AIDS and Behavior

, Volume 18, Supplement 1, pp 89–95 | Cite as

Evaluation of the Effectiveness of HIV Voluntary Counseling and Testing Trainings for Clinicians in the Odessa Region of Ukraine

  • T. K. Кiriazova
  • O. O. Neduzhko
  • M. Kang Dufour
  • R. J. Culyba
  • J. J. Myers
Original Paper

Abstract

In Ukraine, only 28 % of HIV-infected individuals are aware of their HIV status. Expansion of voluntary HIV counseling and testing (VCT) in primary and specialty health care settings holds promise for increasing the number of people who know their HIV status and can access care. To build capacity among health care providers to deliver VCT, we conducted two-day trainings on basic HIV knowledge and on VCT procedures in the Odessa region of Ukraine. The training program was developed by local trainers in collaboration with faculty from the US Southeast AIDS Training and Education Center and was delivered in the clinical settings where trainees worked (n = 392). We assessed training effectiveness in terms of change in knowledge among clinician trainees, comparing HIV specialists and nonspecialists and those working in urban and rural clinical settings. All else being equal, compared with their urban HIV-specialist peers, trainees who were rural nonspecialists demonstrated significantly greater increases in general HIV knowledge scores. This effort demonstrates that brief, on-site training programs support the expansion of VCT by increasing the knowledge and skills of rural nonspecialist clinicians to levels equal with urban HIV specialists.

Keywords

HIV Voluntary counseling and testing VCT Provider training Ukraine 

Notes

Acknowledgments

Financial support for this project was received from Geneva Global, Inc. (US). Partners of the project in Ukraine were: Odessa Regional Health Care Department, Odessa Regional AIDS Center, Odessa Regional Substance Abuse Clinic. The authors are grateful for the time and input of Dianne Weyer, MS, FNP-BC, who volunteered and delivered the training for trainers in Odessa. Dr. Kiriazova received support through the University of California, San Francisco, from the following grants: from the US National Institutes of Health (NIH), through the Fogarty International Center (FIC) D43TW005799 and the National Institute of Mental Health (NIMH) P30 MH062246 and R25MH064712; through the FIC AIDS International Training and Research Program (AITRP) D43TW000003; and through the Starr Foundation. The content is solely the responsibility of the authors and does not necessarily represent the official views of NIH, NIMH, or FIC.

