Barbados - Carolina Population Center

CHAPTER 3: RESULTS— CAPACITY TO PROVIDE SERVICES FOR HIV AND AIDS
Figure 3.4.4c: Systems and items to support antiretroviral combination therapy,
HSPA Barbados 2005
Observed record system for client appts.
2
Individual client record/charts
1
Observed up-to-date client register/cards
1
At least one
provider
with inservice
training in
past 12
months
ART services
Counseling for ARV adherence
Nutritional rehabilitation
2
2
2
At least 1/2 ART providers recently supervised
0
All items for indicator
0
No. of facilities among those offering
ART (n=2); No. of service sites: 7
In-service training of providers in both facilities has taken place over the 12 months
preceding the survey. At least one interviewed provider of ART services had received
in-service training in ART, nutritional rehabilitation related to HIV and AIDS, and
counseling for adherence to ARV drug therapy. Supervision seems to be somewhat
lagging compared with the other areas noted in the two facilities providing ART, as seen
in Figure 3.4.4c.
3.4.5 Post-Exposure Prophylaxis
PEP should be available not only to health service providers, who are at risk for
exposure to HIV through needle pricks and other blood exposure, but also to the public
at risk due to inadvertent exposure (such as rape victims). Even facilities that do not
officially offer HIV and AIDS-related services should have access to PEP, since it is
frequently not known which clients may be infected. Exposure to blood (through
needle-pricks) puts the provider at risk.
Twelve of 17 facilities (18 services sites) in Barbados report that PEP is available (Figures
3.4.5a and 3.4.5b). Upon observation, only 6 of 12 facilities had PEP medicines. It is
understandable that not all facilities have PEP always available, since staff may have
access to PEP in facilities that offer PEP or have a system to refer staff elsewhere for
PEP. Nevertheless, concern should be that PEP drugs are easily accessible to all
providers.
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