238 research outputs found
sj-docx-7-his-10.1177_11786329231224623 – Supplemental material for Process Evaluation of Services for HIV-Infected Post-Partum Women and HIV-Exposed Infants in Primary Health Care Blantyre Malawi
No full textSupplemental material, sj-docx-7-his-10.1177_11786329231224623 for Process Evaluation of Services for HIV-Infected Post-Partum Women and HIV-Exposed Infants in Primary Health Care Blantyre Malawi by Leticia Chimwemwe Suwedi-Kapesa, Alinane Linda Nyondo-Mipando, Augustine Choko, Angela Obasi, Peter MacPherson and Nicola Desmond in Health Services Insights</p
sj-docx-5-his-10.1177_11786329231224623 – Supplemental material for Process Evaluation of Services for HIV-Infected Post-Partum Women and HIV-Exposed Infants in Primary Health Care Blantyre Malawi
No full textSupplemental material, sj-docx-5-his-10.1177_11786329231224623 for Process Evaluation of Services for HIV-Infected Post-Partum Women and HIV-Exposed Infants in Primary Health Care Blantyre Malawi by Leticia Chimwemwe Suwedi-Kapesa, Alinane Linda Nyondo-Mipando, Augustine Choko, Angela Obasi, Peter MacPherson and Nicola Desmond in Health Services Insights</p
sj-docx-4-his-10.1177_11786329231224623 – Supplemental material for Process Evaluation of Services for HIV-Infected Post-Partum Women and HIV-Exposed Infants in Primary Health Care Blantyre Malawi
No full textSupplemental material, sj-docx-4-his-10.1177_11786329231224623 for Process Evaluation of Services for HIV-Infected Post-Partum Women and HIV-Exposed Infants in Primary Health Care Blantyre Malawi by Leticia Chimwemwe Suwedi-Kapesa, Alinane Linda Nyondo-Mipando, Augustine Choko, Angela Obasi, Peter MacPherson and Nicola Desmond in Health Services Insights</p
sj-docx-3-his-10.1177_11786329231224623 – Supplemental material for Process Evaluation of Services for HIV-Infected Post-Partum Women and HIV-Exposed Infants in Primary Health Care Blantyre Malawi
No full textSupplemental material, sj-docx-3-his-10.1177_11786329231224623 for Process Evaluation of Services for HIV-Infected Post-Partum Women and HIV-Exposed Infants in Primary Health Care Blantyre Malawi by Leticia Chimwemwe Suwedi-Kapesa, Alinane Linda Nyondo-Mipando, Augustine Choko, Angela Obasi, Peter MacPherson and Nicola Desmond in Health Services Insights</p
sj-docx-6-his-10.1177_11786329231224623 – Supplemental material for Process Evaluation of Services for HIV-Infected Post-Partum Women and HIV-Exposed Infants in Primary Health Care Blantyre Malawi
No full textSupplemental material, sj-docx-6-his-10.1177_11786329231224623 for Process Evaluation of Services for HIV-Infected Post-Partum Women and HIV-Exposed Infants in Primary Health Care Blantyre Malawi by Leticia Chimwemwe Suwedi-Kapesa, Alinane Linda Nyondo-Mipando, Augustine Choko, Angela Obasi, Peter MacPherson and Nicola Desmond in Health Services Insights</p
sj-docx-1-his-10.1177_11786329231224623 – Supplemental material for Process Evaluation of Services for HIV-Infected Post-Partum Women and HIV-Exposed Infants in Primary Health Care Blantyre Malawi
No full textSupplemental material, sj-docx-1-his-10.1177_11786329231224623 for Process Evaluation of Services for HIV-Infected Post-Partum Women and HIV-Exposed Infants in Primary Health Care Blantyre Malawi by Leticia Chimwemwe Suwedi-Kapesa, Alinane Linda Nyondo-Mipando, Augustine Choko, Angela Obasi, Peter MacPherson and Nicola Desmond in Health Services Insights</p
sj-docx-2-his-10.1177_11786329231224623 – Supplemental material for Process Evaluation of Services for HIV-Infected Post-Partum Women and HIV-Exposed Infants in Primary Health Care Blantyre Malawi
No full textSupplemental material, sj-docx-2-his-10.1177_11786329231224623 for Process Evaluation of Services for HIV-Infected Post-Partum Women and HIV-Exposed Infants in Primary Health Care Blantyre Malawi by Leticia Chimwemwe Suwedi-Kapesa, Alinane Linda Nyondo-Mipando, Augustine Choko, Angela Obasi, Peter MacPherson and Nicola Desmond in Health Services Insights</p
Suboptimal patterns of provider initiated HIV testing and counselling, antiretroviral therapy eligibility assessment and referral in primary health clinic attendees in Blantyre, Malawi.
