背景:辅助索引案例测试,其中,卫生保健工作者发挥积极作用,为艾滋病毒感染者的高危接触者提供艾滋病毒检测服务,已被广泛认为是一种基于证据的干预措施,具有很高的潜力,可以提高对PLHIV状况的认识。该方法的有希望的证据导致近年来在整个东部和南部非洲进行了几次尝试,以扩大辅助索引病例测试。然而,尽管有效实施是任何辅助索引病例测试策略的核心,从正在进行“协助”的HCWs的角度来看,实施科学研究有限。本研究从马拉维实施该方法的医护人员的角度研究了辅助指标病例测试的可行性。方法:对26名在马拉维医疗机构提供辅助索引病例测试的非专业医护人员进行了深入访谈。访谈探讨了卫生保健工作者“经验咨询指数客户并追踪这些客户”联系人,旨在为混合学习实施包的开发提供信息。使用Dedoose编码软件对转录本进行归纳分析,以识别和描述影响辅助指标案例测试可行性的关键因素。分析包括与数据收集团队进行多轮编码和迭代。结果:参与者报告了辅助索引案例测试实施可行性的各种障碍,包括隐私问题,在高工作量的情况下,辅助索引案例测试的时间有限,质量差的联系信息,追踪的后勤障碍,以及与客户讨论性行为的挑战。参与者还报告了促进可行性的几个医护人员特征:对辅助指标案例测试的基本原理和程序知识的有力理解,较强的人际交往能力,对客户的积极态度,和他们工作中的目标感。结论:研究结果表明,最大限度地提高辅助指数病例检测的潜力,以提高对艾滋病毒状况的认识,需要充分装备卫生保健工作者与适当的知识,技能,并支持解决和克服它们在实施中面临的许多可行性挑战。试用注册号:NCT05343390注册日期:2022年4月25日。
UNASSIGNED: Assisted index
case testing, in which health care workers take an active role in referring at-risk contacts of people living with HIV for HIV testing services, has been widely recognized as an evidence-based intervention with high potential to increase PLHIV status awareness. Promising evidence for the approach has led to several attempts to scale assisted index
case testing throughout eastern and southern Africa in recent years. However, despite effective implementation being at the heart of any assisted index
case testing strategy, there is limited implementation science research from the perspective of the HCWs who are doing the \"assisting\". This study examines the feasibility of assisted index
case testing from the perspective of health care workers implementing the approach in Malawi.
UNASSIGNED: In-depth interviews were conducted with 26 lay health care workers delivering assisted index case testing in Malawian health facilities. Interviews explored health care workers\' experiences counselling index clients and tracing these clients\' contacts, aiming to inform development of a blended learning implementation package. Transcripts were inductively analyzed using Dedoose coding software to identify and describe key factors influencing feasibility of assisted index case testing. Analysis included multiple rounds of coding and iteration with the data collection team.
UNASSIGNED: Participants reported a variety of barriers to feasibility of assisted index case testing implementation, including privacy concerns, limited time for assisted index
case testing amid high workloads, poor quality contact information, logistical obstacles to tracing, and challenges of discussing sexual behavior with clients. Participants also reported several health care worker characteristics that facilitate feasibility: robust understanding of assisted index case testing\'s rationale and knowledge of procedures, strong interpersonal skills, positive attitudes towards clients, and sense of purpose in their work.
UNASSIGNED: Findings demonstrate that maximizing assisted index case testing\'s potential to increase HIV status awareness requires adequately equipping health care workers with appropriate knowledge, skills, and support to address and overcome the many feasibility challenges that they face in implementation.
UNASSIGNED: NCT05343390 Date of registration: April 25, 2022.