Strengthening the success beyond zero on HIV infection through PITC In Private Hospitals.
Abstract
Background: HIV management is one of the medical services offered at the Mater hospital’s two HIV management clinics: The Mater Total Care Clinic (MTCC-consultant) and Mater Comprehensive Care Clinic (MCCC-sponsored). MCCC runs an integrated VCT to walk-in clients. The hospital serves about 5440 and 440 patients a month at its OPD and IPD respectively. An average of 178 patients receives medical services at Accident & Emergency unit (A&E) every day. Most of these clients are corporate. Corporate patients are mostly reluctant for HIV screening and do not prefer findings to be included in their medical reports. Client Initiated HTC to such clients in private hospitals may mostly seem unfruitful. With this background, MCCC felt a need to evaluate the impact and expand its HIV services at A&E through Provider Initiated Testing & Counselling (PITC) so as to reach more clients. Objectives: To use a friendly PITC approach to every client at A&E. To link HIV positive clients to care. To offer on-going psychosocial & emotional support and results oriented retention strategy Method: A survey trial. Provision of brochures at registrations desk, customised friendly fit messages that capture benefits available with uptake of HIV testing (RAPID RESULTS), packaged care, treatment and support following results, active client navigation to testing and treating stations, linking client to mentorship and counselling support initiatives and Aided Partner Notification program. Results: Out of 660 clients tested in a month at A& E, 100% positive clients successfully linked to care leading to increased number of family testing and partner testing, increased uptake of staff testing as well as general male testing (from 20% - 92) and 95% self-initiated testing. Conclusion and Recommendation: Refined strategies, a kit necessary to escalate HIV testing to capture cooperate clientele in Private Hospitals. Other leading private hospitals can embrace similar small test of change. This will ensure success towards beyond zero HIV, stigma, and deaths especially to clients of social status in private hospitals.
Downloads
References
Bellagamba, A. (1993) The Mission of the Church, Nairobi: Pauline’s Publications Africa.
Bishop Rotich, C. (2003) The History of the Catholic Diocese of Eldoret: 1953-2003. Eldoret,
Catholic Diocese of Eldoret.
AmaniMashinani (Peace at the Grassroots) (2009) Experiences of Community Peacebuilding in the
North Rift Region of Kenya: A publication of the Catholic Diocese of Eldoret, Kenya, East Africa.
Edlin, J. (1988)Zimbabwe’s Deadly Cancer”.The Toronto Star. Sunday Second Edition, Ph4.
Harmonized Draft Constitution of Kenya, (2009) by Committee of Experts on Constitutional Review
Delta House, Chiromo Road, Westlands, Nairobi.
Haygood, W. (2001) “Book Review, Big men, Little people: The leaders who Defined Africa.” In The
Boston Globe. ed. Alec Reussel. Boston
Herskovits-Melville J. 1948. Man and his works. New York: Knopf.
Hinton, P.R. (2000)Stereotypes, Cognition, and Culture. NY: Psychology Press
Hochschild, A. (1999) King Leopold’s Ghost. Mariner Books
Hunter, A.M. (1966) The Gospel According to St. Paul, Philadelphia: Westminster Press
Jewel. Mwendo. (2012) www.post.election.violence(Accessed on 29th June 2913).
Kanyinga, et al. (2010)Tensions and Reversals in Democratic Transitions: The Kenya 2007 General
Elections. Nairobi.
Lahey, B. (2007) Introduction to Social Psychology.10th Ed. USA: McGraw-Hill Co. Inc
Levine, et al. (1972)Ethnocentrism: Theories of conflict, ethnic attitudes, and group behaviour.
New York: Wiley.
Mahmood M. (1996)Citizen and Subject: Contemporary Africa and the Legacy of Late Colonialism
New Jersey: Princeton University Press 185.
Mark O’Connor, Director of the Archbishop’s Office for Evangelization. www.evangelisation.org
(accessed on 1st July 2013)
Mugenda, G.A. (2008) Social Science Research. Nairobi: Applied Research & Training Services.
Quirin, L. (12 March 2009) ‘In Kenya, dioceses fight to control ever-present ethnic tensions.’ Catholic
News Service. <http://www.catholicnews.com/data/stories/htm>. (Accessed on 1st July 2013)
Rita, L. et al. (1990)Introduction to Psychology. 10th Ed. Geneva: Cosmo Press
Swain, Jon.13:08. (2000). A journey to Congo Reveals a Regime Collapsing into Lawlessness and
absurdity and a country on the Slide. In The Sunday Times. United Kingdom
Sumner-William G. (1906)Folkways: A study of the sociological importance of usages, manners,
customs, mores, and morals. New York: Mentor.
Taylor, S.E. et al. (2006) Social Psychology. 12th Ed. Pearson Ed. Inc
Taylor- Francis (2008)Personality and Social Behaviour. New York: Madison Publications
The Holy Bible(1999) The African Bible, Nairobi: Paulines Publications Africa.
Wehmeir, S. (2003)Oxford Advanced Learner’s Dictionary.6th Ed. UK, United Kingdom
Copyright (c) 2020 IJRDO - Journal of Health Sciences and Nursing (ISSN: 2456-298X)
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Author(s) and co-author(s) jointly and severally represent and warrant that the Article is original with the author(s) and does not infringe any copyright or violate any other right of any third parties, and that the Article has not been published elsewhere. Author(s) agree to the terms that the IJRDO Journal will have the full right to remove the published article on any misconduct found in the published article.
