...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>AIDS care. >The HIV basic care package: Where is it available and who receives it? Findings from a mixed methods evaluation in Kenya and Uganda
【24h】

The HIV basic care package: Where is it available and who receives it? Findings from a mixed methods evaluation in Kenya and Uganda

机译：艾滋病毒基本保健一揽子计划：在哪里有售，谁得到？肯尼亚和乌干达混合方法评估的结果

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

An evidence-based basic care package (BCP) of seven interventions (Family testing, Cotrimoxazole, Condoms, Multivitamins, Access to safe water treatment, Isoniazid preventive therapy (IPT), and Insecticide-treated bednet) has been advocated to prevent infections among people with HIV in low-income settings. We examined the availability and receipt of the BCP in HIV outpatient clinics in Kenya and Uganda. A survey of 120 PEPFAR-funded facilities determined the services offered. At each of the 12 largest facilities, a longitudinal cohort of 100 patients was recruited to examine care received and health status over three months. The full BCP was offered in 14% (n = 17/120) of facilities; interventions most commonly offered were Support for family testing (87%) and Condoms (87%), and least commonly IPT (38%). Patients (n = 1335) most commonly reported receiving Cotrimoxazole (57%) and Multivitamins (36%), and least commonly IPT (4%), directly from the facility attended. The BCP (excluding Isoniazid) was received by 3% of patients directly from the facility and 24% from any location. BCP receipt was associated with using antiretroviral therapy (ART; OR 1.1 (95% CI 1.0-1.1), receipt from any location) but not with patient gender, wealth, education level or health. The BCP should be offered at more HIV care facilities, especially Isoniazid, and to more people irrespective of ART use. Coordinating local BCP suppliers could help improve availability through addressing logistical challenges or reducing costs.
机译：提倡以证据为基础的基本保健一揽子计划（BCP），其中包括七种干预措施（家庭测试，复方新诺明，避孕套，多种维生素，获得安全的水处理，异烟肼预防性治疗（IPT）和经过杀虫剂处理的蚊帐），以防止人们之间的感染。在低收入人群中感染艾滋病毒。我们在肯尼亚和乌干达的艾滋病门诊中检查了BCP的可用性和接收情况。对120项PEPFAR资助的设施的调查确定了所提供的服务。在这12个最大的机构中，每个机构都招募了100名患者的纵向队列，以检查三个月内接受的护理和健康状况。在14％（n = 17/120）的设施中提供了完整的BCP;最常用的干预措施是家庭测试支持（87％）和避孕套（87％），最不常用的IPT（38％）。直接从该机构就诊的患者（n = 1335）最常报告接受复方新诺明（57％）和多种维生素（36％），最不常见的是IPT（4％）。 3％的患者直接从医疗机构接收BCP（不包括异烟肼），任何地方的患者接收24％。 BCP收据与使用抗逆转录病毒疗法（ART; OR 1.1（95％CI 1.0-1.1），可从任何地方收据）相关，但与患者的性别，财富，教育水平或健康状况无关。 BCP应在更多的艾滋病毒护理机构中提供，尤其是在异烟肼中，并向更多的人提供，而不论其使用抗逆转录病毒疗法。协调本地BCP供应商可以通过解决后勤挑战或降低成本来帮助提高可用性。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
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