No full textOBJECTIVE: To understand reasons for suboptimal and delayed uptake of antiretroviral therapy (ART) by describing the patterns of HIV testing and counselling (HTC) and outcomes of ART eligibility assessments in primary clinic attendees. METHODS: All clinic attendances and episodes of HTC were recorded at two clinics in Blantyre. A cohort of newly diagnosed HIV-positive adults (>15 years) was recruited and exit interviews undertaken. Logistic regression models were constructed to investigate factors associated with referral to start ART. Qualitative interviews were conducted with providers and patients. RESULTS: There were 2398 episodes of HTC during 18,021 clinic attendances (13.3%) between January and April 2011. The proportion of clinic attendees undergoing HTC was lowest in non-pregnant women (6.3%) and men (8.5%), compared with pregnant women (47.2%). Men had more advanced HIV infection than women (79.7% WHO stage 3 or 4 vs. 56.4%). Problems with WHO staging and access to CD4 counts affected ART eligibility assessments; only 48% completed ART eligibility assessment, and 54% of those reporting WHO stage 3/4 illnesses were not referred to start ART promptly. On multivariate analysis, HIV-positive pregnant women were significantly less likely to be referred directly for ART initiation (adjusted OR: 0.29, 95% CI: 0.13-0.63). CONCLUSIONS: These data show that provider-initiated testing and counselling (PITC) has not yet been fully implemented at primary care clinics. Suboptimal ART eligibility assessments and referral (reflecting the difficulties of WHO staging in primary care) mean that simplified eligibility assessment tools are required to reduce unnecessary delay and attrition in the pre-ART period. Simplified initiation criteria for pregnant women, as being introduced in Malawi, should improve linkage to ART
L’évolution du dialogue entre le Canada et l’OIT en matière de liberté d’association : vers une protection constitutionnelle du droit de grève ?
No full textLe 8 juin 2007, la Cour suprême du Canada renversait sa jurisprudence des vingt dernières années en matière de liberté d’association. La majorité des juges reconnurent que l’article 2(d) de la Charte canadienne des droits et libertés protégeait le droit au processus de négociation collective. Ce faisant, la Cour renonçait aux motifs de la majorité exprimée dès la trilogie de 1987 sur la question et donnait enfin sa place au droit international du travail, en particulier aux principes de la liberté syndicale élaborés par les organes de contrôle de l’Organisation internationale du travail. L’analyse de ces principes, orientée vers trois droits sous-jacents à la liberté syndicale, soit le droit à la négociation collective, le droit de grève et le droit de non-association, permet de constater que pour, la première fois, le Canada fait preuve d’un plus grand respect de ses obligations internationales en cette matière. Reste à voir le sort que la Cour réserve au droit de grève.On 8 June 2007, the Supreme Court of Canada overruled its past twenty years of case law on freedom of association. The majority of the judges agreed that section 2(d) of the Canadian Charter of Rights and Freedoms protects the right to the process of collective bargaining. In doing so, the SCC rejected the ratio of the majority enunciated in the 1980 trilogy dealing with this question and, at last, gave ininternational labour law its place, especially in terms of the principles of freedom of association elaborated by the International Labour Organization’s supervisory bodies. The analysis of these principles, focused on three rights underlying freedom of association―the right to collective bargaining, the right to strike, and the freedom not to associate―allows the author to conclude that for the first time, Canada is showing greater respect for its international obligations. It remains to be seen what the Court will decide in terms of the right to strike
A novel community health worker tool outperforms WHO clinical staging for assessment of antiretroviral therapy eligibility in a resource-limited setting.
No full textThe accuracy of a novel community health worker antiretroviral therapy eligibility assessment tool was examined in community members in Blantyre, Malawi. Nurses independently performed World Health Organization (WHO) staging and CD4 counts. One hundred ten (55.6%) of 198 HIV-positive participants had a CD4 count of <350 cells per cubic millimeter. The community health worker tool significantly outperformed WHO clinical staging in identifying CD4 count of <350 cells per cubic millimeter in terms of sensitivity (41% vs. 19%), positive predictive value (75% vs. 68%), negative predictive values (53% vs. 47%), and area under the receiver-operator curve (0.62 vs. 0.54; P = 0.017). Reliance on WHO staging is likely to result in missed and delayed antiretroviral therapy initiation
- …
