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Makerere University Research Repository >
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Please use this identifier to cite or link to this item:
http://hdl.handle.net/123456789/1808
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| Title: | Measuring the outcomes of a comprehensive HIV care course |
| Authors: | Weaver, Marcia R
Nakitto, Cecilia
Schneider, Gisela
Kamya, Moses R
Kambugu, Andrew
Lukwago, Robinah
Ronald, Allan
McAdam, Keith
Sande, Merle A |
| Keywords: | HIV infections
Highly active antiretroviral therapy
Developing countries
Sub-Saharan Africa
Continuing medical Education
Clinical competence
Antiretroviral therapy
HIV/AIDS |
| Issue Date: | 2006 |
| Publisher: | Lippincott Williams & Wilkins. |
| Citation: | Weaver, M.R., Nakitto, C., Schneider, G., Kamya, M.R., Kambugu, A., Lukwago, R., Ronald, A.,McAdam, K., Sande, M.A. (2006). Measuring the outcomes of a comprehensive HIV care course. Journal of Acquired Immune Deficiency Syndromes, 43(3) |
| Abstract: | Objective: To evaluate the effects of the Infectious Diseases
Institute’s 4-week course for African doctors on comprehensive
management of HIV including antiretroviral therapy on four
outcomes: (1) clinical skills, (2) clinical activities, (3) monitoring
of HIV patients, and (4) training activities
Design: Clinical exam at beginning and end of course and at followup
3 to 4 months later, and a cross-section telephone survey.
Methods: Forty-seven doctors attending the course (October 2004,
November 2004, March 2005, and April 2005) agreed to participate.
A 17-item Clinical Exam Checklist was used to assess clinical skills.
A telephone survey was conducted 1 month after the course to collect
data in four areas: clinical activities, monitoring of HIV patients, case
studies on initiation of ART, and training activities.
Results: The course improved the clinical skills of doctors. Between
the beginning and end of the course, their clinical skills improved
significantly in 11 of 17 areas (n = 34). Between the end of the course
and follow-up, their skills improved significantly in three areas
(n = 14). The trainees were practicing HIV care and training. The
telephone survey (n = 46) showed that 93% of trainees treated HIV
patients, 35% provided training on HIV, and 47% monitored the
weight of the last HIV patient treated (patient’s weight was a clinical
end point to measure health status). At follow-up, everyone provided
training and trained an average of 20 people per month. |
| URI: | http://hdl.handle.net/123456789/1808 |
| ISSN: | 1525-4135 |
| Appears in Collections: | Research Articles (IDI)
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| weaver-idi-res.pdf | | 235Kb | Adobe PDF | View/Open |
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