首页> 外文期刊>Central European journal of public health >Improving quality of prevention of mother-to-child HIV transmission services in Ukraine: a focus on provider communication skills and linkages to community-based non-governmental organizations.
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Improving quality of prevention of mother-to-child HIV transmission services in Ukraine: a focus on provider communication skills and linkages to community-based non-governmental organizations.

机译:在乌克兰提高预防母婴艾滋病毒传播服务的质量:侧重于提供者的沟通技巧以及与社区非政府组织的联系。

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BACKGROUND: Ukraine has the highest rate of HIV infection in Europe, with an estimated adult prevalence of 1.6 percent. The epidemic in Ukraine remains largely driven by injection drug use, and women of reproductive age are being increasingly affected. Prior research has highlighted the need to improve the quality of services for prevention of mother-to-child transmission (PMTCT) and to address other issues related to HIV counseling, testing, and care, especially in the context of antenatal and obstetric services. METHODS: From 2004 to 2007, PATH led a collaborative effort to improve the quality of PMTCT services in Ukraine. Initial assessments included focus groups with Ukrainian women and review of existing educational materials. Interventions focused on training providers to improve skills in communication and referral to community-based support; they also addressed the underlying issue of stigma. RESULTS: Observational data demonstrated that providers who participated in the training intervention delivered PMTCT counseling of a consistently higher quality than did providers who did not undergo training. Exit interviews with clients confirmed these findings. CONCLUSIONS: An intervention focused on strengthening voluntary counseling and testing for HIV, forging partnerships with local organizations, and undoing HIV-related stigma can help to improve access to and quality of PMTCT services in antenatal care clinics.
机译:背景:乌克兰是欧洲艾滋病毒感染率最高的国家,估计成人患病率为1.6%。乌克兰的流行仍然主要是由注射毒品引起的,育龄妇女正受到越来越多的影响。先前的研究强调,需要提高预防母婴传播服务的质量,并解决与艾滋病毒咨询,检测和护理有关的其他问题,尤其是在产前和产科服务的背景下。方法:从2004年到2007年,PATH领导了一项合作努力,以提高乌克兰PMTCT服务的质量。最初的评估包括与乌克兰妇女的焦点小组讨论和对现有教育材料的审查。干预措施的重点是培训提供者,以提高交流技巧和转介基于社区的支持;他们还解决了耻辱的根本问题。结果:观察数据表明,参加培训干预的提供者提供的PMTCT咨询的质量始终高于未接受培训的提供者。对客户的出口采访证实了这些发现。结论:一项干预措施的重点在于加强对艾滋病毒的自愿咨询和检测,与当地组织建立伙伴关系以及消除与艾滋病毒有关的污名,可以帮助改善产前保健诊所中PMTCT服务的获取和质量。

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