+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

'I believe that the staff have reduced their closeness to patients': an exploratory study on the impact of HIV/AIDS on staff in four rural hospitals in Uganda

'I believe that the staff have reduced their closeness to patients': an exploratory study on the impact of HIV/AIDS on staff in four rural hospitals in Uganda

Bmc Health Services Research 7: 205

Staff shortages could harm the provision and quality of health care in Uganda, so staff retention and motivation are crucial. Understanding the impact of HIV/AIDS on staff contributes to designing appropriate retention and motivation strategies. This research aimed 'to identify the influence of HIV/AIDS on staff working in general hospitals at district level in rural areas and to explore support required and offered to deal with HIV/AIDS in the workplace'. Its results were to inform strategies to mitigate the impact of HIV/AIDS on hospital staff. A cross-sectional study with qualitative and quantitative components was implemented during two weeks in September 2005. Data were collected in two government and two faith-based private not-for-profit hospitals purposively selected in rural districts in Uganda's Central Region. Researchers interviewed 237 people using a structured questionnaire and held four focus group discussions and 44 in-depth interviews. HIV/AIDS places both physical and, to some extent, emotional demands on health workers. Eighty-six per cent of respondents reported an increased workload, with 48 per cent regularly working overtime, while 83 per cent feared infection at work, and 36 per cent reported suffering an injury in the previous year. HIV-positive staff remained in hiding, and most staff did not want to get tested as they feared stigmatization. Organizational responses were implemented haphazardly and were limited to providing protective materials and the HIV/AIDS-related services offered to patients. Although most staff felt motivated to work, not being motivated was associated with a lack of daily supervision, a lack of awareness on the availability of HIV/AIDS counselling, using antiretrovirals and working overtime. The specific hospital context influenced staff perceptions and experiences. HIV/AIDS is a crucially important contextual factor, impacting on working conditions in various ways. Therefore, organizational responses should be integrated into responses to other problematic working conditions and adapted to the local context. Opportunities already exist, such as better use of supervision, educational sessions and staff meetings. However, exchanges on interventions to improve staff motivation and address HIV/AIDS in the health sector are urgently required, including information on results and details of the context and implementation process.

Please choose payment method:

(PDF emailed within 0-6 h: $19.90)

Accession: 022130488

Download citation: RISBibTeXText

PMID: 18088407

DOI: 10.1186/1472-6963-7-205

Related references

How do intoxicated patients impact staff in the emergency department? An exploratory study. New Zealand Medical Journal 124(1336): 14-23, 2011

Nurses willingness to perform aids patients care differences between staff nurses in high moderate and low aids prevalence hospitals. Istituto Superiore Di Sanita Vii International Conference on Aids: Science Challenging Aids; Florence, Italy, June 16-21, 464p (Vol 1); 460p (Vol 2) Istituto Superiore Di Sanita: Rome, Italy Paper : 429b, 1991

Efficacy and acceptability of an acute illness management course delivered to staff and students in Uganda by staff from the UK. International Health 7(5): 360-366, 2016

Aids in the workplace impact on staff when coworkers become patients. Sixth International Conference on Aids Sixth International Conference on Aids, Vols 1-3 Pagination Varies Sixth International Conference on Aids University Of California San Francisco: San Francisco, California, Usa Illus Maps Paper : abstract Sd902, 1990

Musculoskeletal disorders among nursing staff: a comparison of five hospitals in Uganda. Pan African Medical Journal 17: 81, 2015

Progress In The Training Of Rural Health Staff In Uganda. Bulletin of the World Health Organization 10(2): 303-307, 1954

Staff perceptions of quality of care: an observational study of the NHS Staff Survey in hospitals in England. BMJ Quality and Safety 22(7): 563-570, 2013

The Effect of 5S-Continuous Quality Improvement-Total Quality Management Approach on Staff Motivation, Patients' Waiting Time and Patient Satisfaction with Services at Hospitals in Uganda. Journal of Public Health in Africa 6(1): 486, 2015

Staff at Red Lake Hospital designed, implemented, and evaluated a staff training program on AIDS. Military Medicine 153(12): 650-651, 1988

Home care in jeopardy. The impact of severe fiscal pressures on patients, management, and staff: the perspective of management and staff. Care Management Journals 2(2): 128-131, 2000

A study of the opinions of staff and senior student nurses in selected hospitals in the city of Cleveland regarding in-service staff education programs. Nursing Research 1(3): 40-41, 1953

Closeness to family and dialysis unit staff predict mortality in African-American hemodialysis patients. Journal of the American Society of Nephrology 11(Program and Abstract Issue): 235A-236A, 2000

Knowledge and attitudes about AIDS among staff of community-based health and social service organizations in the Southwest: implications for staff training. Aids Education and Prevention 5(1): 54-70, 1993

Exploratory investigation of communication management in residential-aged care: a comparison of staff knowledge, documentation and observed resident-staff communication. International Journal of Language and Communication Disorders 51(3): 296-309, 2017

The medical staff role: management in rural hospitals. Hospital and Health Services Administration 32(2): 161-169, 1987