Free Content Changing roles and responses of health care workers in HIV treatment and care

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Summary A key limiting factor in the scale up and sustainability of HIV care and treatment programmes is the global shortage of trained health care workers. This paper discusses why it is important to move beyond conceptualising health care workers simply as ‘inputs’ in the delivery of HIV treatment and care, and to also consider their roles as partners and agents in the process of health care. It suggests a framework for thinking about their roles and responses in HIV care, considers the current evidence base, and concludes by identifying key areas for future research on health care workers’ responses in HIV treatment and care in low and middle income settings.

Un facteur limitant principal dans l’échelle et la durée des programmes de soins et de traitement du VIH est la pénurie mondiale en agents formés de soins de santé. Cet article discute pourquoi il est nécessaire d’aller au-delà de la conceptualisation des agents de soins de santé en tant que simples contribuables dans la prestation du traitement et des soins du VIH, et de considérer également leur rôle en tant que partenaires et d’agents dans le processus des soins de santé. Il suggère un cadre de réflexion sur leurs rôles et réaction dans les soins VIH, considère les preuves de base actuelles et conclut en identifiant les domaines clés pour la recherche future sur les réactions des agents de soins de santé par rapport au traitement et soins du VIH dans les pays à faibles et moyens revenus.
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