Technical Assistance for Health Centers in Rural Pennsylvania


Book Description

Objectives: There is a gap between health professionals' knowledge and skills regarding HIV/AIDS prevention and care due to the constant changing face of HIV prevention, treatment and care, as well as due to changing population demographics. This project consisted of conducting a needs assessment to gain a better understanding of how the PA/MidAtlantic AIDS Education and Training Center (PA/MA AETC, or "ETC") can provide information dissemination, training, and other resources to support health centers treating people living with HIV/AIDS, in Reading, PA. Methods: Both in-person and telephone semi-structured interviews were conducted with key stakeholders (n=8) from health centers, hospitals, and community based organizations in Reading, PA. Grounded theory methods were used for data collection, and content analysis was used for data analysis. Results: Data analysis of interview notes identified five provider training needs: (1) more information about treating co-infections (Hepatitis C and HIV, specifically) due to the high rates among their patient population, (2) more information about the HIV post-counseling component and linkage to care after a patient tests positive for HIV, (3) training aimed at attitudes that patients are not at risk for HIV/AIDS, (4) training addressing challenges retaining patients in HIV care, and (5) brief concise training to address time as a barrier to participation in training activities. Conclusions: The needs assessments uncovered five specific areas in which clinicians who care for patients living with HIV/AIDS in Reading, PA could use technical support and training. Recommendations for training and technical assistance targeted to health providers in rural settings were provided, in order to provide optimal care for their HIV-positive populations.




Telehealth in Rural Hospitals


Book Description

Improving the quality of healthcare, while increasing accessibility and lowering costs, is a complex dilemma facing rural communities around the world. The Center for Rural Pennsylvania believed that telehealth, the use of electronic information and telecommunications technologies to support long-distance clinical healthcare was a viable solution s




BARRIERS TO HIV/AIDS CARE IN RURAL-SPECIFIC AREAS OF PENNSYLVANIA


Book Description

Medical advancement in the field of HIV/AIDS related care has resulted in what used to be an epidemic with a “death sentence” to an incurable disease that is manageable with proper medical and psychosocial attention. Although deemed amendable with various prevention and treatment strategies being in full swing, HIV/AIDS diagnoses still remain stable and consistent. The highest proportion of HIV/AIDS diagnoses are reported in urban areas of the United States, which often shifts the focus away from rural communities. However, a surge in rural diagnoses requires professional attention and new research to assist in understanding and alleviating stressors specific to HIV/AIDS related care in new targeted zones. Individuals with HIV/AIDS who reside in rural areas continue to be an underserved and forgotten population. There are characteristics specific to rural areas that can become barriers and challenges to providing HIV/ AIDS related care and prevention. Specific characteristics can be social, medical, environmental, economic, and/or a combination of these variables. This study identifies and researches rural characteristics that create current barriers for rural individuals living with HIV/AIDS. It then utilizes the information to develop a survey able to be utilized by HIV/AIDS service professionals to effectively tailor interventions to address both rural and urban needs




Resources in Education


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Disease Control Priorities, Third Edition (Volume 6)


Book Description

Infectious diseases are the leading cause of death globally, particularly among children and young adults. The spread of new pathogens and the threat of antimicrobial resistance pose particular challenges in combating these diseases. Major Infectious Diseases identifies feasible, cost-effective packages of interventions and strategies across delivery platforms to prevent and treat HIV/AIDS, other sexually transmitted infections, tuberculosis, malaria, adult febrile illness, viral hepatitis, and neglected tropical diseases. The volume emphasizes the need to effectively address emerging antimicrobial resistance, strengthen health systems, and increase access to care. The attainable goals are to reduce incidence, develop innovative approaches, and optimize existing tools in resource-constrained settings.




HIV/AIDS in South Africa 25 Years On


Book Description

Much has happened since the first appearance of AIDS in 1981: it has been identified, studied, and occasionally denied. The virus has shifted host populations and spread globally. Medicine, the social sciences, and world governments have joined forces to combat and prevent the disease. And South Africa has emerged as ground zero for the pandemic. The editors of HIV/AIDS in South Africa 25 Years On present the South African crisis as a template for addressing the myriad issues surrounding the epidemic worldwide, as the book brings together a widely scattered body of literature, analyzes psychosocial and sexual aspects contributing to HIV transmission and prevention, and delves into complex intersections of race, gender, class, and politics. Including largely overlooked populations and issues (e.g., prisoners, persons with disabilities, stigma), as well as challenges shaping future research and policy, the contributors approach their topics with rare depth, meticulous research, carefully drawn conclusions, and profound compassion. Among the topics covered: The relationship between HIV and poverty, starting from the question, "Which is the determinant and which is the consequence?" Epidemiology of HIV among women and men: concepts of femininity and masculinity, and gender inequities as they affect HIV risk; gender-specific prevention and intervention strategies. The impact of AIDS on infants and young children: risk and protective factors; care of children by HIV-positive mothers; HIV-infected children. Current prevention and treatment projects, including local-level responses, community-based work, and VCT (voluntary counseling and testing) programs. New directions: promoting circumcision, vaccine trials, "positive prevention." South Africa’s history of AIDS denialism. The urgent lessons in this book apply both globally and locally, making HIV/AIDS in South Africa 25 Years On uniquely instructive and useful for professionals working in HIV/AIDS and global public health.




Vertical File Index


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