Use of task-shifting to rapidly scale-up HIV treatment services: experiences from Lusaka, Zambia View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2009-12

AUTHORS

Mary B Morris, Bushimbwa Tambatamba Chapula, Benjamin H Chi, Albert Mwango, Harmony F Chi, Joyce Mwanza, Handson Manda, Carolyn Bolton, Debra S Pankratz, Jeffrey SA Stringer, Stewart E Reid

ABSTRACT

The World Health Organization advocates task-shifting, the process of delegating clinical care functions from more specialized to less specialized health workers, as a strategy to achieve the United Nations Millennium Development Goals. However, there is a dearth of literature describing task shifting in sub-Saharan Africa, where services for antiretroviral therapy (ART) have scaled up rapidly in the face of generalized human resource crises. As part of ART services expansion in Lusaka, Zambia, we implemented a comprehensive task-shifting program among existing health providers and community-based workers. Training begins with didactic sessions targeting specialized skill sets. This is followed by an intensive period of practical mentorship, where providers are paired with trainers before working independently. We provide on-going quality assessment using key indicators of clinical care quality at each site. Program performance is reviewed with clinic-based staff quarterly. When problems are identified, clinic staff members design and implement specific interventions to address targeted areas. From 2005 to 2007, we trained 516 health providers in adult HIV treatment; 270 in pediatric HIV treatment; 341 in adherence counseling; 91 in a specialty nurse "triage" course, and 93 in an intensive clinical mentorship program. On-going quality assessment demonstrated improvement across clinical care quality indicators, despite rapidly growing patient volumes. Our task-shifting strategy was designed to address current health care worker needs and to sustain ART scale-up activities. While this approach has been successful, long-term solutions to the human resource crisis are also urgently needed to expand the number of providers and to slow staff migration out of the region. More... »

PAGES

5

Identifiers

URI

http://scigraph.springernature.com/pub.10.1186/1472-6963-9-5

DOI

http://dx.doi.org/10.1186/1472-6963-9-5

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1039016560

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/19134202


Indexing Status Check whether this publication has been indexed by Scopus and Web Of Science using the SN Indexing Status Tool
Incoming Citations Browse incoming citations for this publication using opencitations.net

JSON-LD is the canonical representation for SciGraph data.

TIP: You can open this SciGraph record using an external JSON-LD service: JSON-LD Playground Google SDTT

