Translation and sustainability of an HIV prevention intervention in Lusaka, Zambia

Szonja Vamos, Miriam Mumbi, Ryan Cook, Ndashi Chitalu, Stephen Marshall Weiss, Deborah Lynne Jones

Research output: Contribution to journalArticlepeer-review

8 Scopus citations


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.

Original languageEnglish (US)
Pages (from-to)141-148
Number of pages8
JournalTranslational behavioral medicine
Issue number2
StatePublished - Jun 1 2014
Externally publishedYes


  • Clinic burden
  • HIV
  • Intervention
  • Staff burnout
  • Translation
  • Zambia

ASJC Scopus subject areas

  • Applied Psychology
  • Behavioral Neuroscience


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