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dc.contributor.authorGoodrich, Suzanneen_US
dc.contributor.authorNdege, Samsonen_US
dc.contributor.authorKimaiyo, Sylvesteren_US
dc.contributor.authorSome, Hoseaen_US
dc.contributor.authorWachira, Juddyen_US
dc.contributor.authorBraitstein, Paulaen_US
dc.contributor.authorSidle, Johnen_US
dc.contributor.authorSitienei, Jacklineen_US
dc.contributor.authorOwino, Reginaen_US
dc.contributor.authorChesoli, Cleophasen_US
dc.contributor.authorGichunge, Catherineen_US
dc.contributor.authorKomen, Faniceen_US
dc.contributor.authorOjwang, Clarisen_US
dc.contributor.authorSang, Edwinen_US
dc.contributor.authorSiika, Abrahamen_US
dc.contributor.authorWools-Kaloustian, Karaen_US
dc.date.accessioned2017-05-03T12:43:59Z
dc.date.available2017-05-03T12:43:59Z
dc.date.issued2013en_US
dc.date.modified2014-06-17T04:50:25Z
dc.identifier.issn17521505en_US
dc.identifier.doi10.1186/1752-1505-7-25en_US
dc.identifier.urihttp://hdl.handle.net/10072/60391
dc.description.abstractBackground Widespread violence followed the 2007 presidential elections in Kenya resulting in the deaths of a reported 1,133 people and the displacement of approximately 660,000 others. At the time of the crisis the United States Agency for International Development-Academic Model Providing Access to Healthcare (USAID-AMPATH) Partnership was operating 17 primary HIV clinics in western Kenya and treating 59,437 HIV positive patients (23,437 on antiretroviral therapy (ART)). Methods This case study examines AMPATH's provision of care and maintenance of patients on ART throughout the period of disruption. This was accomplished by implementing immediate interventions including rapid information dissemination through the media, emergency hotlines and community liaisons; organization of a Crisis Response leadership team; the prompt assembly of multidisciplinary teams to address patient care, including psychological support staff (in clinics and in camps for internally displaced persons (IDP)); and the use of the AMPATH Medical Records System to identify patients on ART who had missed clinic appointments. Results These interventions resulted in the opening of all AMPATH clinics within five days of their scheduled post-holiday opening dates, 23,949 patient visits in January 2008 (23,259 previously scheduled), uninterrupted availability of antiretrovirals at all clinics, treatment of 1,420 HIV patients in IDP camps, distribution of basic provisions, mobilization of outreach services to locate missing AMPATH patients and delivery of psychosocial support to 300 staff members and 632 patients in IDP camps. Conclusion Key lessons learned in maintaining the delivery of HIV care in a crisis situation include the importance of advance planning to develop programs that can function during a crisis, an emphasis on a rapid programmatic response, the ability of clinics to function autonomously, patient knowledge of their disease, the use of community and patient networks, addressing staff needs and developing effective patient tracking systems.en_US
dc.description.peerreviewedYesen_US
dc.description.publicationstatusYesen_US
dc.format.extent744888 bytes
dc.format.mimetypeapplication/pdf
dc.languageEnglishen_US
dc.publisherBioMed Centralen_US
dc.publisher.placeUnited Kingdomen_US
dc.relation.ispartofstudentpublicationNen_US
dc.relation.ispartofpagefrom1en_US
dc.relation.ispartofpageto12en_US
dc.relation.ispartofissue25en_US
dc.relation.ispartofjournalConflict and Healthen_US
dc.relation.ispartofvolume7en_US
dc.rights.retentionYen_US
dc.subject.fieldofresearchPublic Health and Health Services not elsewhere classifieden_US
dc.subject.fieldofresearchcode111799en_US
dc.titleDelivery of HIV care during the 2007 post-election crisis in Kenya: a case study analyzing the response of the Academic Model Providing Access to Healthcare (AMPATH) programen_US
dc.typeJournal articleen_US
dc.type.descriptionC1 - Peer Reviewed (HERDC)en_US
dc.type.codeC - Journal Articlesen_US
dcterms.licensehttp://creativecommons.org/licenses/by/2.0en_US
gro.description.notepublicPage numbers are not for citation purposes. Instead, this article has the unique article number of 25.en_US
gro.rights.copyright© 2013 Goodrich et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.en_US
gro.hasfulltextFull Text
gro.griffith.authorGichunge, Catherine N.


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