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To assess adherence, workers were asked to respond to five questions located throughout the survey.
Apart from additional training provided by the provincial government for TB/HIV adherence workers, systems of in-service and induction training were the responsibility of the individual NGOs.
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In Zambia, the use of "adherence support workers" to provide clinic-based adherence counseling has resulted in reduced patient waiting times without comprise of adherence counseling quality [ 10].
A mixed methods study on adherence support workers (ASWs) in Zambia who were living with HIV reported that ASWs had stronger bonding with clients and hence increased client adherence (Torpey et al. 2008).
This was recognized as fundamental by Witter from the stakeholders' interview in the success and adherence of workers on the PBF scheme (16) who highlighted the need to strike a balance between financial and non-financial incentives.
Various approaches have been tried to reduce the rate of LTFU including adherence support workers 36 and mobile telephone messaging, 37 but resource-limited settings may not have the economy to support this without increasing external donor support.
In Zambia, a study of the effectiveness of adherence support workers (ASWs) in adherence counselling, treatment retention and addressing HRH constraints at health facilities showed a marked shift of workload from health care workers to ASWs without any compromise in the quality of counselling.
On December 10 , 2001 we conducted a survey to evaluate postal workers' adherence to postexposure prophylaxis and to identify factors influencing their degree of adherence.
Health care workers' "adherence with hand hygiene is also far from ideal," note the authors.
It has been noted that health workers' adherence to a test-based strategy is a key factor in determining whether the strategy is effective in improving management and curtailing costs [32], [33]; the argument has been that, if the result of a test is not going to influence management, then doing the test is a waste of money [32].
Hand hygiene prevents cross-infection in hospitals, but health-care workers' adherence to guidelines is poor.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com