• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文会议>European Congress on Tropical Medicine and International Health >Unsafe Sex Versus Unsafe Medical Care Paradigms of Transmission of HIV Infection: Assessing their Competitive Advantage and Integration in the Operation Of Primary Health Care Structures in the Eastern Kasai Province (Democratic Republic of the Congo)
【24h】

Unsafe Sex Versus Unsafe Medical Care Paradigms of Transmission of HIV Infection: Assessing their Competitive Advantage and Integration in the Operation Of Primary Health Care Structures in the Eastern Kasai Province (Democratic Republic of the Congo)

机译：不安全的性别与艾滋病毒感染传播的不安全医疗范式：评估其竞争优势和在刚果民主共和国初级保健结构的运作中的竞争优势和融合

获取原文
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Background: In reaction to the sexual transmission orthodoxy paradigm which views unsafe sexual activity as the dominant mode of HIV infection and portrays unsafe medical care as a minor concern, a new school of thought has emerged, critically questioning the validity of the sexual transmission paradigm's propositions and prompting a series of counter-attacks. Little is known on the extent to which African primary health care structures have responded to the debate and integrated the assumptions and implications of each of the two paradigms in resource allocation and in the establishment and operation of HIV mitigation programs. Research Objectives: This study describes the establishment and operation of HIV mitigation programs and examines the allocation of resources to fight each type of HIV infection within four health zones in the Eastern Kasai province. More specifically, the study seeks to examine the degree of satisfaction of health care professionals regarding the involvement of their facilities (scale of 1 -4) in each of the two areas of HIV infection control, the level of performance of existing organizational structures (scale of 1-4), the level of performance of the appointee in charge of such programs (scale of 1-4), the amount of allocated resources (scale of 1-4), and the provision of continuing education (scale of 1-4) in each of the two areas of HIV infection control. Moreover, the study assesses the extent to which any of these HIV infection paradigms has had a competitive advantage over its rival theory. Methods: We conducted a baseline survey of 279 health care workers posted in 4 health zones in the Eastern Kasai province in 2005 and collected demographic data and other information on availability and satisfaction with the operation of programs to control nosocomial versus sexual HIV infection. We used SPSS to explore and compare the level of adherence to the elements of the two paradigms. Results: About 57% of the respondents were aware of an organizational structure set up to address nosocomial infection issues against 45% for a structure set up for sexual infection. With the exception for organizational involvement in nosocomial HIV infection control (NHIC) and in sexual HIV infection control (SHIC) activities where no difference was noted, there was a significant difference on each of the five other tenets of the two paradigms with SHIC dimensions receiving more favorable scores than their NHIC counterparts. Conclusions: There is a significant emphasis on activities related to SHIC among primary health care organizations in the Eastern Kasai province. This state of affairs relegates issues of unclean medical care to the back burner where they receive much less publicity and much less resources as compared to issues of sexual HIV infection.
机译：背景：在对性转化的反应中，将不安全的性活动视为艾滋病毒感染的主导模式并将不安全的医疗视为轻微关注的占主导地点，致力于出现了新的思想，批判性地质疑性传播范式的有效性并提示一系列反击。在非洲初级医疗结构对辩论和纳入资源分配中的两个范式和建立和运作的辩论和综合假设和影响的程度上，众所周知，众所周知。研究目标：本研究介绍了艾滋病毒缓解计划的建立和运作，并探讨了在科伊省东部卫生地区的各种艾滋病毒感染的资源分配。更具体地说，该研究旨在审查医疗保健专业人员的满意度，了解其设施（1-4的比例为1 -4），在艾滋病毒感染控制的两个方面，现有组织结构的性能水平（规模1-4），委任的履行水平，负责此类计划（规模为1-4），分配资源的数量（1-4级），并提供持续教育（规模为1- 4）在HIV感染控制的两个区域中的每一个。此外，该研究评估了这些艾滋病毒感染范例中的任何一个在其竞争对手理论上具有竞争优势的程度。方法：2005年，我们开展了279名医疗工作人员的基线调查，并于2005年张贴了kasai省的4个卫生地区，并在控制医院与性艾滋病毒感染的计划的运作中收集了有关可用性和满意的其他信息。我们使用SPSS来探索并比较遵守两个范式的元素的依赖程度。结果：约57％的受访者意识到组织结构，以解决针对用于性感染的结构的45％以上的少剂型感染问题。在没有发现没有差异的情况下，组织参与医院艾滋病毒感染控制（NHIC）和性艾滋病毒感染控制（SHIC）活动的例外情况下，两种范例的其他五个宗旨接受比他们的NHIC同行更有利的分数。结论：在东岛省东部初级卫生保健组织中有重视与瑞典有关的活动。这种状况降调了不洁净的医疗的问题，以至于与性艾滋病毒感染问题相比，他们收到较少宣传的宣传和更少的资源。

著录项

相似文献

  • 外文文献
  • 中文文献
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号