Le programme national de lutte contre le VIH/sida renforce-t-il les hôpitaux de district au Cameroun ? (notice n° 1578579)
[ vue normale ]
| 000 -LEADER | |
|---|---|
| fixed length control field | 04695cam a2200385 4500500 |
| 005 - DATE AND TIME OF LATEST TRANSACTION | |
| control field | 20251228045446.0 |
| 041 ## - LANGUAGE CODE | |
| Language code of text/sound track or separate title | fre |
| 042 ## - AUTHENTICATION CODE | |
| Authentication code | dc |
| 100 10 - MAIN ENTRY--PERSONAL NAME | |
| Personal name | Keugoung, Basile |
| Relator term | author |
| 245 00 - TITLE STATEMENT | |
| Title | Le programme national de lutte contre le VIH/sida renforce-t-il les hôpitaux de district au Cameroun ? |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. | |
| Date of publication, distribution, etc. | 2015.<br/> |
| 500 ## - GENERAL NOTE | |
| General note | 29 |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | L’objectif de cette étude est d’investiguer les effets du programme national de lutte contre le VIH/sida (PNLS) sur des hôpitaux de district au Cameroun. Une étude de cas multiples a été menée dans deux hôpitaux de district au Cameroun, l’un public, l’autre confessionnel. Les données ont été collectées à partir de documents et rapports d’activités du programme, d’interviews semi-structurées avec les responsables du programme, des districts et des hôpitaux, et d’observations de processus gestionnaires et d’offre de soins. Les interventions du programme mènent à une série d’effets positifs et négatifs sur le fonctionnement des hôpitaux de district et des systèmes locaux de santé. Des apports importants d’intrants et de renforcement des compétences du personnel ont été notés pour la prise en charge antirétrovirale et pour les soins de maladies opportunistes. En revanche, l’impact du programme sur la fonction de stewardship du district semble poser problème. En effet, la non-implication des équipes cadres de district dans la mise en œuvre des activités du programme affaiblit leur capacité structurelle à gérer les systèmes locaux de santé. Des opportunités non saisies par les gestionnaires pour arriver à des synergies entre programmes et systèmes locaux de santé ont été identifiées. Le PNLS affecte négativement la capacité systémique, structurelle et de rôle des systèmes locaux de santé. Les gestionnaires des services de santé généraux (SSG) et des programmes devraient analyser leurs interventions afin de les adapter dans la perspective du renforcement des systèmes de santé. Il est crucial de comprendre pourquoi les détenteurs d’enjeux ne saisissent pas des opportunités pour développer des synergies positives entre programmes et SSG et renforcer les systèmes de santé. |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | Does the National HIV/AIDS control programme provide support for district hospitals in Cameroon? The aim of this study was to investigate the effects of the national HIV/AIDS control programme on district hospitals in Cameroon. A multiple case study was conducted in two district hospitals – one public and one faith-based. Data were collected by document review, semi-structured interviews and observation of managerial processes and health care delivery. Programme interventions result in a series of positive and negative effects on the functioning of district hospitals and local health systems. High input and support of staff skills were observed for antiretroviral therapy and the management of opportunistic infections. However, the impact of the programme on the stewardship function is problematic. The low implication of district management teams in the implementation of HIV/AIDS activities reduces their structural capacity to run the local health systems. Programme and health system managers failed to take advantage of opportunities to develop synergies between the HIV/AIDS programme and local health systems. The HIV/AIDS programme weakens the systemic and structural capacity of local health systems. Managers of both programmes and general health systems should analyse and adapt their interventions in order to effectively strengthen health systems. One of the research questions is to understand why health system stakeholders do not seize opportunities to develop synergies between programmes and the general system and to strengthen health systems. |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Cameroun |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | hôpitaux de district |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | prestations des soins de santé |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | prise en charge de la maladie |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | programmes verticaux |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | syndrome d’immunodéficience acquise |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | acquired immunodeficiency syndrome |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Cameroon |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | disease management |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | district hospitals |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | health care delivery |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | vertical programmes |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Fotsing, Richard |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Macq, Jean |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Buve, Anne |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Marchal, Bruno |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Meli, Jean |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Criel, Bart |
| Relator term | author |
| 786 0# - DATA SOURCE ENTRY | |
| Note | Santé Publique | 27 | 4 | 2015-10-22 | p. 547-556 | 0995-3914 |
| 856 41 - ELECTRONIC LOCATION AND ACCESS | |
| Uniform Resource Identifier | <a href="https://stm.cairn.info/revue-sante-publique-2015-4-page-547?lang=fr&redirect-ssocas=7080">https://stm.cairn.info/revue-sante-publique-2015-4-page-547?lang=fr&redirect-ssocas=7080</a> |
Pas d'exemplaire disponible.
Réseaux sociaux