References

  1. 1.
    HIV-infection in Ukraine: informational bulletin #35. Kyiv: Ministry of Health of Ukraine, Ukrainian Center on AIDS Prevention; 2011.Google Scholar
  2. 2.
    HIV-infection in Ukraine: Informational bulletin #37. Kyiv: Ministry of Health of Ukraine, Ukrainian Center on AIDS Prevention; 2012.Google Scholar
  3. 3.
    World Health Organization. Scaling up HIV testing and counseling in the WHO European region as an essential component of efforts to achieve universal access to HIV prevention, treatment, care and support. Policy framework. Copenhagen: WHO Regional Office for Europe; 2010.Google Scholar
  4. 4.
    Ukraine: national report on monitoring progress towards the UNGASS declaration of commitment on HIV/AIDS. Reporting period: January 2008–December 2009. Kyiv: Ministry of Health of Ukraine; 2010.Google Scholar
  5. 5.
    Guidelines on voluntary counseling and testing on HIV (VCT Protocol). Ministry of Health of Ukraine. Kyiv; 2005.Google Scholar
  6. 6.
    Bateganya M, Abdulwadud OA, Kiene SM. Home-based HIV voluntary counseling and testing (VCT) for improving uptake of HIV testing (review). The Cochrane Library. 2010; issue 7. doi:10.1002/14651858.
  7. 7.
    Yoder PS, Yared A. Integrated family planning and VCT services in Ethiopia: experiences of health care providers. Qualitative Research Studies 14. Calverton: Macro International Inc.; 2008.Google Scholar
  8. 8.
    Christopoulos KA, Koester K, Weiser S, Lane T, Myers JJ, Morin SF. A comparative evaluation of the process of developing and implementing an emergency department HIV testing program. Implement Sci. 2011;30(6):30.CrossRefGoogle Scholar
  9. 9.
    Grimshaw JM, Russell IT. Effect of clinical guidelines on medical practice: a systematic review of rigorous evaluations. Lancet. 1993;342(8883):1317–22.PubMedCrossRefGoogle Scholar
  10. 10.
    UNAIDS. Tools for evaluating HIV voluntary counseling and testing. UNAIDS; 2000. p. 59.Google Scholar
  11. 11.
    Myers JJ, Modica C, Dufour MS, Bernstein C, McNamara K. Routine rapid HIV screening in six community health centers serving populations at risk. J Gen Intern Med. 2009;24(12):1269–74.PubMedCentralPubMedCrossRefGoogle Scholar
  12. 12.
    Culyba RJ, McGee BT, Weyer D. Changing HIV clinical knowledge and skill in context: the impact of longitudinal training in the southeast United States. J Assoc Nurses AIDS Care. 2011;22(2):128–39.PubMedCrossRefGoogle Scholar
  13. 13.
    Buchko V, Buchko O, Kiriazova T, Neduzhko O, Pakhomov V. Voluntary counseling and testing: a reference guide for counselors and trainers. Odessa: Future Without AIDS Foundations; 2008 (in Russia).Google Scholar
  14. 14.
    Ministry of Health. Order 385 of October 28. On approval of the list of health, medical, pharmaceutical positions and positions for junior specialists in pharmaceutical education in health care. Kyiv: Ministry of Health; 2012.Google Scholar
  15. 15.
    Buskin SE, Lin L, Houyuan Y, McGough JP. HIV/AIDS knowledge and attitudes in Chinese medical professionals and students before and after an informational lecture on HIV/AIDS. J Public Health Manag Pract. 2002;8(6):38–43.PubMedCrossRefGoogle Scholar
  16. 16.
    Banach MA, Gifford BR, Holodniy M. Representational fluency in HIV clinical practice: a model of instructor discourse. J Contin Educ Health Prof. 2007;27(3):149–56.PubMedCrossRefGoogle Scholar
  17. 17.
    Pozdnyakov S, Postnov O, Slavina N, Gerasimenko T, Neduzhko O. Spatial characteristics of the HIV epidemic in Odessa region, Ukraine. Paper presented at the 4th international conference on Health GIS, New Delhi, 29–30 July 2011.Google Scholar
  18. 18.
    Linsk N, Mitchell CG, Despotes J, Cook JA, Razzano LA, Grey DD, Wolf M. Evaluating HIV mental health training: changes in practice and knowledge for social workers and case managers. Health Soc Work. 2002;27(1):67–70.PubMedCrossRefGoogle Scholar
  19. 19.
    Cook PF, Friedman R, Lord A, Bradley-Springer LA. Outcomes of multimodal training for healthcare professionals at an AIDS Education and Training Center. Eval Health Prof. 2009;32(1):3–22.PubMedCrossRefGoogle Scholar
  20. 20.
    Williams AB, Wang H, Burgess J, Wu C, Gong Y, Li Y. Effectiveness of an HIV/AIDS educational programme for Chinese nurses. J Adv Nurs. 2006;53(6):710–20.PubMedCrossRefGoogle Scholar
  21. 21.
    Goniewicz M, Włoszczak-Szubzda A, Niemcewicz M, Witt M, Marciniak-Niemcewicz A, Jarosz MJ. Injuries caused by sharp instruments among healthcare workers—international and polish perspectives. Ann Agric Environ Med. 2012;19(3):523–7.PubMedGoogle Scholar
  22. 22.
    Buskin SE, Li L, Yin H, Yu T, McGough J. HIV/AIDS knowledge and attitudes in Chinese medical professionals and students before and after an informational lecture on HIV/AIDS. J Public Health Manag Pract. 2002;8(6):38–43.PubMedCrossRefGoogle Scholar
  23. 23.
    Pisal H, Sutar S, Sastry J, Kapadia-Kundu N, Joshi A, Joshi M. Nurses’ health education program in India increases HIV knowledge and reduces fear. J Assoc Nurses AIDS Care. 2007;18(6):32–43.PubMedCrossRefGoogle Scholar
  24. 24.
    Mockiene V. The impact of an education intervention on nurses’ knowledge of and attitudes towards HIV and willingness to take care of HIV-positive people in Lithuania. PhD thesis, University of Tampere, Finland; 2010.Google Scholar
  25. 25.
    Ministry of Health. Guidelines for health professionals providing HIV counseling and testing services. Kyiv: Ministry of Health; 2011.Google Scholar

Copyright information

© Springer Science+Business Media New York 2013

Authors and Affiliations

  • T. K. Кiriazova
    • 1
    • 2
  • O. O. Neduzhko
    • 2
  • M. Kang Dufour
    • 3
  • R. J. Culyba
    • 4
  • J. J. Myers
    • 3
  1. 1.Future Without AIDS Charity FoundationOdessaUkraine
  2. 2.Ukrainian Institute on Public Health PolicyKyivUkraine
  3. 3.University of California, San FranciscoSan FranciscoUSA
  4. 4.Center for High-Value Health Care, UPMCPittsburghUSA

Personalised recommendations