| dc.contributor |
HIV Unit, Ministry of Health, Lilongwe, Malawi. |
|
| dc.creator |
Makombe, S D |
|
| dc.creator |
Jahn, A |
|
| dc.creator |
Tweya, H |
|
| dc.creator |
Chuka, S |
|
| dc.creator |
Yu, J K L |
|
| dc.creator |
Hochgesang, M |
|
| dc.creator |
Aberle-Grasse, J |
|
| dc.creator |
Pasulani, O |
|
| dc.creator |
Schouten, E J |
|
| dc.creator |
Kamoto, K |
|
| dc.creator |
Harries, A D |
|
| dc.date |
2007-11 |
|
| dc.date.accessioned |
2017-01-31T07:10:35Z |
|
| dc.date.available |
2017-01-31T07:10:35Z |
|
| dc.identifier |
A national survey of the impact of rapid scale-up of antiretroviral therapy on health-care workers in Malawi: effects on human resources and survival. 2007, 85 (11):851-7 Bull. World Health Organ. |
|
| dc.identifier |
0042-9686 |
|
| dc.identifier |
18038075 |
|
| dc.identifier |
http://hdl.handle.net/10144/22935 |
|
| dc.identifier |
http://fieldresearch.msf.org/msf/handle/10144/22935 |
|
| dc.identifier |
Bulletin of the World Health Organization |
|
| dc.identifier.uri |
http://dspace.mediu.edu.my:8181/xmlui/handle/10144/22935 |
|
| dc.description |
OBJECTIVE: To assess the human resources impact of Malawis rapidly growing antiretroviral therapy (ART) programme and balance this against the survival benefit of health-care workers who have accessed ART themselves. METHODS: We conducted a national cross-sectional survey of the human resource allocation in all public-sector health facilities providing ART in mid-2006. We also undertook a survival analysis of health-care workers who had accessed ART in public and private facilities by 30 June 2006, using data from the national ART monitoring and evaluation system. FINDINGS: By 30 June 2006, 59 581 patients had accessed ART from 95 public and 28 private facilities. The public sites provided ART services on 2.4 days per week on average, requiring 7% of the clinician workforce, 3% of the nursing workforce and 24% of the ward clerk workforce available at the facilities. We identified 1024 health-care workers in the national ART-patient cohort (2% of all ART patients). The probabilities for survival on ART at 6 months, 12 months and 18 months were 85%, 81% and 78%, respectively. An estimated 250 health-care workers lives were saved 12 months after ART initiation. Their combined work-time of more than 1000 staff-days per week was equivalent to the human resources required to provide ART at the national level. CONCLUSION: A large number of ART patients in Malawi are managed by a small proportion of the health-care workforce. Many health-care workers have accessed ART with good treatment outcomes. Currently, staffing required for ART balances against health-care workers lives saved through treatment, although this may change in the future. |
|
| dc.language |
en |
|
| dc.publisher |
WHO |
|
| dc.rights |
Archived with thanks to the World Health Organization |
|
| dc.title |
A national survey of the impact of rapid scale-up of antiretroviral therapy on health-care workers in Malawi: effects on human resources and survival. |
|