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HIV-clinic Services at Community Hospitals : Case Studies of 4 Provinces in the Upper-North of Thailand

dc.contributor.authorสุวัฒน์ จริยาเลิศศักดิ์th_TH
dc.contributor.authorSuwat Chariyalertsaken_US
dc.contributor.authorเพณณินาท์ โอเบอร์ดอร์เฟอร์th_TH
dc.contributor.authorPeninnah Oberdorferen_US
dc.contributor.authorจิราพร สุวรรณธีรางกูรth_TH
dc.contributor.authorJiraporn Suwantherangoonen_US
dc.contributor.authorดาราวรรณ ต๊ะปินดาth_TH
dc.contributor.authorDarawan Thapintaen_US
dc.contributor.authorฟิลลิป เกสth_TH
dc.contributor.authorPhilip Guesten_US
dc.contributor.otherสถาบันวิจัยวิทยาศาสตร์สุขภาพ มหาวิทยาลัยเชียงใหม่th_TH
dc.contributor.otherThe Research Institute for Health Sciences, Chiang Mai University, Chiang Mai Provinceen_US
dc.contributor.otherภาควิชากุมารเวชศาสตร์, คณะแพทยศาสตร์ มหาวิทยาลัยเชียงใหม่th_TH
dc.contributor.otherDepartment of Pediatrics, Faculty of Medicine, Chiang Mai University, Chiang Mai Provinceen_US
dc.contributor.otherภาควิชาเวชศาสตร์ชุมชน, คณะแพทยศาสตร์, มหาวิทยาลัยเชียงใหม่th_TH
dc.contributor.otherDepartment of Community Medicine, Faculty of Medicine, Chiang Mai University, Chiang Mai Provinceen_US
dc.contributor.otherภาควิชาการพยาบาลจิตเวช, คณะพยาบาลศาสตร์, มหาวิทยาลัยเชียงใหม่th_TH
dc.contributor.otherDepartment of Psychiatric Nursing, Faculty of Nursing, Chiang Mai University, Chiang Mai Provinceen_US
dc.contributor.otherPopulation Councilen_US
dc.identifier.citationวารสารวิจัยระบบสาธารณสุข. 1,2 (ก.ค.-ก.ย. 2550) : 132-144en_US
dc.format.extent274996 bytesen_US
dc.titleระบบบริการคลินิกยาต้านไวรัสเอชไอวีของโรงพยาบาลชุมชน : กรณีศึกษาใน 4 จังหวัดภาคเหนือตอนบนth_TH
dc.title.alternativeHIV-clinic Services at Community Hospitals : Case Studies of 4 Provinces in the Upper-North of Thailanden_US
dc.description.abstractalternativeThis study was aimed to describe the development of HIV-clinic services for HIV/AIDS patients in community hospitals and perceived needs of health manpower resource development responsible for HIV-clinic services under the National Access to Antiretro-viral Programs for People Living with HIV/AIDSNAPHA. Survey questionnaires were sent to 44 hospitals of 4 provinces in the Upper-north namely ; Chiang Mai, Chiang Rai, Lampang, and Lamphun which were the hospitals involved in the reducing drop-outs and increasing adherencerate among the beneficiaries of the project. The questionnaire was answered by a nurse who was responsible for HIV-clinic service in each hospital between December 2004 and January 2005. Descriptive statistics and content analysis were used. The findings revealed that among all community hospitals participating in this survey, 30 were 30-bed (small) sized hospitals, 9 were 60-bed (medium), and 5 were large sized hospitals with 90 beds or more. The mean of total HIVinfected clients was 106 cases per hospital (minimum: 25, maximum: 333). Among all of the hospitals, 20 (45.5%) took care of more than 100 HIV-infected clients in each of them. Most hospitals (95%) set up their HIV-clinic services separately from the outpatient departments. The number of service days varied according to the hospital size and number of clients. On average, the number of HIV-infected clients receiving ART services was 35 cases per service day (minimum: 4, maximum: 80); and an additional 50 new cases per hospital were expected to be recruited for anti-retroviral therapy within the next 1 year. All hospitals had one or more counseling nurse for ARV services; 13 hospitals (29.5%) reported having only one counseling nurse. To reduce the workload of health personnel, all hospitals had volunteers, who had HIV/AIDS, helping in providing service in HIVclinics. The main problems, calling for urgent solutions, were reported to be a lack of health manpower responsible for the HIV-clinic services, an ongoing educational training for health care workers on ARV treatment, sufficient ARV drug supply in the hospitals, and policy to support the volunteers to work in HIVclinic services with health care providers in hospitals.en_US
dc.subject.keywordHealth Personnelen_US
.custom.citationสุวัฒน์ จริยาเลิศศักดิ์, Suwat Chariyalertsak, เพณณินาท์ โอเบอร์ดอร์เฟอร์, Peninnah Oberdorfer, จิราพร สุวรรณธีรางกูร, Jiraporn Suwantherangoon, ดาราวรรณ ต๊ะปินดา, Darawan Thapinta, ฟิลลิป เกส and Philip Guest. "ระบบบริการคลินิกยาต้านไวรัสเอชไอวีของโรงพยาบาลชุมชน : กรณีศึกษาใน 4 จังหวัดภาคเหนือตอนบน." 2550. <a href=""></a>.

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