Public Health and Preventive Medicine
Articles Information
Public Health and Preventive Medicine, Vol.2, No.3, Jun. 2016, Pub. Date: Jun. 1, 2016
Assessment of the Capacity of Health Facilities to Provide Standard Comprehensive HIV/AIDS Care Services in Bomet sub-County in Kenya
Pages: 15-24 Views: 1359 Downloads: 912
Authors
[01] Philip Towett, Tropical Institute of Community Health and Development, Great Lakes University of Kisumu, Kisumu, Kenya.
[02] Margaret Kaseje, Faculty of Arts and Sciences, Great Lakes University of Kisumu, Kisumu, Kenya.
Abstract
Introduction: Health care systems in sub-Saharan countries bear the greatest burden of disease and face challenges in providing HIV (Human Immunodeficiency Virus) and AIDS (Acquired Immunodeficiency Syndrome) care alongside other health care services. Health systems in these countries experience constraints in ensuring diagnosis facilities, consistent drug supplies and adequate staff and equipment. Comprehensive care and support for People Living with HIV and AIDS (PLWHA) depends on improved health systems consisting of support services and life-saving drugs. This study assessed the capacity of the health facilities to provide standard comprehensive HIV and AIDS care services to PLWHA in Bomet sub-County in Kenya. Method: A cross-sectional descriptive study was conducted where all twenty nine facilities in Bomet sub-County were assessed using a structured questionnaire. The respondents were nurses and clinical officers managing Comprehensive Care Centres. Data was analyzed using SPSS version 20 for Windows while qualitative data was analyzed according to themes that addressed the study objectives. Results: Human resource to offer comprehensive services was a major constraint with only half of the health workforce (48%) trained on HIV and AIDS care. HIV testing and counselling services and antiretroviral drugs were available in the majority (97%) of health facilities. Lower level health facilities lacked capacity to provide basic laboratory investigations due to shortage of trained technicians, inadequate space and infrastructure, lack of essential equipment and occasional stock-outs of supplies. A third of the facilities had the capacity to provide psychosocial services to clients. The sub-County experienced shortage of funds for HIV care and relied on external funding. Conclusions: Despite challenges facing HIV and AIDS care in Bomet sub-County, most of the health facilities across the four level service points consisting of dispensaries, health centres, sub-County and County hospitals had the capacity to provide some care that included HIV testing and counselling services. Constraints to services included inadequate staff trained on HIV and AIDS care, lack of capacity to provide basic laboratory investigations and diminishing funding for HIV and AIDS services. Recommendations: In order to ensure comprehensive care and support for PLWHA, the decentralized sub-County health system needs to increase staffing levels trained on HIV and AIDS care, improve laboratory services and strengthen psychosocial support services. There is need to budget for HIV and AIDs care services at the sub-County level.
Keywords
Health System, Health Facilities, HIV and AIDS, Antiretroviral Drugs
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