 km radius, quickly expanded following a huge increase in demand from people living with HIV/ AIDS in Monze and environs. The project, situated within the Monze Hospital, was implemented by the non-governmental organization Misereor (the German Catholic Bishops Organization for Development Cooperation) with funding from the US President’s Emergency Program for AIDS Relief and the Global Fund to Fight AIDS, Tuberculosis, and Malaria.17 At inception, project stakeholders decided to use a stand-alone approach, with resources for directing, supervising, and providing services devoted entirely to the project. This decision was informed by the huge demand for HAART, urgent need to expand access, and more importantly, the donors’ desire to circumvent the weak health system. Hospital staff confirmed a lack of resources essential for effective delivery of such a large-scale antiretroviral therapy program. Copyright: Copyright 2011 Elsevier B.V., All rights reserved.

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AB - We describe the impact of an antiretroviral therapy program on human resource utilization and service delivery in a rural hospital in Monze, Zambia, using qualitative data. We assess project impact on staff capacity utilization, service delivery, and community perception of care. Increased workload resulted in fatigue, low staff morale, and exacerbated critical manpower shortages, but also an increase in users of antiretroviral therapy, improvement in hospital infrastructure and funding, and an overall community satisfaction with service delivery. Integrating HAART programs within existing hospital units and services may be a good alternative to increase overall efficiency.

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Implementing antiretroviral therapy programs in resource-constrained settings: Lessons from Monze, Zambia

Abstract

UN SDGs

Keywords

ASJC Scopus subject areas

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