Co-ordination of Health Workers at CTC

PST 06102

:

Counselling and Guidance

Session 13:

Co-ordination of Health Workers at CTC

1

Learning tasks

At the end of this session, students are expected to be able to

:

Explain concept of the co-ordination of health workers at CTC

Identify services provided by staff within CTC

Explain impact of health care workers on HIV and AIDS Programmes at CTC

2

Concept of the Co-ordination of Health Workers at CTC

Caring for HIV/AIDS patients requires health care workers (HCWs) to have good knowledge of the issues, cultural differences in HCWs, combined with professional ethics and personal beliefs, could also result in conflicting attitudes, leading to difficulties related to looking after people affected by HIV/AIDS

For CTC services to function well, adequate and trained staff need to have clearly outlined roles and responsibilities, since HIV and AIDS is now a manageable chronic disease, the principles of chronic disease management must be followed.

3

Team approaches involving a patient, a family care giver and a healthcare team i.e. consisting of at least a triage nurse, a doctor and a treatment/adherence pharmaceutical personnel to ensure the building of an ongoing relationship between patient and the health care team for life-long care.

Regularly scheduled visits minimize drug depletion at home; this is enabled by records that are easy to retrieve, and disciplined observance of appointment schedules.

4

Weekly CTC team meetings to discuss bottlenecks and case studies will help to build team spirit, while quarterly staff meetings between heads of relevant units involved in HIV care such as

CTC, TB, VCT, PRCH, STI, HBC, Pharmacy, Laboratory and In-patient units

will help to build better internal cooperation and patient referrals

.

Council Health Management Team (CHMT) members must conduct regular at least quarterly supportive supervision visits to assess efficiency and effectiveness of service delivery, and identify where mentoring by experts from supervising hospitals or health programmes should be put in place.

5

Activity:

Buzzing

What are the services provided by staff within CTC?

6

The National Standard Operating Procedures manual outlines the following services to be provided by available staff within CTC:

Registration and appointments management; filling of CTC1 and CTC2 basic information; height, weight, Blood Pressure (BP), (Body Mass Index(BMI)), pulse rate and temperature

Triage: assessment of immediate medical needs, TB screening questionnaire, support and referring the patient to the next relevant unit or staff at the CTC

7

Clinical management

Patient

ART preparedness and adherence counselling

All elements of PHDP

Data collection and management

Referral management within the hospital, and with relevant institutions and community organizations

8

9

Impact of Health Care Workers on HIV and AIDS

Programmesat

CTC

HIV and AIDS programmes have had a direct impact on health care workers (HCW) at CTC into;

Recruitment of HCW at CTC

Distribution and retention of HCW at CTC;

Attrition of HCW at CTC

10

a. Recruitment

of health workers at CTC

Recruitment in this context includes all measures and processes used to prepare and deploy HCWs into the HIV and AIDS programmes; for instance, HCW like doctors, pharmaceutical personnel, nurses

etc

who shifted from their normal activities to HIV and AIDS programmes, they must effectively recruited into HIV and AIDS care.

HIV and AIDS programmes create greater demand for HCWs, in response to which there have been efforts to recruit additional staff, including new cadres, the additional staff may be from the existing stock of HCWs, or could be from outside the system, depending on the country involved

.

11

b

. Distribution

and retention of HCW at CTC;

Exploring impact, opportunity and lessons from, HIV/AIDS service programmes on HCW distribution and retention

There is specific HCW retention strategies including financial and non-financial incentives, in scale up for HIV and AIDS services

Specific workplace challenges and wider issues in retaining health workers in the context of HIV/AIDS at CTCs especially in high burden countries are solved

12

Health worker get HIV/AIDS treatment and prevention programmes including infection prevention and control measure (IPC) and post exposure prophylaxis (PEP)

HIV and AIDS drive deployment policies skills mix, task shifting and their relationship to the rest of the health system to improve distribution and retention HCW

13

of health workers at CTC

Employment impact opportunity and lessons from, HIV and AIDS

programme

on

HCW resignation, illness ,absenteeism, premature retirement, death and emigration all cause Attrition of health care workers at CTC

AIDS/HIV treatment and prevention

programme

to HCW mitigate attrition of health care workers at CTC

14

Strategies to address higher demand for HIV and AIDS services resulting stress, frustration, burn-out hence there is a need to mitigate attrition of HCW

HIV and AIDS driven improvement in working conditions and how they mitigate HCW attrition

15

Key

points

For CTC services to function well, adequate and trained staff, need to have clearly outlined roles and responsibilities, since HIV and AIDS is now a manageable chronic disease, the principles of chronic disease management must be followed.

The National Standard Operating Procedures manual outlines the

different services

to be provided by available staff within

CTC

16

Review questions

What are the services provided by health workers at CTC?

What are the impacts of health workers on HIV/AIDS

programme

?

17

References

Essengue

M-S (2003) ‘

Assessment of human resources for scaling up HIV/AIDS/ART country programmes,

’ Duty travel report from site visits in Rwanda. Geneva: WHO, Department of Human Resources for Health.

MOHSW (2009).

Provider Initiated HIV Testing and Counselling: Trainer’s

Manual.

Dares

Salaam, Tanzania: National AIDS Control

Programme

.

Uebel

KE, Nash J and Avalos A (2007) ‘

Caring for the Caregivers: Models of HIV/AIDS Care and Treatment Provision for Health Care Workers

in Southern Africa,’

Journal of Infectious Diseases

196

(Supplement)

:

UNAIDS (2007)

Monitoring the Declaration of Commitment on HIV/AIDS: Guidelines on construction of core indicators, 2008 reporting

. Geneva: UNAIDS.

18

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