NDLI: The association between health workforce availability and HIV-program outcomes in Côte d’Ivoire

Content Provider	Springer Nature : BioMed Central
Author	Akoku, Derick Akompab Tickell, Kirkby D. Niamien, Kouadio R. Kemper, Kathryn E. Yacouba, Doumbia Kouyate, Seydou Kouassi, Daniel A. Balachandra, Shirish Swor, Meghan Luxenberg, Audrey Knutson Gloyd, Steve Kone, Ahoua
Abstract	Objective The purpose of this study was to assess the distribution of HIV-program staff and the extent to which their availability influences HIV programmatic and patient outcomes. Methods The study was a facility level cross-sectional survey. Data from October 2018 to September 2019 were abstracted from HIV program reports conducted in 18 districts of Côte d’Ivoire. The distribution of staff in clinical, laboratory, pharmacy, management, lay, and support cadres were described across high and low antiretroviral therapy (ART) volume facilities. Non-parametric regression was used to estimate the effects of cadre categories on the number of new HIV cases identified, the number of cases initiated on ART, and the proportion of patients achieving viral load suppression. Results Data from 49,871 patients treated at 216 health facilities were included. Low ART volume facilities had a median of 8.1 staff-per-100 ART patients, significantly higher than the 4.4 staff-per-100 ART patients at high-ART volume facilities. One additional laboratory staff member was associated with 4.30 (IQR: 2.00–7.48, p < 0.001) more HIV cases identified and 3.81 (interquartile range [IQR]: 1.44–6.94, p < 0.001) additional cases initiated on ART. Similarly, one additional lay worker was associated with 2.33 (IQR: 1.00–3.43, p < 0.001) new cases identified and 2.24 (IQR: 1.00–3.31, p < 0.001) new cases initiated on ART. No cadres were associated with viral suppression. Conclusions HCWs in the laboratory and lay cadre categories were associated with an increase in HIV-positive case identification and initiation on ART. Our findings suggest that allocation of HCWs across health facilities should take into consideration the ART patient volume. Overall, increasing investment in health workforce is critical to achieve national HIV goals and reaching HIV epidemic control.
Related Links	https://human-resources-health.biomedcentral.com/counter/pdf/10.1186/s12960-022-00715-2.pdf
Ending Page	10
Page Count	10
Starting Page	1
File Format	HTM / HTML
ISSN	14784491
DOI	10.1186/s12960-022-00715-2
Journal	Human Resources for Health
Issue Number	1
Volume Number	20
Language	English
Publisher	BioMed Central
Publisher Date	2022-02-19
Access Restriction	Open
Subject Keyword	Health Administration Social Policy Human Resource Management Human Resource Development Practice and Hospital Management Health Services Research HIV/AIDS Human resources for health Health workforce allocation
Content Type	Text
Resource Type	Article
Subject	Public Administration Public Health, Environmental and Occupational Health
Journal Impact Factor	3.9/2023
5-Year Journal Impact Factor	4.7/2023

Sl.	Authority	Responsibilities	Communication Details
1	Ministry of Education (GoI), Department of Higher Education	Sanctioning Authority	https://www.education.gov.in/ict-initiatives
2	Indian Institute of Technology Kharagpur	Host Institute of the Project: The host institute of the project is responsible for providing infrastructure support and hosting the project	https://www.iitkgp.ac.in
3	National Digital Library of India Office, Indian Institute of Technology Kharagpur	The administrative and infrastructural headquarters of the project	Dr. B. Sutradhar bsutra@ndl.gov.in
4	Project PI / Joint PI	Principal Investigator and Joint Principal Investigators of the project	Dr. B. Sutradhar bsutra@ndl.gov.in Prof. Saswat Chakrabarti will be added soon
5	Website/Portal (Helpdesk)	Queries regarding NDLI and its services	support@ndl.gov.in
6	Contents and Copyright Issues	Queries related to content curation and copyright issues	content@ndl.gov.in
7	National Digital Library of India Club (NDLI Club)	Queries related to NDLI Club formation, support, user awareness program, seminar/symposium, collaboration, social media, promotion, and outreach	clubsupport@ndl.gov.in
8	Digital Preservation Centre (DPC)	Assistance with digitizing and archiving copyright-free printed books	dpc@ndl.gov.in
9	IDR Setup or Support	Queries related to establishment and support of Institutional Digital Repository (IDR) and IDR workshops	idr@ndl.gov.in

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