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However, both groups of providers overwhelmingly acknowledged the potential role of THPs in the fight against HIV/AIDS.
Health education, which is recognized by both groups of providers as a potentially important role for THPs, is an area where collaboration is needed in Zambia.
A recent sexual behaviour survey found a very low level of involvement of both groups of providers in prevention activities at the community level [ 21].
As to the roles of THPs, health education and treatment of opportunistic infections and STIs were predominantly mentioned by both groups of providers.
Some types are less controversial and can easily be approved by both groups of providers (i.e. health education, training sessions, etc)., whereas other types are likely to raise fear and suspicion.
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Health advisor, female, LCSH A common theme for both groups of service providers was their initial concern and confidence in their knowledge of HIV should clients ask difficult questions.
Both groups of health care providers believed in the value of the other sector and many were favourable to collaboration, suggesting it is possible if well designed.
Fragmentation of services emerged as a major obstacle to treatment for women living in our area of focus in North St . Louisthat emerged from both narrative interviews with women and focus groups of providers.
This study confirms a low level of experience of overt collaboration between the two groups of providers, but recognition by both sectors of the role of THPs in the fight against HIV/AIDS.
For example, the law fosters the creation of accountable-care organizations, i.e., groups of providers willing to accept a flat fee for the integrated care provided to their Medicare patients.
In Montreal, moderate need participants are being randomised to an institutional versus a non-profit community-based ICM provider; both groups of participants are also invited to participate in a trial of supported employment.
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