Assuntos
Neoplasias Hematológicas/epidemiologia , Academias e Institutos , Pesquisa Biomédica , Linfoma de Burkitt/epidemiologia , Linfoma de Burkitt/terapia , Fortalecimento Institucional , Educação Médica Continuada , Neoplasias Hematológicas/terapia , Humanos , Cooperação Internacional , Linfoma Relacionado a AIDS/epidemiologia , Linfoma Relacionado a AIDS/terapia , Apoio à Pesquisa como Assunto , Uganda/epidemiologia , Estados UnidosRESUMO
Alcohol use and depression negatively impact adherence, retention in care, and HIV progression, and people living with HIV (PLWH) have disproportionately higher depression rates. In developing countries, more than 76% of people with mental health issues receive no treatment. We hypothesized that stepped-care mental health/HIV integration provided by multiple service professionals in Zimbabwe would be acceptable and feasible. A three-phase mixed-method design was used with a longitudinal cohort of 325 nurses, community health workers, and traditional medicine practitioners in nine communities. During Phase 3, 312 PLWH were screened by nurses for mental health symptoms; 28% were positive. Of 59 PLWH screened for harmful alcohol and substance use, 36% were positive. Community health workers and traditional medicine practitioners screened 123 PLWH; 54% were positive for mental health symptoms and 29% were positive for alcohol and substance abuse. Findings indicated that stepped-care was acceptable and feasible for all provider types.
Assuntos
Pessoal Técnico de Saúde , Agentes Comunitários de Saúde , Prestação Integrada de Cuidados de Saúde , Infecções por HIV/tratamento farmacológico , Transtornos Mentais/terapia , Enfermeiras e Enfermeiros , Transtornos Relacionados ao Uso de Substâncias/terapia , Transtornos Relacionados ao Uso de Álcool/terapia , Relações Comunidade-Instituição , Estudos de Viabilidade , Infecções por HIV/psicologia , Humanos , Saúde Mental , Aceitação pelo Paciente de Cuidados de Saúde , Projetos Piloto , Recursos Humanos , ZimbábueRESUMO
An unmet need for family planning among Ugandan women remains. Our research team conducted qualitative research to identify Ugandan perspectives about family planning. We facilitated interviews with Ugandan women and health care providers. Using grounded theory, our team analyzed the data to identify themes from the transcripts. The researchers identified the cross-cutting theme as the influence of money on women and health care providers. Although affordability and accessibility were recognized as determinants of ensuring family planning uptake, we found that money impacts the decision making via additional mechanisms. For women, monetary concerns associated with assuring family needs were prioritized. For health care providers, they discussed that money created barriers as well as incentives to family planning service provisions.
