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dc.contributor.author Miles, K.
dc.contributor.author Clutterbuck, D.J.
dc.contributor.author Seitio, O.
dc.contributor.author Sebego, M.
dc.contributor.author Riley, A.
dc.date.accessioned 2010-07-23T13:01:32Z
dc.date.available 2010-07-23T13:01:32Z
dc.date.issued 2007
dc.identifier.citation Miles, K. et al (2007) Antiretroviral treatment roll-out in a resource-constrained setting: capitalizing on nursing resources in Botswana, Bulletin of the World Health Organization, Vol. 85, No. 7, pp. 555-560 en_US
dc.identifier.issn 0042-9686 (print)
dc.identifier.uri http://hdl.handle.net/10311/559
dc.description.abstract Problem As programmes to deliver antiretroviral therapy (ART) are implemented in resource-constrained settings, the problem becomes not how these programmes are going to be financed but who will be responsible for delivering and sustaining them. Approach Physician-led models of HIV treatment and care that have evolved in industrialized countries are not replicable in settings with a high prevalence of HIV infection and limited access to medical staff. Therefore, models of care need to make better use of available human resources. Local setting Using Botswana as an example, we discuss how nurses are underutilized in long-term clinical management of patients requiring ART. Relevant changes We argue that for ART-delivery programmes to be sustainable, nurses will need to provide a level of clinical care for patients receiving this therapy, including prescribing ART and managing common adverse effects. Lessons learned Practicalities involved in scaling up nurse-led models of ART delivery include overcoming political and professional barriers, identifying educational requirements, agreeing on the limitations of nursing practice, developing clear referral pathways between medical and nursing personnel, and developing mechanisms to monitor and supervise practice. Operational research is required to demonstrate that such models are safe, effective and sustainable. en_US
dc.language.iso en en_US
dc.publisher Bulletin of the World Health Organization. http://www.scielosp.org/scielo.php?script=sci_serial&pid=0042-9686 en_US
dc.subject Antiretroviral treatment en_US
dc.subject Antiretroviral treatment roll-out en_US
dc.subject Botswana en_US
dc.subject Resource-constrained setting en_US
dc.title Antiretroviral treatment roll-out in a resource-constrained setting: capitalizing on nursing resources in Botswana en_US
dc.type Published Article en_US


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