Integrating HIV treatment with primary care outpatient services: opportunities and challenges from a scaled-up model in Zambia

by Stephanie M Topp, Julien M Chipukuma, Matimba M Chiko et al.
Health Policy Plan. (2012) – First published online: July 11, 2012

11 pp. 179 kB:
http://heapol.oxfordjournals.org/content/early/2012/09/12/heapol.czs065.full.pdf+html

Between 2008 and 2011, the Lusaka District Health Management Team piloted and scaled-up a model of integrated HIV and general outpatient department (OPD) services in 12 primary health care clinics. While resource and allocative efficiencies are associated with this model of integration, a more important finding was the model’s demonstrated potential for strengthening organizational culture and staff relationships, in turn facilitating more collaborative and motivated service delivery in chronically under-resourced primary healthcare clinics.

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