Deconstructing Burnout in HIV Service Providers

Rowan, Diana; Lynch, Susan; Randall, Ethan Makai; Johnson, H. R. M.

doi:10.1080/15381501.2014.912178

Cited by 14 publications

(6 citation statements)

References 16 publications

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“…ART scale-up occasioned heavy workloads on already over-burdened and demotivated health workers. HIV care and treatment has been consistently associated with health worker burnout [ 12 – 14 ].…”

Section: Introductionmentioning

confidence: 99%

Human resources for health strategies adopted by providers in resource-limited settings to sustain long-term delivery of ART: a mixed-methods study from Uganda

et al. 2016

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BackgroundHuman resources for health (HRH) constraints are a major barrier to the sustainability of antiretroviral therapy (ART) scale-up programs in Sub-Saharan Africa. Many prior approaches to HRH constraints have taken a top-down trend of generalized global strategies and policy guidelines. The objective of the study was to examine the human resources for health strategies adopted by front-line providers in Uganda to sustain ART delivery beyond the initial ART scale-up phase between 2004 and 2009.MethodsA two-phase mixed-methods approach was adopted. In the first phase, a survey of a nationally representative sample of health facilities (n = 195) across Uganda was conducted. The second phase involved in-depth interviews (n = 36) with ART clinic managers and staff of 6 of the 195 health facilities purposively selected from the first study phase. Quantitative data was analysed based on descriptive statistics, and qualitative data was analysed by coding and thematic analysis.ResultsThe identified strategies were categorized into five themes: (1) providing monetary and non-monetary incentives to health workers on busy ART clinic days; (2) workload reduction through spacing ART clinic appointments; (3) adopting training workshops in ART management as a motivation strategy for health workers; (4) adopting non-physician-centred staffing models; and (5) devising ART program leadership styles that enhanced health worker commitment.ConclusionsFacility-level strategies for responding to HRH constraints are feasible and can contribute to efforts to increase country ownership of HIV programs in resource-limited settings. Consideration of the human resources for health strategies identified in the study by ART program planners and managers could enhance the long-term sustainment of ART programs by providers in resource-limited settings.

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Section: Introductionmentioning

confidence: 99%

Human resources for health strategies adopted by providers in resource-limited settings to sustain long-term delivery of ART: a mixed-methods study from Uganda

et al. 2016

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“…Additionally, given the intensive nature of some of these relationships, adequate support systems must also be in place for the Specialists so that they do not experience burnout. 23,24 Second, eligibility criteria for enrollment into the program ensured that clients were either currently not in care or at risk of not remaining engaged in medical care. Therefore, LTC clients represent those of highest acuity, and the embeddedness of these clients in multiple systems of care may represent unique issues not faced by the majority of PLWH.…”

Section: Discussionmentioning

confidence: 99%

Fostering a “Feeling of Worth” Among Vulnerable HIV Populations: The Role of Linkage to Care Specialists

Broaddus

Owczarzak

Schumann

et al. 2017

AIDS Patient Care and STDs

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To address barriers to adequate engagement in medical care among people living with HIV, Wisconsin's AIDS/HIV Program created a new position, the Linkage to Care (LTC) Specialist. Specialists provide intensive, short-term case management and patient navigation services for small caseloads of individuals at high risk of disengaging with medical care. Clients are eligible if they are newly diagnosed with HIV or new to medical care, recently released from incarceration, recently out of care, nonadherent to scheduled medical care visits, or have detectable viral load while in care. Interviews with 30 clients of Specialists were conducted to understand experiences with the program and medical care. Common themes included the ability of Specialists to navigate complex systems of care and support services, the unique role Specialists played in their clients' lives, and the challenges of transitioning out of the program. Although the primary goal of Specialists is to address barriers to medical care, they often adopted a holistic approach that also included housing, financial assistance, and other social determinants of health. Descriptions of the Specialist's role in implementation manuals focus on their functional roles and the services provided. However, clients often discussed the emotional support they received, especially for clients without strong social support networks. Many clients also desired an ongoing relationship with their Specialists even after discharge, but had been able to establish independence and self-efficacy. The LTC Specialists are resource-intensive considering their small caseloads, but fill an important gap in existing, often overtaxed case management systems.

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“…A qualitative, explorative, descriptive, phenomenological and contextual approach that focused on exploring and describing the experiences of HBCWs when rendering services in the community was used. Descriptive research is grounded in the ideology of Husserl, which focuses on the concept of the 'lived experience' 13 of participants. Descriptive phenomenology helped the researcher to observe, describe and document participants' account of their experiences when rendering services in their natural setting.…”

Section: Methodsmentioning

confidence: 99%

The experiences of home-based care workers when rendering services in the communities in Northern Tshwane and Madibeng districts

Motswasele-Sikwane

Madumo

Tlapu

et al. 2020

South African Family Practice

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Deconstructing Burnout in HIV Service Providers

Cited by 14 publications

References 16 publications

Human resources for health strategies adopted by providers in resource-limited settings to sustain long-term delivery of ART: a mixed-methods study from Uganda

Human resources for health strategies adopted by providers in resource-limited settings to sustain long-term delivery of ART: a mixed-methods study from Uganda

Fostering a “Feeling of Worth” Among Vulnerable HIV Populations: The Role of Linkage to Care Specialists

The experiences of home-based care workers when rendering services in the communities in Northern Tshwane and Madibeng districts

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