[
  {
    "@context": "https://springernature.github.io/scigraph/jsonld/sgcontext.json", 
    "about": [
      {
        "id": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/1117", 
        "inDefinedTermSet": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/", 
        "name": "Public Health and Health Services", 
        "type": "DefinedTerm"
      }, 
      {
        "id": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/11", 
        "inDefinedTermSet": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/", 
        "name": "Medical and Health Sciences", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Anti-Retroviral Agents", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Delivery of Health Care", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Efficiency, Organizational", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "HIV Infections", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Health Manpower", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Health Services Accessibility", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Humans", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Models, Organizational", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Staff Development", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Total Quality Management", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Zambia", 
        "type": "DefinedTerm"
      }
    ], 
    "author": [
      {
        "affiliation": {
          "alternateName": "University of Alabama at Birmingham", 
          "id": "https://www.grid.ac/institutes/grid.265892.2", 
          "name": [
            "Centre for Infectious Disease Research in Zambia, Lusaka, Zambia", 
            "Schools of Medicine and Public Health, University of Alabama, Birmingham, AL, USA"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Morris", 
        "givenName": "Mary B", 
        "id": "sg:person.0654250067.84", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.0654250067.84"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "name": [
            "Lusaka District Health Management Team, Lusaka, Zambia"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Chapula", 
        "givenName": "Bushimbwa Tambatamba", 
        "id": "sg:person.01327370345.08", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01327370345.08"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "University of Alabama at Birmingham", 
          "id": "https://www.grid.ac/institutes/grid.265892.2", 
          "name": [
            "Centre for Infectious Disease Research in Zambia, Lusaka, Zambia", 
            "Schools of Medicine and Public Health, University of Alabama, Birmingham, AL, USA"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Chi", 
        "givenName": "Benjamin H", 
        "id": "sg:person.01204265212.28", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01204265212.28"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "Ministry of Health", 
          "id": "https://www.grid.ac/institutes/grid.415794.a", 
          "name": [
            "Zambian Ministry of Health, Lusaka, Zambia"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Mwango", 
        "givenName": "Albert", 
        "id": "sg:person.01231013362.60", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01231013362.60"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "University of Alabama at Birmingham", 
          "id": "https://www.grid.ac/institutes/grid.265892.2", 
          "name": [
            "Centre for Infectious Disease Research in Zambia, Lusaka, Zambia", 
            "Schools of Medicine and Public Health, University of Alabama, Birmingham, AL, USA"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Chi", 
        "givenName": "Harmony F", 
        "id": "sg:person.0720212645.66", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.0720212645.66"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "Centre for Infectious Disease Research in Zambia", 
          "id": "https://www.grid.ac/institutes/grid.418015.9", 
          "name": [
            "Centre for Infectious Disease Research in Zambia, Lusaka, Zambia"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Mwanza", 
        "givenName": "Joyce", 
        "id": "sg:person.0766326045.28", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.0766326045.28"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "Centre for Infectious Disease Research in Zambia", 
          "id": "https://www.grid.ac/institutes/grid.418015.9", 
          "name": [
            "Centre for Infectious Disease Research in Zambia, Lusaka, Zambia"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Manda", 
        "givenName": "Handson", 
        "id": "sg:person.01034441245.04", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01034441245.04"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "University of Alabama at Birmingham", 
          "id": "https://www.grid.ac/institutes/grid.265892.2", 
          "name": [
            "Centre for Infectious Disease Research in Zambia, Lusaka, Zambia", 
            "Schools of Medicine and Public Health, University of Alabama, Birmingham, AL, USA"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Bolton", 
        "givenName": "Carolyn", 
        "id": "sg:person.01102554445.04", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01102554445.04"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "University of Alabama at Birmingham", 
          "id": "https://www.grid.ac/institutes/grid.265892.2", 
          "name": [
            "Centre for Infectious Disease Research in Zambia, Lusaka, Zambia", 
            "Schools of Medicine and Public Health, University of Alabama, Birmingham, AL, USA"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Pankratz", 
        "givenName": "Debra S", 
        "id": "sg:person.01150667645.30", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01150667645.30"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "University of Alabama at Birmingham", 
          "id": "https://www.grid.ac/institutes/grid.265892.2", 
          "name": [
            "Centre for Infectious Disease Research in Zambia, Lusaka, Zambia", 
            "Schools of Medicine and Public Health, University of Alabama, Birmingham, AL, USA"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Stringer", 
        "givenName": "Jeffrey SA", 
        "id": "sg:person.015313027357.83", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.015313027357.83"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "University of Alabama at Birmingham", 
          "id": "https://www.grid.ac/institutes/grid.265892.2", 
          "name": [
            "Centre for Infectious Disease Research in Zambia, Lusaka, Zambia", 
