A recent study
by URAA found that THPs are first point of contact for treatment (most trusted
by their clients) in most rural communities and this provide an opportunity for
THPs to provide services such as HTC/HCT if their capacity is developed and
provided with testing supplies.
The study also found
that there are still lots of mistrust by BHPs on roles of THPs which result in
lack of reciprocal referrals between THPs and BHPs. However, there can be
opportunities to promote collaboration if the referral is not centered on
bio-medicalization: i.e. focusing on non scientific issues like counseling, and
adherence support.
The nurses share a moment of learning with THPs & TBAs at Iganga
Need for
exploring how THPs can effectively collaborate with BHPs in key HIV prevention
strategies such as Male Circumcision and PMTCT.
Capacity of
TBAs should be built to provide services beyond delivery to include comprehensive
reproductive service provision which can be effective in preventing maternal
deaths in rural areas.
In order to
improve the relationship between THPs and BHPs it is critical to identify where
exactly do THPs fit in the wider heath management model for the particular
country. For example, community health workers are clearly part of specific
level in the health management model and therefore
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