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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
A primary health care intervention to mobilize health workers for HIV prevention in Malawi
Primary Health Care Research and Development, Volume 7, No. 4, Year 2006
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Description
For the last 4 years we have implemented a model to mobilize rural health workers as leaders for HIV prevention in Malawi. We use a conceptual framework that integrates the World Health Organization's (WHO) primary health care (PHC) model, the social-cognitive model of behavioural change, and contextual tailoring of the intervention. Health workers are potential rural HIV prevention leaders because they have community trust and respect. However, their leadership potential has been limited by both health system barriers such as inadequate workers, supplies, and training and personal barriers such as risky occupational and personal behaviours. In the first phase of the project, we developed collaborative relationships and conducted qualitative research to adapt a peer group intervention for rural health workers and community members. In the ongoing second phase, we trained the health workers, who then volunteered and provided the intervention to adults in the communities their health centres serve.The intervention was adapted for young people through a community participatory process. Currently the adapted intervention is being offered to young people. As a guide to replication, we discuss barriers encountered in implementing this collaborative project and how we overcame them.This project demonstrates that health workers can be effective leaders for community AIDS prevention in African countries. The primary health care model offers a feasible, cost-effective and sustainable approach to maximizing health worker-community collaboration to reduce the spread of HIV. © 2006, Cambridge University Press. All rights reserved.
Authors & Co-Authors
Norr, Kathleen Fordham
United States, Chicago
University of Illinois at Chicago
Crittenden, Kathleen S.
United States, Chicago
University of Illinois at Chicago
Dancy, Barbara L.
United States, Chicago
University of Illinois at Chicago
McCreary, Linda L.
United States, Chicago
University of Illinois at Chicago
Norr, James L.
United States, Chicago
University of Illinois at Chicago
Talashek, Marie L.
United States, Chicago
University of Illinois at Chicago
Kaponda, Chrissie P.N.
Malawi, Zomba
University of Malawi
Jere, Diana Linda N.
Malawi, Zomba
University of Malawi
Sitingawawo, I.
Malawi, Zomba
University of Malawi
Kafulafula, Ursula Kalimembe
Malawi, Zomba
University of Malawi
Mbeba, Mary M.
Malawi, Zomba
University of Malawi
Kachingwe, K.
Unknown Affiliation
Statistics
Citations: 23
Authors: 12
Affiliations: 2
Identifiers
Doi:
10.1017/S1463423606000430
ISSN:
14634236
e-ISSN:
14771128
Research Areas
Health System And Policy
Infectious Diseases
Study Design
Randomised Control Trial
Study Approach
Qualitative
Study Locations
Malawi