            "Schools of Medicine and Public Health, University of Alabama, Birmingham, AL, USA"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Reid", 
        "givenName": "Stewart E", 
        "id": "sg:person.01050571171.53", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01050571171.53"
        ], 
        "type": "Person"
      }
    ], 
    "citation": [
      {
        "id": "https://doi.org/10.1056/nejmsb071889", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1000300663"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/01.qai.0000159515.39982.c0", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1003477836"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/01.qai.0000159515.39982.c0", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1003477836"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/01.qai.0000159515.39982.c0", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1003477836"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/01.qai.0000159515.39982.c0", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1003477836"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1001/jama.298.16.1888", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1011573896"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1111/j.1466-7657.2006.00491.x", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1013941343"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/s0140-6736(06)69118-6", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1019458658"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1371/journal.pone.0002204", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1030370141"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/s0140-6736(08)60307-4", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1031085934"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1093/heapol/czm049", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1045450609"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/s0140-6736(08)60309-8", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1047611018"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1001/jama.296.7.782", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1052189815"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.2471/blt.06.033076", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1070836769"
        ], 
        "type": "CreativeWork"
      }
    ], 
    "datePublished": "2009-12", 
    "datePublishedReg": "2009-12-01", 
    "description": "The World Health Organization advocates task-shifting, the process of delegating clinical care functions from more specialized to less specialized health workers, as a strategy to achieve the United Nations Millennium Development Goals. However, there is a dearth of literature describing task shifting in sub-Saharan Africa, where services for antiretroviral therapy (ART) have scaled up rapidly in the face of generalized human resource crises. As part of ART services expansion in Lusaka, Zambia, we implemented a comprehensive task-shifting program among existing health providers and community-based workers. Training begins with didactic sessions targeting specialized skill sets. This is followed by an intensive period of practical mentorship, where providers are paired with trainers before working independently. We provide on-going quality assessment using key indicators of clinical care quality at each site. Program performance is reviewed with clinic-based staff quarterly. When problems are identified, clinic staff members design and implement specific interventions to address targeted areas. From 2005 to 2007, we trained 516 health providers in adult HIV treatment; 270 in pediatric HIV treatment; 341 in adherence counseling; 91 in a specialty nurse \"triage\" course, and 93 in an intensive clinical mentorship program. On-going quality assessment demonstrated improvement across clinical care quality indicators, despite rapidly growing patient volumes. Our task-shifting strategy was designed to address current health care worker needs and to sustain ART scale-up activities. While this approach has been successful, long-term solutions to the human resource crisis are also urgently needed to expand the number of providers and to slow staff migration out of the region.", 
    "genre": "research_article", 
    "id": "sg:pub.10.1186/1472-6963-9-5", 
    "inLanguage": [
      "en"
    ], 
    "isAccessibleForFree": true, 
    "isFundedItemOf": [
      {
        "id": "sg:grant.2409712", 
        "type": "MonetaryGrant"
      }, 
      {
        "id": "sg:grant.2438689", 
        "type": "MonetaryGrant"
      }, 
      {
        "id": "sg:grant.2405715", 
        "type": "MonetaryGrant"
      }
    ], 
    "isPartOf": [
      {
        "id": "sg:journal.1327417", 
        "issn": [
          "1472-6963"
        ], 
        "name": "BMC Health Services Research", 
        "type": "Periodical"
      }, 
      {
        "issueNumber": "1", 
        "type": "PublicationIssue"
      }, 
      {
        "type": "PublicationVolume", 
        "volumeNumber": "9"
      }
    ], 
    "name": "Use of task-shifting to rapidly scale-up HIV treatment services: experiences from Lusaka, Zambia", 
    "pagination": "5", 
    "productId": [
      {
        "name": "readcube_id", 
        "type": "PropertyValue", 
        "value": [
          "b9da797ef5c210d71807b09082a177fab9c39a04c0af563ab999d25aac32a385"
        ]
      }, 
      {
        "name": "pubmed_id", 
        "type": "PropertyValue", 
        "value": [
          "19134202"
        ]
      }, 
      {
        "name": "nlm_unique_id", 
        "type": "PropertyValue", 
        "value": [
          "101088677"
        ]
      }, 
      {
        "name": "doi", 
        "type": "PropertyValue", 
        "value": [
          "10.1186/1472-6963-9-5"
        ]
      }, 
      {
        "name": "dimensions_id", 
        "type": "PropertyValue", 
        "value": [
          "pub.1039016560"
        ]
      }
    ], 
    "sameAs": [
      "https://doi.org/10.1186/1472-6963-9-5", 
      "https://app.dimensions.ai/details/publication/pub.1039016560"
    ], 
    "sdDataset": "articles", 
    "sdDatePublished": "2019-04-10T14:10", 
    "sdLicense": "https://scigraph.springernature.com/explorer/license/", 
    "sdPublisher": {
      "name": "Springer Nature - SN SciGraph project", 
      "type": "Organization"
    }, 
    "sdSource": "s3://com-uberresearch-data-dimensions-target-20181106-alternative/cleanup/v134/2549eaecd7973599484d7c17b260dba0a4ecb94b/merge/v9/a6c9fde33151104705d4d7ff012ea9563521a3ce/jats-lookup/v90/0000000001_0000000264/records_8660_00000514.jsonl", 
    "type": "ScholarlyArticle", 
    "url": "http://link.springer.com/10.1186%2F1472-6963-9-5"
  }
]
 

