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'We are also dying like any other people, we are also people': perceptions of the impact of HIV/AIDS on health workers in two districts in Zambia.

机译:“我们也像其他人一样死去,我们也是人”:对艾滋病毒/艾滋病对赞比亚两个地区卫生工作者的影响的看法。

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In countries with a high AIDS prevalence, the health workforce is affected by AIDS in several ways. In Zambia, which has a prevalence rate of 16.5%, a study was carried out in 2004 with the aim to: explore the impact of HIV/AIDS on health workers, describe their coping mechanisms and recommend supportive measures. The qualitative study was complemented by a survey using self-administered questionnaires in four selected health facilities in two rural districts in Zambia, Mpika and Mazabuka. It is one of the few studies to have explored the impact of HIV/AIDS from the perspective of health workers and managers in the region. Thirty-four in-depth interviews and five group discussions were conducted with health workers, managers and volunteers, and 82 self-administered questionnaires were filled out by health workers. In addition, burnout among 42 health workers was measured using the Maslach Burnout Inventory (MBI). The MBI measures three components that contribute to burnout: emotional exhaustion, depersonalization and personal accomplishment. The results show that in both districts, HIV/AIDS has had a negative impact on workload and has considerably changed or added tasks to already overburdened health workers. In Mpika, 76% of respondents (29/38), and in Mazabuka, 79% (34/44) of respondents, expressed fear of infection at the workplace. HIV-positive health workers remained 'in hiding', did not talk about their illness and suffered in silence. Despite the fact that health workers were still relatively motivated, emotional exhaustion occurred among 62% of the respondents (26/42). The interviews revealed that counsellors and nurses were especially at risk for emotional exhaustion. In each of the selected facilities, organizational support for health workers to deal with HIV/AIDS was either haphazardly in place or not in place at all. AIDS complicates the already difficult work environment. In addition to health workers, management also needs support in dealing with AIDS at the workplace.
机译:在艾滋病高发的国家中,卫生人力受到艾滋病的多种影响。在赞比亚,其流行率为16.5%,2004年进行了一项研究,其目的是:探索艾滋病毒/艾滋病对卫生工作者的影响,描述其应对机制并建议支持措施。定性研究得到了补充,在赞比亚两个农村地区的姆皮卡和马萨布卡的四个选定的医疗机构中,使用自我调查问卷进行了调查。这是从该地区卫生工作者和管理人员的角度探讨艾滋病毒/艾滋病影响的少数研究之一。与卫生工作者,管理人员和志愿者进行了34次深度访谈和5次小组讨论,卫生工作者填写了82份自我管理的问卷。此外,使用Maslach倦怠量表(MBI)测量了42名卫生工作者的倦怠。 MBI衡量导致倦怠的三个因素:情绪疲惫,人格解体和个人成就感。结果表明,在两个地区,艾滋病毒/艾滋病均对工作量产生了负面影响,并已大大改变或增加了本已负担过重的卫生工作者的工作。在姆皮卡(Mpika),有76%的受访者(29/38),在马萨布卡(Mazabuka)则有79%(34/44)的受访者表示害怕在工作场所受到感染。艾滋病毒呈阳性的医务人员仍然“躲藏”,没有谈论他们的病,并且默默地遭受痛苦。尽管事实上卫生工作者仍然是相对积极的,但62%的受访者仍然感到情绪疲惫(26/42)。访谈显示,辅导员和护士尤其容易情绪疲惫。在每个选定的机构中,为卫生工作者应对艾滋病毒/艾滋病提供的组织支持要么是偶然的,要么是根本没有的。艾滋病使本来就困难的工作环境复杂化。除卫生工作者外,管理层还需要在工作场所应对艾滋病的支持。

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