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首页> 外文期刊>AIDS care. >Barriers influencing task-shifting for the management of depression in people living with HIV: a study from West Africa IeDEA cohort collaboration
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Barriers influencing task-shifting for the management of depression in people living with HIV: a study from West Africa IeDEA cohort collaboration

机译：影响艾滋病毒症患者抑郁症的任务转移的障碍：西非IEDEA队列协作的一项研究

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摘要

Depression is highly prevalent in people living with HIV (PLHIV) worldwide. As mental health specialists are scarce in sub-Saharan Africa (SSA), the World Health Organization (WHO) encourages task-shifting. We aimed to evaluate the barriers that could compromise task-shifting in front-line health care workers (HCWs) who provide HIV integrated care in West Africa. We collected knowledge, attitudes and practices (KAP) information on symptoms, causes and management of depression in PLHIV in care in four clinics in Senegal and Cote d'Ivoire (N = 168). The main barriers that could compromise task-shifting came from poor knowledge, particularly on symptoms and causes. Knowledge was more limited in HCWs other than medical doctors (good answers < 70%). The access to a depression training was limited (32.7%) and was the main factor associated to poor knowledge on depression. Even when social distance and barriers to practice were low (70.8% and 69.6%, respectively), some barriers persisted. More than half of respondents considered that diagnosis and management needed to be performed by a specialist. To guarantee the success of task-shifting, in the perspective of integrated care, efforts are needed to improve the access to specific training on depression considering screening, management, but also perceptions and attitudes, as some barriers subsist.
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  • 来源
    《AIDS care.》 |2021年第3期|共5页
  • 作者

    Bernard Charlotte; Seydi Moussa; Tanon Aristophane; Messou Eugene; Minga Albert; Font Helene; Dabis Francois;

  • 作者单位

    Univ Bordeaux INSERM UMR 1219 Bordeaux Populat Hlth Res Ctr Bordeaux France;

    CHNU Fann CRCF Serv Malad Infect &

    Trop Dakar Senegal;

    CHU Treichville Serv Malad Infect &

    Trop Abidjan Cote Ivoire;

    Yopougon Attie Hosp Ctr Prise Charge Rech &

    Format CePReF Abidjan Cote Ivoire;

    Ctr Med Suivi Donneurs Sang CNTS PRIMO CI Abidjan Cote Ivoire;

    Univ Bordeaux INSERM UMR 1219 Bordeaux Populat Hlth Res Ctr Bordeaux France;

    Univ Bordeaux INSERM UMR 1219 Bordeaux Populat Hlth Res Ctr Bordeaux France;

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  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类 传染病;
  • 关键词

    HIV; depression; sub-Saharan Africa; task-shifting;

    机译：艾滋病毒;抑郁症;撒哈拉以南非洲;任务转移;

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