Download the RDF metadata as:  json-ld nt turtle xml License info

HOW TO GET THIS DATA PROGRAMMATICALLY:

JSON-LD is a popular format for linked data which is fully compatible with JSON.

curl -H 'Accept: application/ld+json' 'https://scigraph.springernature.com/pub.10.1186/1472-6963-9-5'

N-Triples is a line-based linked data format ideal for batch operations.

curl -H 'Accept: application/n-triples' 'https://scigraph.springernature.com/pub.10.1186/1472-6963-9-5'

Turtle is a human-readable linked data format.

curl -H 'Accept: text/turtle' 'https://scigraph.springernature.com/pub.10.1186/1472-6963-9-5'

RDF/XML is a standard XML format for linked data.

curl -H 'Accept: application/rdf+xml' 'https://scigraph.springernature.com/pub.10.1186/1472-6963-9-5'


 

This table displays all metadata directly associated to this object as RDF triples.

230 TRIPLES      21 PREDICATES      51 URIs      32 LITERALS      20 BLANK NODES

Subject Predicate Object
1 sg:pub.10.1186/1472-6963-9-5 schema:about N0791c56bb33d49ae98ef14fd59b7cd28
2 N258a7fc3b66d459e83714703fe879df4
3 N28144bd3320a4aae9d904f36f7670821
4 N34305b353e1c46fb98bbfd4d35af752d
5 N3691fb0914af4f17957f8b1a605033ec
6 N47ca238add7648d5a78d6bff98b8bae3
7 N5278fae872ac47cd9dba58bc82aa12db
8 N959ccb760e254e2d8a728bc0cce70f8c
9 Nc0296db3f8414f439e1981988b3cabd7
10 Nec116476d9934a038bdea012293eea37
11 Nee52a01bc96a468cb8d19227049dbd3e
12 anzsrc-for:11
13 anzsrc-for:1117
14 schema:author N2350c6b46f5e4c6f953a5dfe127c02a8
15 schema:citation https://doi.org/10.1001/jama.296.7.782
16 https://doi.org/10.1001/jama.298.16.1888
17 https://doi.org/10.1016/s0140-6736(06)69118-6
18 https://doi.org/10.1016/s0140-6736(08)60307-4
19 https://doi.org/10.1016/s0140-6736(08)60309-8
20 https://doi.org/10.1056/nejmsb071889
21 https://doi.org/10.1093/heapol/czm049
22 https://doi.org/10.1097/01.qai.0000159515.39982.c0
23 https://doi.org/10.1111/j.1466-7657.2006.00491.x
24 https://doi.org/10.1371/journal.pone.0002204
25 https://doi.org/10.2471/blt.06.033076
26 schema:datePublished 2009-12
27 schema:datePublishedReg 2009-12-01
28 schema:description The World Health Organization advocates task-shifting, the process of delegating clinical care functions from more specialized to less specialized health workers, as a strategy to achieve the United Nations Millennium Development Goals. However, there is a dearth of literature describing task shifting in sub-Saharan Africa, where services for antiretroviral therapy (ART) have scaled up rapidly in the face of generalized human resource crises. As part of ART services expansion in Lusaka, Zambia, we implemented a comprehensive task-shifting program among existing health providers and community-based workers. Training begins with didactic sessions targeting specialized skill sets. This is followed by an intensive period of practical mentorship, where providers are paired with trainers before working independently. We provide on-going quality assessment using key indicators of clinical care quality at each site. Program performance is reviewed with clinic-based staff quarterly. When problems are identified, clinic staff members design and implement specific interventions to address targeted areas. From 2005 to 2007, we trained 516 health providers in adult HIV treatment; 270 in pediatric HIV treatment; 341 in adherence counseling; 91 in a specialty nurse "triage" course, and 93 in an intensive clinical mentorship program. On-going quality assessment demonstrated improvement across clinical care quality indicators, despite rapidly growing patient volumes. Our task-shifting strategy was designed to address current health care worker needs and to sustain ART scale-up activities. While this approach has been successful, long-term solutions to the human resource crisis are also urgently needed to expand the number of providers and to slow staff migration out of the region.
