title: Translation and sustainability of an HIV prevention intervention in Lusaka, Zambia.
abstract: The scale-up of HIV treatment programs in sub-Saharan Africa necessitates creative solutions that do not further burden the health system to meet global initiatives in prevention and care. This study assessed the work environment and impact of providing a behavioral risk reduction intervention in six community health centers (CHCs) in Lusaka, Zambia; opportunities and challenges to long-term program sustainability were identified. CHC staff participants (n = 82) were assessed on perceived clinic burden, job satisfaction, and burnout before and after implementation of the intervention. High levels of clinic burden were identified; however, no increase in perceived clinic burden or staff burnout was associated with providing the intervention. The intervention was sustained at the majority of CHCs and also adopted at additional clinics. Behavioral interventions can be successfully implemented and maintained in resource-poor settings. Creative strategies to overcome structural and economic challenges should be applied to enhance translation research.
authors.affiliation: Department of Psychiatry & Behavioral Sciences, University of Miami Miller School of Medicine, 1400 NW 10th Ave., 33136 Miami, FL USA.
authors.forename: Szonja
authors.initials: S
authors.lastname: Vamos
authors.affiliation: University of Zambia Teaching Hospital Nationalist Road, P/Bag RW 1X, Ridgeway 15102 Lusaka, Zambia.
authors.forename: Miriam
authors.initials: M
authors.lastname: Mumbi
authors.affiliation: Department of Psychiatry & Behavioral Sciences, University of Miami Miller School of Medicine, 1400 NW 10th Ave., 33136 Miami, FL USA.
authors.forename: Ryan
authors.initials: R
authors.lastname: Cook
authors.affiliation: University of Zambia Teaching Hospital Nationalist Road, P/Bag RW 1X, Ridgeway 15102 Lusaka, Zambia.
authors.forename: Ndashi
authors.initials: N
authors.lastname: Chitalu
authors.affiliation: Department of Psychiatry & Behavioral Sciences, University of Miami Miller School of Medicine, 1400 NW 10th Ave., 33136 Miami, FL USA.
authors.forename: Stephen Marshall
authors.initials: SM
authors.lastname: Weiss
authors.affiliation: Department of Psychiatry & Behavioral Sciences, University of Miami Miller School of Medicine, 1400 NW 10th Ave., 33136 Miami, FL USA.
authors.forename: Deborah Lynne
authors.initials: DL
authors.lastname: Jones
keywords: Clinic burden; HIV; Intervention; Staff burnout; Translation; Zambia