The association between health workforce availability and HIV-program outcomes in Côte d'Ivoire

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. The study was a facility level cross-sectional survey. Data from October 2018 to September 2019 were abstracted from HIV program...

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Bibliographic Details
Published in:Human resources for health 2022-02, Vol.20 (1), p.18-18, Article 18
Main Authors: 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
Format: Article
Language:English
Subjects:
Acquired immune deficiency syndrome
AIDS
Care and treatment
Cote d'Ivoire - epidemiology
Cross-Sectional Studies
Disease prevention
Health Facilities
Health Workforce
Health workforce allocation
HIV
HIV infection
HIV Infections - drug therapy
HIV Infections - epidemiology
HIV/AIDS
Human immunodeficiency virus
Human resources
Human resources for health
Humans
Medical laboratories
Medical personnel
Medical tests
Patient outcomes
Patients
Pharmacy
Services
Social aspects
Supply and demand
Variables
Workers
Workforce planning
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Summary: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. 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. 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 
ISSN:1478-4491
1478-4491
DOI:10.1186/s12960-022-00715-2