29 schema:genre research_article
30 schema:inLanguage en
31 schema:isAccessibleForFree true
32 schema:isPartOf N0a2bbeb4d48a4bc18b9601d081e7607f
33 Neeb2eeb3d7fd4d4c966ab3fb435392f5
34 sg:journal.1327417
35 schema:name Use of task-shifting to rapidly scale-up HIV treatment services: experiences from Lusaka, Zambia
36 schema:pagination 5
37 schema:productId N1f3cb6f71d0e44d182700ecadaf80e52
38 N2563356f4c864fc1bc4142163de012d7
39 N403f7fea8ba84df49fd1fcdfe66319b8
40 Nb610b807526342009ecc47202dc5468f
41 Ncbb2fb523bbd45bfafceeb7a2e69dbb8
42 schema:sameAs https://app.dimensions.ai/details/publication/pub.1039016560
43 https://doi.org/10.1186/1472-6963-9-5
44 schema:sdDatePublished 2019-04-10T14:10
45 schema:sdLicense https://scigraph.springernature.com/explorer/license/
46 schema:sdPublisher N113d1e8232e34ad88e0ec06ffa437209
47 schema:url http://link.springer.com/10.1186%2F1472-6963-9-5
48 sgo:license sg:explorer/license/
49 sgo:sdDataset articles
50 rdf:type schema:ScholarlyArticle
51 N0791c56bb33d49ae98ef14fd59b7cd28 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
52 schema:name Zambia
53 rdf:type schema:DefinedTerm
54 N0a2bbeb4d48a4bc18b9601d081e7607f schema:issueNumber 1
55 rdf:type schema:PublicationIssue
56 N113d1e8232e34ad88e0ec06ffa437209 schema:name Springer Nature - SN SciGraph project
57 rdf:type schema:Organization
58 N1997a7fded714c009f6851927b192a37 rdf:first sg:person.01204265212.28
59 rdf:rest N7f0c1069cbdc433ab812b48056ce9de1
60 N1f3cb6f71d0e44d182700ecadaf80e52 schema:name nlm_unique_id
61 schema:value 101088677
62 rdf:type schema:PropertyValue
63 N2350c6b46f5e4c6f953a5dfe127c02a8 rdf:first sg:person.0654250067.84
64 rdf:rest Nab41747891944a70ac73273cfdf90e57
65 N2563356f4c864fc1bc4142163de012d7 schema:name doi
66 schema:value 10.1186/1472-6963-9-5
67 rdf:type schema:PropertyValue
68 N258a7fc3b66d459e83714703fe879df4 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
69 schema:name Health Manpower
70 rdf:type schema:DefinedTerm
71 N28144bd3320a4aae9d904f36f7670821 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
72 schema:name HIV Infections
73 rdf:type schema:DefinedTerm
74 N34305b353e1c46fb98bbfd4d35af752d schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
75 schema:name Staff Development
76 rdf:type schema:DefinedTerm
77 N3691fb0914af4f17957f8b1a605033ec schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
78 schema:name Humans
79 rdf:type schema:DefinedTerm
80 N403f7fea8ba84df49fd1fcdfe66319b8 schema:name dimensions_id
81 schema:value pub.1039016560
82 rdf:type schema:PropertyValue
83 N41cab992a8de4b2cb404bd9ab269c20b rdf:first sg:person.01102554445.04
84 rdf:rest N8d2ba1db053a46a9b613180045419c1a
85 N47ca238add7648d5a78d6bff98b8bae3 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
86 schema:name Health Services Accessibility
87 rdf:type schema:DefinedTerm
88 N5278fae872ac47cd9dba58bc82aa12db schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
89 schema:name Total Quality Management
90 rdf:type schema:DefinedTerm
91 N5b0c4e4523f94025b86ea4ed86117086 rdf:first sg:person.0720212645.66
92 rdf:rest N82d1b057f219451c8acd2cde9aab89cc
93 N7f0c1069cbdc433ab812b48056ce9de1 rdf:first sg:person.01231013362.60
94 rdf:rest N5b0c4e4523f94025b86ea4ed86117086
95 N82d1b057f219451c8acd2cde9aab89cc rdf:first sg:person.0766326045.28
96 rdf:rest Ne34ecacc4ca54e68aab370acf0435ff7
97 N8d2ba1db053a46a9b613180045419c1a rdf:first sg:person.01150667645.30
98 rdf:rest N9be47113dcdb4da1a1de7b1059d966f8
99 N959ccb760e254e2d8a728bc0cce70f8c schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
100 schema:name Efficiency, Organizational
