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Quality of STIs and HIV/AIDS care as perceived by biomedical and traditional health care providers in Zambia: are there common grounds for collaboration?
Division of International Health (IHCAR), Department of Public Health Sciences, Karolinska Institutet, Stockholm. (FAMN)ORCID iD: 0000-0001-9865-4405
Institute of Economic and Social Research (INESOR), University of Zambia, Lusaka, Zambia.
Centre for Studies of Complementary Medicine, Division of International Health (IHCAR), Department of Public Health Sciences, Stockholm; Division of Nursing, Department of Neurobiology, Caring Sciences and Society, Karolinska Institutet.
Dalarna University College, Falun.
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2008 (English)In: Complementary Therapies in Medicine, ISSN 0965-2299, E-ISSN 1873-6963, Vol. 16, no 3, 155-62 p.Article in journal (Refereed) Published
Abstract [en]

Objective: To explore biomedical and traditional health care providers' (BHPs and THPs, respectively) perceptions of good quality of care and opinions on weaknesses in the services they provide to patients with STIs and HIV/AIDS.

Methods: Using data from a cross-sectional survey, we post-coded two open-ended questions related to THPs' and BHPs' perceptions on good quality of care and on provided care. The post-coding was done following Donabedian's framework of assessment of quality of care, and allowed transformation of qualitative data into quantitative. The analysis is based on comparison of frequencies, proportions and subsequent chi-square tests and odds ratios.

Setting: Ndola and Kabwe, Zambia Main measures: Proportions of responses from 152 BHPs and 144 THPs.

Results: Substantial proportions of providers from both sectors perceived drugs availability (63% of BHPs and 70% of THPs) and welcoming attitude (73% of BHPs and 64% of THPs) as important components of good quality care. BHPs were more likely than THPs to mention proper examination, medical management (provider's technical ability) and explanation of causes and prognosis of the disease as important. More THPs than BHPs cited short waiting time and cost of care. A majority of BHPs (87%) and of THPs (80%) reported deficiencies in their STIs and HIV/AIDS-related services. Both groups regarded training of providers and nutritional support and health education to patients as lacking. None of the THPs alluded to voluntary counselling and testing (VCT) or supportive/home-based care as aspects needing improvement.

Conclusion: Drugs availability and welcoming attitude were two aspects of quality highly valued by THPs and BHPs. Future collaborative interventions need to respond to aspects of joint concern including training of providers, nutritional support and health education to patients. Further, there is an imperative of expanding and adapting VCT, home-based care and palliative care to THPs for better care of STIs and HIV/AIDS.

Place, publisher, year, edition, pages
London, United Kingdom: Churchill Livingstone , 2008. Vol. 16, no 3, 155-62 p.
Keyword [en]
Quality of care, STIs, HIV/AIDS, traditional healers, health workers, collaboration, integrative medicine, Zambia
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
URN: urn:nbn:se:oru:diva-26683DOI: 10.1016/j.ctim.2008.02.005ISI: 000257378700006PubMedID: 18534328OAI: oai:DiVA.org:oru-26683DiVA: diva2:768969
Available from: 2014-12-05 Created: 2012-12-17 Last updated: 2015-04-23Bibliographically approved

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CiteExportLink to record
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