Stuart Mackenzie

Stuart Mackenzie started a discussion "Creative Solutions for Rural CHWs" in the Adherence & Retention community.

Here in Zambia, the Centre for Infectious Disease Research in Zambia (CIDRZ) has a small group of CHWs involved in a pilot of DOT-HAART in the rural village of Chipembe. These CHWs have had a successful implementation of the project, but we’re still trying to work out a few challenges and would appreciate any suggestions from the GHDonline community. Patients have welcomed the involvement of CHWs but some are beginning to see CHWs more as ...

Stuart Mackenzie started a discussion "Transportation Issues for CHWs" in the Adherence & Retention community.

Are PIH Accompagnateurs furnished with bikes or given a transport allowance to perform their duties? Does PIH fund transport when a CHW needs to bring a patient to the clinic?

Stuart Mackenzie started a discussion "The Role of PIH Field Supervisors" in the Adherence & Retention community.

We're interested to know how the PIH Field Supervisors operate in the field. What is the maximum number of Accompagnateurs assigned to a single Field Supervisor? How do the Supervisors schedule their visits to Accompagnateurs and patients? Do they follow a different Accompagnateur each day?

Stuart Mackenzie started a discussion "Ongoing Training for Community Health Workers" in the Adherence & Retention community.

How often do PIH Accompagnateurs meet as a group to discuss their work and give feedback? Do you provide ongoing training after the initial 7-day Accompagnateur training session?

Stuart Mackenzie started a discussion "Handling of ARVs in DOT-HAART" in the Adherence & Retention community.

Here in Lusaka, CIDRZ has a group of CHWs beginning a DOT-HAART pilot project at a government clinic. We have done our best not to disturb the current workings of the ART clinic, but the pharmacists are concerned over the prospect of CHWs taking responsibility for clients' ARVs. They would prefer that the clients themselves keep their ARVs so that if there is a conflict, they can take the drugs on their own. While not ...