Expansion of antiretroviral treatment to rural health centre level by a mobile service in Mumbwa district, Zambia

Despite the Government's effort to expand services to district level, it is still hard for people living with HIV to access antiretroviral treatment (ART) in rural Zambia. Strong demands for expanding ART services at the rural health centre level face challenges of resource shortages. The Mumbw...

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Published in:Bulletin of the World Health Organization 2010-10, Vol.88 (10), p.788-791
Main Authors: DUBE, Christopher, NOZAKI, Ikuma, HAYAKAWA, Tadao, KAKIMOTO, Kazuhiro, YAMADA, Norio, SIMPUNGWE, James B
Format: Article
Language:English
Subjects:
Acquired immune deficiency syndrome
Adult
AIDS
Anti-HIV Agents - therapeutic use
Biological and medical sciences
Clinical outcomes
Community support
Counseling
Female
General aspects
Health facilities
Health Services Accessibility
Health Services Needs and Demand
Health Status Disparities
HIV
HIV Infections - drug therapy
Hospitals
Human immunodeficiency virus
Human resources
Humans
Indigent care
Laboratories
Lessons from the Field
Male
Medical sciences
Miscellaneous
Mobile Health Units - organization & administration
Population
Public health. Hygiene
Public health. Hygiene-occupational medicine
Rural areas
Rural Health Services - organization & administration
Support groups
Zambia
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SIMPUNGWE, James B
description Despite the Government's effort to expand services to district level, it is still hard for people living with HIV to access antiretroviral treatment (ART) in rural Zambia. Strong demands for expanding ART services at the rural health centre level face challenges of resource shortages. The Mumbwa district health management team introduced mobile ART services using human resources and technical support from district hospitals, and community involvement at four rural health centres in the first quarter of 2007. This paper discusses the uptake of the mobile ART services in rural Mumbwa. Mumbwa is a rural district with an area of 23 000 km² and a population of 167 000. Before the introduction of mobile services, ART services were provided only at Mumbwa District Hospital. The mobile services improved accessibility to ART, especially for clients in better functional status, i.e. still able to work. In addition, these mobile services may reduce the number of cases "lost to follow-up". This might be due to the closer involvement of the community and the better support offered by these services to rural clients. These mobile ART services helped expand services to rural health facilities where resources are limited, bringing them as close as possible to where clients live.
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subjects Acquired immune deficiency syndrome
Adult
AIDS
Anti-HIV Agents - therapeutic use
Biological and medical sciences
Clinical outcomes
Community support
Counseling
Female
General aspects
Health facilities
Health Services Accessibility
Health Services Needs and Demand
Health Status Disparities
HIV
HIV Infections - drug therapy
Hospitals
Human immunodeficiency virus
Human resources
Humans
Indigent care
Laboratories
Lessons from the Field
Male
Medical sciences
Miscellaneous
Mobile Health Units - organization & administration
Population
Public health. Hygiene
Public health. Hygiene-occupational medicine
Rural areas
Rural Health Services - organization & administration
Support groups
Zambia
title Expansion of antiretroviral treatment to rural health centre level by a mobile service in Mumbwa district, Zambia
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