101 rdf:type schema:DefinedTerm
102 N9be47113dcdb4da1a1de7b1059d966f8 rdf:first sg:person.015313027357.83
103 rdf:rest Nbcfb01642fe042e7b35d7923c72d6bd5
104 N9ce3535ec59646829bc638f28b54d4d7 schema:name Lusaka District Health Management Team, Lusaka, Zambia
105 rdf:type schema:Organization
106 Nab41747891944a70ac73273cfdf90e57 rdf:first sg:person.01327370345.08
107 rdf:rest N1997a7fded714c009f6851927b192a37
108 Nb610b807526342009ecc47202dc5468f schema:name pubmed_id
109 schema:value 19134202
110 rdf:type schema:PropertyValue
111 Nbcfb01642fe042e7b35d7923c72d6bd5 rdf:first sg:person.01050571171.53
112 rdf:rest rdf:nil
113 Nc0296db3f8414f439e1981988b3cabd7 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
114 schema:name Models, Organizational
115 rdf:type schema:DefinedTerm
116 Ncbb2fb523bbd45bfafceeb7a2e69dbb8 schema:name readcube_id
117 schema:value b9da797ef5c210d71807b09082a177fab9c39a04c0af563ab999d25aac32a385
118 rdf:type schema:PropertyValue
119 Ne34ecacc4ca54e68aab370acf0435ff7 rdf:first sg:person.01034441245.04
120 rdf:rest N41cab992a8de4b2cb404bd9ab269c20b
121 Nec116476d9934a038bdea012293eea37 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
122 schema:name Anti-Retroviral Agents
123 rdf:type schema:DefinedTerm
124 Nee52a01bc96a468cb8d19227049dbd3e schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
125 schema:name Delivery of Health Care
126 rdf:type schema:DefinedTerm
127 Neeb2eeb3d7fd4d4c966ab3fb435392f5 schema:volumeNumber 9
128 rdf:type schema:PublicationVolume
129 anzsrc-for:11 schema:inDefinedTermSet anzsrc-for:
130 schema:name Medical and Health Sciences
131 rdf:type schema:DefinedTerm
132 anzsrc-for:1117 schema:inDefinedTermSet anzsrc-for:
133 schema:name Public Health and Health Services
134 rdf:type schema:DefinedTerm
135 sg:grant.2405715 http://pending.schema.org/fundedItem sg:pub.10.1186/1472-6963-9-5
136 rdf:type schema:MonetaryGrant
137 sg:grant.2409712 http://pending.schema.org/fundedItem sg:pub.10.1186/1472-6963-9-5
138 rdf:type schema:MonetaryGrant
139 sg:grant.2438689 http://pending.schema.org/fundedItem sg:pub.10.1186/1472-6963-9-5
140 rdf:type schema:MonetaryGrant
141 sg:journal.1327417 schema:issn 1472-6963
142 schema:name BMC Health Services Research
143 rdf:type schema:Periodical
144 sg:person.01034441245.04 schema:affiliation https://www.grid.ac/institutes/grid.418015.9
145 schema:familyName Manda
146 schema:givenName Handson
147 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01034441245.04
148 rdf:type schema:Person
149 sg:person.01050571171.53 schema:affiliation https://www.grid.ac/institutes/grid.265892.2
150 schema:familyName Reid
151 schema:givenName Stewart E
152 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01050571171.53
153 rdf:type schema:Person
154 sg:person.01102554445.04 schema:affiliation https://www.grid.ac/institutes/grid.265892.2
155 schema:familyName Bolton
156 schema:givenName Carolyn
157 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01102554445.04
158 rdf:type schema:Person
159 sg:person.01150667645.30 schema:affiliation https://www.grid.ac/institutes/grid.265892.2
160 schema:familyName Pankratz
161 schema:givenName Debra S
162 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01150667645.30
163 rdf:type schema:Person
164 sg:person.01204265212.28 schema:affiliation https://www.grid.ac/institutes/grid.265892.2
165 schema:familyName Chi
166 schema:givenName Benjamin H
167 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01204265212.28
168 rdf:type schema:Person
169 sg:person.01231013362.60 schema:affiliation https://www.grid.ac/institutes/grid.415794.a
170 schema:familyName Mwango
171 schema:givenName Albert
172 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01231013362.60
