a qualitative exploration of the human resource policy implications of voluntary counselling and testing scale-up in kenya applying a model for policy analysis人力资源政策影响的定性探索自愿咨询和检测在肯尼亚扩大运用政策分析的模型.pdfVIP

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a qualitative exploration of the human resource policy implications of voluntary counselling and testing scale-up in kenya applying a model for policy analysis人力资源政策影响的定性探索自愿咨询和检测在肯尼亚扩大运用政策分析的模型.pdf

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a qualitative exploration of the human resource policy implications of voluntary counselling and testing scale-up in kenya applying a model for policy analysis人力资源政策影响的定性探索自愿咨询和检测在肯尼亚扩大运用政策分析的模型

Taegtmeyer et al. BMC Public Health 2011, 11:812 /1471-2458/11/812 RESEARCH ARTICLE Open Access A qualitative exploration of the human resource policy implications of voluntary counselling and testing scale-up in Kenya: applying a model for policy analysis 1* 2 3 4 5 6 Miriam Taegtmeyer , Tim Martineau , Jane H Namwebya , Annrita Ikahu , Carol W Ngare , James Sakwa , David G Lalloo1 and Sally Theobald2 Abstract Background: Kenya experienced rapid scale up of HIV testing and counselling services in government health services from 2001. We set out to examine the human resource policy implications of scaling up HIV testing and counselling in Kenya and to analyse the resultant policy against a recognised theoretical framework of health policy reform (policy analysis triangle). Methods: Qualitative methods were used to gain in-depth insights from policy makers who shaped scale up. This included 22 in-depth interviews with Voluntary Counselling and Testing (VCT) task force members, critical analysis of 53 sets of minutes and diary notes. We explore points of consensus and conflict amongst policymakers in Kenya and analyse this content to assess who favoured and resisted new policies, how scale up was achieved and the importance of the local context in which scale up occurred. Results: The scale up of VCT in Kenya had a number of human resource policy implications resulting from the introduction of lay counsellors and their authorisation to conduct rapid HIV testing using newly introduced rapid testing technologies. Our findings indicate that three key groups of actors were critical: laboratory professionals, counselling associations and the Ministry of Health. Strategic alliances between donors, NGOs