Title |
From PALSA PLUS to PALM PLUS: adapting and developing a South African guideline and training intervention to better integrate HIV/AIDS care with primary care in rural health centers in Malawi
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Published in |
Implementation Science, July 2011
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DOI | 10.1186/1748-5908-6-82 |
Pubmed ID | |
Authors |
Michael J Schull, Ruth Cornick, Sandy Thompson, Gill Faris, Lara Fairall, Barry Burciul, Sumeet Sodhi, Beverley Draper, Martias Joshua, Martha Mondiwa, Hastings Banda, Damson Kathyola, Eric Bateman, Merrick Zwarenstein |
Abstract |
Only about one-third of eligible HIV/AIDS patients receive anti-retroviral treatment (ART). Decentralizing treatment is crucial to wider and more equitable access, but key obstacles are a shortage of trained healthcare workers (HCW) and challenges integrating HIV/AIDS care with other primary care. This report describes the development of a guideline and training program (PALM PLUS) designed to integrate HIV/AIDS care with other primary care in Malawi. PALM PLUS was adapted from PALSA PLUS, developed in South Africa, and targets middle-cadre HCWs (clinical officers, nurses, and medical assistants). We adapted it to align with Malawi's national treatment protocols, more varied healthcare workforce, and weaker health system infrastructure. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
Botswana | 1 | 50% |
United States | 1 | 50% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 2 | 100% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Brazil | 2 | 1% |
United Kingdom | 2 | 1% |
Canada | 2 | 1% |
South Africa | 2 | 1% |
Indonesia | 1 | <1% |
Malawi | 1 | <1% |
United States | 1 | <1% |
Unknown | 158 | 93% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Researcher | 29 | 17% |
Student > Master | 28 | 17% |
Student > Ph. D. Student | 20 | 12% |
Lecturer | 11 | 7% |
Student > Doctoral Student | 10 | 6% |
Other | 41 | 24% |
Unknown | 30 | 18% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 57 | 34% |
Nursing and Health Professions | 25 | 15% |
Social Sciences | 19 | 11% |
Business, Management and Accounting | 5 | 3% |
Arts and Humanities | 4 | 2% |
Other | 17 | 10% |
Unknown | 42 | 25% |