173 rdf:type schema:Person
174 sg:person.01327370345.08 schema:affiliation N9ce3535ec59646829bc638f28b54d4d7
175 schema:familyName Chapula
176 schema:givenName Bushimbwa Tambatamba
177 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01327370345.08
178 rdf:type schema:Person
179 sg:person.015313027357.83 schema:affiliation https://www.grid.ac/institutes/grid.265892.2
180 schema:familyName Stringer
181 schema:givenName Jeffrey SA
182 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.015313027357.83
183 rdf:type schema:Person
184 sg:person.0654250067.84 schema:affiliation https://www.grid.ac/institutes/grid.265892.2
185 schema:familyName Morris
186 schema:givenName Mary B
187 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.0654250067.84
188 rdf:type schema:Person
189 sg:person.0720212645.66 schema:affiliation https://www.grid.ac/institutes/grid.265892.2
190 schema:familyName Chi
191 schema:givenName Harmony F
192 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.0720212645.66
193 rdf:type schema:Person
194 sg:person.0766326045.28 schema:affiliation https://www.grid.ac/institutes/grid.418015.9
195 schema:familyName Mwanza
196 schema:givenName Joyce
197 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.0766326045.28
198 rdf:type schema:Person
199 https://doi.org/10.1001/jama.296.7.782 schema:sameAs https://app.dimensions.ai/details/publication/pub.1052189815
200 rdf:type schema:CreativeWork
201 https://doi.org/10.1001/jama.298.16.1888 schema:sameAs https://app.dimensions.ai/details/publication/pub.1011573896
202 rdf:type schema:CreativeWork
203 https://doi.org/10.1016/s0140-6736(06)69118-6 schema:sameAs https://app.dimensions.ai/details/publication/pub.1019458658
204 rdf:type schema:CreativeWork
205 https://doi.org/10.1016/s0140-6736(08)60307-4 schema:sameAs https://app.dimensions.ai/details/publication/pub.1031085934
206 rdf:type schema:CreativeWork
207 https://doi.org/10.1016/s0140-6736(08)60309-8 schema:sameAs https://app.dimensions.ai/details/publication/pub.1047611018
208 rdf:type schema:CreativeWork
209 https://doi.org/10.1056/nejmsb071889 schema:sameAs https://app.dimensions.ai/details/publication/pub.1000300663
210 rdf:type schema:CreativeWork
211 https://doi.org/10.1093/heapol/czm049 schema:sameAs https://app.dimensions.ai/details/publication/pub.1045450609
212 rdf:type schema:CreativeWork
213 https://doi.org/10.1097/01.qai.0000159515.39982.c0 schema:sameAs https://app.dimensions.ai/details/publication/pub.1003477836
214 rdf:type schema:CreativeWork
215 https://doi.org/10.1111/j.1466-7657.2006.00491.x schema:sameAs https://app.dimensions.ai/details/publication/pub.1013941343
216 rdf:type schema:CreativeWork
217 https://doi.org/10.1371/journal.pone.0002204 schema:sameAs https://app.dimensions.ai/details/publication/pub.1030370141
218 rdf:type schema:CreativeWork
219 https://doi.org/10.2471/blt.06.033076 schema:sameAs https://app.dimensions.ai/details/publication/pub.1070836769
220 rdf:type schema:CreativeWork
221 https://www.grid.ac/institutes/grid.265892.2 schema:alternateName University of Alabama at Birmingham
222 schema:name Centre for Infectious Disease Research in Zambia, Lusaka, Zambia
223 Schools of Medicine and Public Health, University of Alabama, Birmingham, AL, USA
224 rdf:type schema:Organization
225 https://www.grid.ac/institutes/grid.415794.a schema:alternateName Ministry of Health
226 schema:name Zambian Ministry of Health, Lusaka, Zambia
227 rdf:type schema:Organization
228 https://www.grid.ac/institutes/grid.418015.9 schema:alternateName Centre for Infectious Disease Research in Zambia
229 schema:name Centre for Infectious Disease Research in Zambia, Lusaka, Zambia
230 rdf:type schema:Organization
 




Preview window. Press ESC to close (or click here)


...