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HIV/AIDS workplace policy addressing epidemic drivers through workplace programs

机译:艾滋病毒/艾滋病工作场所政策,通过工作场所计划解决流行病驱动因素

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HIV workplace policies have become an important tool in addressing the HIV Pandemic in Sub-Saharan Africa. In Zambia, the National AIDS Council has been advocating for establishing of HIV/AIDS workplace policies to interested companies, however no formal evaluation has been done to assess uptake and implementation. The study aimed to establish the existence of HIV/AIDS policies and programs in the private sector and to understand implementation factors and experiences in addressing HIV epidemic drivers through these programs. A mixed method assessment of the availability of policies was conducted in 128 randomly selected member companies of Zambia Federation of Employers in Lusaka. Categorized variables were analysed on Policy and programs using Stata version 12.0 for associations: Concurrently, 28 in-depth interviews were conducted on purposively sampled implementers. Qualitative results were analysed thematically before integrating them with qualitative findings. Policies were found in 47/128 (36.72%) workplaces and the private sector accounted for 34/47 (72.34%) of all workplaces with a policy. Programs were available in 56/128 (43.75%) workplaces. The availability of policy was 2.7 times more likely to occur with increased size of a workplace, P value?=?0.0001, (P?
机译:艾滋病毒工作场所政策已成为解决撒哈拉以南非洲艾滋病毒大流行的重要工具。在赞比亚,国家艾滋病委员会一直在提倡为感兴趣的公司制定艾滋病毒/艾滋病工作场所政策,但是尚未进行正式评估来评估其吸收和实施情况。该研究旨在确定私营部门中艾滋病毒/艾滋病政策和方案的存在,并了解通过这些方案应对艾滋病毒流行病驱动因素的实施因素和经验。在卢萨卡的赞比亚雇主联合会的128个随机选择的成员公司中,进行了政策可用性的混合方法评估。使用Stata 12.0版针对关联对策略和程序进行了分类变量分析:同时,对有目的抽样的实施者进行了28次深度访谈。在将定性结果与定性发现结合之前,先对定性结果进行了主题分析。在47/128(36.72%)个工作场所中发现了政策,而私营部门在所有有政策的工作场所中占34/47(72.34%)。这些程序在56/128(43.75%)个工作场所中可用。随着工作场所规模的扩大,可提供政策的可能性提高了2.7倍,P值≥0.0001(P≤0.05)。有政策的工作场所发生管理支持的可能性是无政策的工作场所的0.253倍,P值= 0.013,(P <0.05)。有政策的特定预算项目在有政策的工作场所中发生的可能性比没有政策的工作场所高0.23倍(P <0.05)。资金减少,缺乏时间,缺乏认识和缺乏监测/评价系统阻碍了执行工作。艾滋病毒/艾滋病(56 / 56,100%)和艾滋病毒/艾滋病/污名(47 / 56,83.93%)是通过该计划解决的最流行的驱动因素,而母婴传播(30/56 53.57%)和男性与男性发生性关系被最少提及(18/56,32.14%)。艾滋病毒/艾滋病政策在私营部门中所占比例很小,但政策转换率很高,这表明有警察的工作场所很可能实施方案。到2030年消灭艾滋病毒/艾滋病,需要在法律框架内着眼于边缘化人口,性别融合,健康和基于权利的方法,应对流行病驱动因素。

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