Lablite: Training needs for roll out of ART in Uganda and Zimbabwe using optimisation of clinical skills and minimisation of routine laboratory monitoring
The Lablite project aims to demonstrate ART roll-out to primary health care facilities, optimizing clinical management. A cross-sectional survey of the training/mentoring needs of heathcare workers (HCWs), using qualitative and quantitative methods, was done at 4 Lablite sites in Uganda (assessing 54 HCWs, in a hospital and 2 health centres) and 4 in Zimbabwe (assessing 30 HCWs in a district hospital and 3 primary care facilities).
Nine areas of knowledge assessed were: diagnosis of HIV/AIDS, HIV staging, starting ART, management of opportunistic infections, side effects of ART, ART failure criteria, monitoring of HIV patients, PMTCT and pharmacy logistics. Assessment of formal training included counseling and HIV prevention but grouped ART management and did not include logistics.
Survey results led to recommendation of an onsite mentoring training approach, where training should focus on building confidence of HCWs in making clinical decisions with minimal laboratory monitoring. Records/logistics management should be included.
Mambule, I.; Senjovu, D.K.; Muzambi, M.; Mabugu, T.; Abongomera, G.; Tinago W.; Reid, A.; Kityo, C.; Hakim, J.; Ford, D.; Katabira, E. Lablite: Training needs for roll out of ART in Uganda and Zimbabwe using optimisation of clinical skills and minimisation of routine laboratory monitoring. Presented at 17th International Conference on AIDS and STI’s in Africa 2013. (2013)