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Implementing antiretroviral therapy programs in resource-constrained settings: lessons from Monze, Zambia

Adebola Adedimeji1, Oliver Malokota, Ogenna Manafa

  • 1Centre for Public Health Sciences, Albert Einstein College of Medicine, Bronx, New York 10461, USA. adebola.adedimeji@einstein.yu.edu

Journal of Public Health Policy
|March 4, 2011
PubMed

We describe the impact of an antiretroviral therapy program on human resource utilization and service delivery in a rural hospital in Monze, Zambia, using qualitative data. We assess project impact on staff capacity utilization, service delivery, and community perception of care. Increased workload resulted in fatigue, low staff morale, and exacerbated critical manpower shortages, but also an increase in users of antiretroviral therapy, improvement in hospital infrastructure and funding, and an overall community satisfaction with service delivery. Integrating HAART programs within existing hospital units and services may be a good alternative to increase overall efficiency.

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