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首页> 外文期刊>AIDS care. >Motivation and sustainability of care facilitators engaged in a community home-based HIV/AIDS program in Masvingo Province, Zimbabwe.
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Motivation and sustainability of care facilitators engaged in a community home-based HIV/AIDS program in Masvingo Province, Zimbabwe.

机译：津巴布韦马斯温戈省参与社区以家庭为基础的艾滋病毒/艾滋病计划的护理促进者的动机和可持续性。

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摘要

Community home-based HIV/AIDS programs with care facilitators (CFs) are key interventions for dealing with both the shortage of health professionals (e.g., physicians, nurses, midwives, etc.) and the current HIV/AIDS epidemic in many parts of Africa. Zimbabwe, one of the sub-Saharan countries is not an exception. The Zimbabwe Red Cross Society started a community home-based HIV/AIDS program with CFs in 1992. This paper describes the results of a cross-sectional study conducted to examine the factors influencing the motivational outcome and self-assessed performance of CFs from one province involved in this program. Self-administered questionnaires provided to CFs were analyzed by chi-square test and multiple liner regression. The response rate was 71.7% (15 male, 104 female). Results showed that 46.8% of CFs in rural area had worked more than five years whilst only 18.5% of CFs in urban area did (p<0.05). The motivational outcome and self-assessed performance of CFs were significantly associated with perception toward family and community environment (beta=0.462, SE=0.092, p<0.001 and beta=0.496, SE=0.173, p<0.001, respectively) and perception toward organizational characteristics, specially managerial support, like attention from a manager, clear instruction, and goals, had an impact to CFs motivational outcome. These findings suggest that organization need to create the policy consistent with community need and provide clear goal and instruction to improve to motivation and performance of CFs.
机译：基于社区家庭的艾滋病毒/艾滋病计划与护理促进者（CFs）是应对卫生专业人员（例如医生，护士，助产士等）短缺和非洲许多地区当前艾滋病毒/艾滋病流行的关键干预措施。撒哈拉以南国家之一的津巴布韦也不例外。津巴布韦红十字会于1992年开始与CFs开展社区家庭艾滋病毒/艾滋病计划。本文描述了一项横断面研究的结果，以研究影响一个省CFs的动机结果和自我评估绩效的因素参与该计划。通过卡方检验和多元线性回归分析了提供给CF的自我管理问卷。回应率为71.7％（男性15例，女性104例）。结果表明，农村地区CFs中有46.8％的工作时间超过5年，而城市地区CFs中只有18.5％的人工作了5年以上（p <0.05）。 CFs的动机结果和自我评估的表现与对家庭和社区环境的感知（分别为β= 0.462，SE = 0.092，p <0.001和beta = 0.496，SE = 0.173，p <0.001）和对感知的显着相关。组织特征，特别是管理上的支持，例如经理的关注，清晰的指示和目标，对CF的动机结果产生了影响。这些发现表明，组织需要制定与社区需求相一致的政策，并提供明确的目标和指导，以改善CF的动机和绩效。

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