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Translation and sustainability of an HIV prevention intervention in Lusaka, Zambia

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Translational Behavioral Medicine

Abstract

The scale-up of HIV treatment programs in sub-Saharan Africa necessitates creative solutions that do not further burden the health system to meet global initiatives in prevention and care. This study assessed the work environment and impact of providing a behavioral risk reduction intervention in six community health centers (CHCs) in Lusaka, Zambia; opportunities and challenges to long-term program sustainability were identified. CHC staff participants (n = 82) were assessed on perceived clinic burden, job satisfaction, and burnout before and after implementation of the intervention. High levels of clinic burden were identified; however, no increase in perceived clinic burden or staff burnout was associated with providing the intervention. The intervention was sustained at the majority of CHCs and also adopted at additional clinics. Behavioral interventions can be successfully implemented and maintained in resource-poor settings. Creative strategies to overcome structural and economic challenges should be applied to enhance translation research.

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Acknowledgments

This study was supported by the University of Miami Miller School of Medicine and the University of Zambia School of Medicine which is funded by a grant (5R01HD058481) from the National Institute of Health (NIH).

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Authors and Affiliations

  1. Department of Psychiatry & Behavioral Sciences, University of Miami Miller School of Medicine, 1400 NW 10th Ave., 33136, Miami, FL, USA

    Szonja Vamos MS, Ryan Cook BA, Stephen Marshall Weiss PhD, MPH & Deborah Lynne Jones PhD

  2. University of Zambia Teaching Hospital Nationalist Road, P/Bag RW 1X, Ridgeway 15102, Lusaka, Zambia

    Miriam Mumbi RN & Ndashi Chitalu MD

Authors
  1. Szonja Vamos MS
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  2. Miriam Mumbi RN
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  3. Ryan Cook BA
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  4. Ndashi Chitalu MD
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  5. Stephen Marshall Weiss PhD, MPH
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  6. Deborah Lynne Jones PhD
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Corresponding author

Correspondence to Szonja Vamos MS.

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Implications

Policy: Behavioral interventions should be integrated into the existing health delivery system as an essential component of HIV prevention packages.

Research: Future translational research should include the development of strategies to implement large-scale prevention initiatives in community health clinics that do not add to clinic burden.

Practice: Creative strategies to overcome structural and economic challenges, such as the train-the-trainer model, may be utilized to successfully implement interventions.

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Vamos, S., Mumbi, M., Cook, R. et al. Translation and sustainability of an HIV prevention intervention in Lusaka, Zambia. Behav. Med. Pract. Policy Res. 4, 141–148 (2014). https://doi.org/10.1007/s13142-013-0237-9

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  • DOI: https://doi.org/10.1007/s13142-013-0237-9

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