文章基本信息

标题：Workforce patterns in the prevention of mother to child transmission of HIV in Côte d’Ivoire: a qualitative model
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作者：Brianne H. Rowan ; Julia Robinson ; Adam Granato 等
期刊名称：Human Resources for Health
印刷版ISSN：1478-4491
电子版ISSN：1478-4491
出版年度：2018
卷号：16
期号：1
页码：4
DOI：10.1186/s12960-018-0268-x
语种：English
出版社：BioMed Central
摘要：Côte d’Ivoire continues to struggle with one of the highest rates of mother-to-child HIV transmission in West Africa, previously thought to be in part due to suboptimal workforce patterns. This study aimed to understand the process through which workforce patterns impact prevention of mother-to child transmission of HIV (PMTCT) program success, from the perspective of healthcare workers in Côte d’Ivoire. A total of 142 semi-structured interviews were conducted with physicians, midwives, nurses, community counselors, social workers, pharmacists, management personnel and health aides from a nationally representative sample of 48 PMTCT sites across Côte d’Ivoire. Healthcare workers described three categories of workforce patterns that they perceived to be affecting PMTCT success: workforce inputs, healthcare roles and responsibilities, and facilitators of task performance. According to their descriptions, PMTCT success depends on the presence of an adequate and trained PMTCT workforce, with an interdisciplinary team of healthcare workers with flexible roles and expanded task responsibilities, and whose tasks are translated into patient care through collaboration, ongoing trainings, and appropriate motivators. This study provides a model for understanding the impact of workforce patterns on PMTCT success in Côte d’Ivoire and provides insight into workforce-related facilitators and barriers of program performance that should be targeted in future research and interventions. It highlights the importance of workforce integration and collaboration between healthcare workers.
关键词：PMTCT ; HIV ; Workforce ; Human resources ; WHO HIV Option B