Telecommunications and health care: An HIV/AIDS warmline for communication and consultation in Rakai, Uganda

Larry William Chang, Joseph Kagaayi, Gertrude Nakigozi, Ronald Galiwango, Jeremiah Mulamba, James Ludigo, Andrew Ruwangula, Ronald H. Gray, Thomas C. Quinn, Robert C. Bollinger, Steven J. Reynolds

Research output: Contribution to journalArticle

Abstract

Hotlines and warmlines have been successfully used in the developed world to provide clinical advice; however, reports on their replicability in resource-limited settings are limited. A warmline was established in Rakai, Uganda, to support an antiretroviral therapy program. Over a 17-month period, a database was kept of who called, why they called, and the result of the call. A program evaluation was also administered to clinical staff. A total of 1303 calls (3.5 calls per weekday) were logged. The warmline was used mostly by field staff and peripherally based peer health workers. Calls addressed important clinical issues, including the need for urgent care, medication side effects, and follow-up needs. Most clinical staff felt that the warmline made their jobs easier and improved the health of patients. An HIV/AIDS warmline leveraged the skills of a limited workforce to provide increased access to HIV/AIDS care, advice, and education.

Original languageEnglish (US)
Pages (from-to)130-132
Number of pages3
JournalJournal of the International Association of Physicians in AIDS Care
Volume7
Issue number3
DOIs
StatePublished - May 1 2008

Keywords

  • Africa
  • HIV
  • antiretroviral therapy
  • hotline
  • telecommunications

ASJC Scopus subject areas

  • Immunology
  • Dermatology
  • Infectious Diseases

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