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Open Access Training social workers to enhance patient-centered care for drug-resistant TB-HIV in South Africa

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KwaZulu-Natal, South Africa, is the epicenter of an epidemic of drug-resistant tuberculosis (DR-TB) and human immunodeficiency virus (HIV) co-infection, characterized by low rates of medication adherence and retention in care. Social workers may have a unique role to play in improving DR-TB-HIV outcomes. We designed, implemented and evaluated a model-based pilot training course on patient-centered care, treatment literacy in DR-TB and HIV coinfection, patient support group facilitation, and self-care. Ten social workers participated in a 1-day training course. Post-training questionnaire scores showed significant overall gains (P = 0.003). A brief training intervention may be a useful and feasible way to engage social workers in patient-centered care for DR-TB and HIV coinfection.
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Keywords: drug-resistant TB-HIV; medication adherence; patient-centred care; social worker

Document Type: Research Article

Affiliations: 1: Touro College Graduate School of Social Work, New York, New York, USA, Centre for AIDS Programme of Research in South Africa, South African Medical Research Council HIV-TB Pathogenesis and Treatment Research Unit, Durban, South Africa 2: Centre for AIDS Programme of Research in South Africa, South African Medical Research Council HIV-TB Pathogenesis and Treatment Research Unit, Durban, South Africa, School of Applied Human Sciences, University of KwaZulu-Natal, Durban, South Africa 3: Centre for AIDS Programme of Research in South Africa, South African Medical Research Council HIV-TB Pathogenesis and Treatment Research Unit, Durban, South Africa, McGill International TB Centre, McGill University Health Centre, McGill University, Montreal, Quebec, Canada 4: Department of Health Behavior and Health Education, School of Public Health, University of Michigan, Ann Arbor, Michigan, USA 5: King DinuZulu Hospital Complex, Sydenham, South Africa 6: Yale School of Medicine, New Haven, Connecticut, USA 7: Centre for AIDS Programme of Research in South Africa, South African Medical Research Council HIV-TB Pathogenesis and Treatment Research Unit, Durban, South Africa 8: Centre for AIDS Programme of Research in South Africa, South African Medical Research Council HIV-TB Pathogenesis and Treatment Research Unit, Durban, South Africa, Division of Pulmonary, Allergy, and Critical Care Medicine, Columbia University Medical Center, New York, New York, USA, Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, New York, USA

Publication date: 21 March 2018

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  • Public Health Action (PHA), The Union's quarterly open access on-line journal, provides a platform for its mission 'Health solutions for the poor'. PHA addresses the need for show-casing operational research that addresses issues in health systems and services. It publishes high-quality scientific research that provides new knowledge to improve access, equity, quality and efficiency of health systems and services.

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