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|Title: ||Measuring the outcomes of a comprehensive HIV care course|
|Authors: ||Weaver, Marcia R|
Kamya, Moses R
Sande, Merle A
|Keywords: ||HIV infections|
Highly active antiretroviral therapy
Continuing medical Education
|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.|
|Appears in Collections:||Research Articles (IDI)|
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