超越生存:利用可持续性框架来评估和支持实施针对艾滋病毒感染黑人妇女捆绑干预计划的项目
Angela Wangari Walter1, Melanie Rocco1, Judith C Scott1
1Angela Wangari Walter and Vanessa Ayafor are with the Department of Public Health, Zuckerberg College of Health Sciences, University of Massachusetts, Lowell. Melanie Rocco and Linda Sprague Martinez are with The Health Disparities Institute, UConn Health, Hartford, CT. Judith C. Scott is with the Clinical Practice Department, Boston University School of Social Work, Boston, MA. Ashley Carhee is with Boston University, Boston, MA. Rahab Goodwin is with the AIDS Care Group, Chester, PA. Shakeila A. Lewis-Chery is with Ponce De Leon Center, Grady Health System, Atlanta, GA. Alicia Downes is with AIDS United, Washington, DC. LaShonda Y. Spencer is with the Charles R. Drew University of Medicine and Science, Los Angeles, CA.
捆绑干预措施有效地改善了黑人妇女的艾滋病毒治疗. 由于适应性和融入现有卫生服务,这些计划显示出高度的可持续性.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 艾滋病毒/艾滋病研究研究
背景情况:
- 黑人妇女在艾滋病毒护理和治疗方面经历了显著的差异.
- 社会文化决定因素影响艾滋病毒感染黑人妇女的健康结果.
- 为了应对这些挑战,正在探索捆绑干预措施.
研究的目的:
- 评估针对艾滋病毒感染的黑人妇女的捆绑干预措施的可持续性.
- 评估对艾滋病毒治疗提供,利用和健康结果的影响.
- 确定影响这些干预措施长期可行性的因素.
主要方法:
- 使用了来自计划可持续性评估工具 (PSAT) 的定量数据.
- 分析了现场工作人员呼叫表格,现场访问报告和关键信息员采访的定性数据.
- 美国各地的可持续性能力得到了检查.
主要成果:
- 该倡议获得了高的整体可持续性评分 (平均值=5.1).
- 在程序适应 (5.8),评估 (5.6) 和组织能力 (5.6) 中报告了有利的分数.
- 适应性,响应性,评估基础设施,整合性和环境支持是可持续性的关键.
结论:
- 针对艾滋病毒感染黑人妇女的干预措施是可持续的.
- 这些干预措施应始终融入社区和卫生服务组织.
- 成功的项目需要适应能力和强大的组织能力.
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