Mobilizing Health Workers/Community HIV Prevention/Chile

动员卫生工作者/社区艾滋病毒预防/智利

• 批准号: 6799070
• 负责人: KATHLEEN F NORR
• 金额: $ 4.03万
• 依托单位: UNIVERSITY OF ILLINOIS AT CHICAGO
• 依托单位国家: 美国
• 财政年份: 2004
• 资助国家: 美国
• 起止时间: 2004-07-17 至 2007-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6799070
• 关键词: AIDS education /prevention; South America; clinical research; community health services; health care model; health care personnel education; human subject; international cooperation; model design /development; peer group; rural area; rural health; safe sex /sex abstinence; training

DESCRIPTION (provided by applicant): The proposed AIDS-FIRCA research will adapt, implement, and test a peer group intervention to mobilize Chilean health workers as HIV/AIDS prevention leaders. The intervention was first developed in Botswana, then adapted for school teachers in Malawi, and now is being used to train health workers, community adults, and adolescents in Malawi. Health workers are key to success in the struggle to contain the HIV/AIDS pandemic. Chile has an incipient AIDS epidemic, but the epidemic is now spreading to the general population, beyond traditional high-risk groups. Very few efforts are now directed at containing the epidemic or preparing health workers for a role in HIV prevention. This model of peer group leader training for health worker mobilization is low cost and sustainable, and highly relevant for Chile and the Latin American region. The Chile research will be a partial replication of the Malawi study. In Phase I, a formative evaluation using focus groups and interviews with health administrators and workers will allow us to tailor the intervention and evaluation instruments for health workers in Chile. A quasi-experiment with pretest and post-test observations of health workers and clients in five intervention clinics and five comparable control clinics will evaluate the effects of the intervention. Process evaluation will document quality of the intervention. Health worker-client observations and interviews with health workers pre and post intervention in five intervention and five delayed-intervention control clinics will allow us to test hypotheses about changes in health services and health workers at three months post-intervention. Health services outcomes include: consistent practice of universal precautions, showing sensitivity toward HIV-related concerns, and incorporation of HIV prevention messages. Health worker outcomes include: increased HIV/AIDS knowledge, more positive attitudes toward persons living with HIV/AIDS and toward HIV prevention, and increased HIV prevention behaviors at work and in their personal lives. Power analysis indicates that the sample of 457 workers per clinic, with an 80% participation rate, will be adequate to test small to medium expected effects at a power of 0.80. Results will be disseminated to health workers and policy makers. Full participation by four Chilean coinvestigators and workshops by the US team will build research capacity at the host institution. The intervention is a low-cost sustainable model for national mobilization of health workers for HIV prevention.

描述（由申请人提供）：拟议的艾滋病 - 菲尔卡研究将适应，实施和测试同伴小组干预，以动员智利卫生工作者为艾滋病毒/艾滋病预防领导者。该干预措施最初是在博茨瓦纳开发的，然后改编成马拉维的学校教师，现在被用于培训马拉维的卫生工作者，社区成年人和青少年。卫生工作者是成功遏制艾滋病毒/艾滋病大流行的斗争的关键。智利具有初期的AIDS流行病，但这种流行病现在正在传统的高风险群体以外的普通人群传播。现在，很少有努力旨在遏制流行病或为卫生工作者做准备，以在预防艾滋病毒中发挥作用。这种对卫生工作者动员的同伴小组领导者培训模型是低成本和可持续的，并且与智利和拉丁美洲地区高度相关。智利研究将是马拉维研究的部分复制。在第一阶段，使用焦点小组进行的形成性评估以及对卫生管理员和工人的访谈将使我们能够为智利卫生工作者定制干预和评估工具。对五个干预诊所的卫生工作者和客户的预测试和测试后的准经验和五个可比控制诊所将评估干预措施的影响。过程评估将记录干预的质量。卫生工作者客户的观察和对卫生工作者进行五次干预和五个延迟干预控制诊所的访谈将使我们能够在干预后三个月测试有关卫生服务和卫生工作者变化的假设。卫生服务的结果包括：普遍预防措施的一致实践，对与艾滋病毒相关的问题表现出敏感性以及预防艾滋病毒预防信息的敏感性。卫生工作者的结果包括：增加艾滋病毒/艾滋病知识，对艾滋病毒/艾滋病患者以及对艾滋病毒预防的人的更积极态度，以及增加工作和个人生活中的艾滋病毒预防行为。功率分析表明，每个诊所的457名工人的样本（参与率为80％）足以以0.80的功率测试中小型期望效应。结果将被传播给卫生工作者和政策制定者。美国团队的四个智利共同投资者和研讨会的全面参与将在东道机构建立研究能力。干预是一种低成本的可持续模型，用于民族动员卫生工作者预防艾滋病毒。