Differentiated Antiretroviral Therapy Delivery: Implementation Barriers and Enablers in South Africa
| العنوان: | Differentiated Antiretroviral Therapy Delivery: Implementation Barriers and Enablers in South Africa |
|---|---|
| المؤلفون: | Sabrina Eagan, Nicole Davis, Ndinda Makina, Melissa Sharer, Malia Duffy |
| المصدر: | The Journal of the Association of Nurses in AIDS Care |
| بيانات النشر: | Ovid Technologies (Wolters Kluwer Health), 2019. |
| سنة النشر: | 2019 |
| مصطلحات موضوعية: | Community-Based Participatory Research, Social stigma, Anti-HIV Agents, Attitude of Health Personnel, Health Personnel, Social Stigma, community ART programs, MEDLINE, Community-based participatory research, HIV Infections, antiretroviral therapy differentiation, Health Services Accessibility, Medication Adherence, Interviews as Topic, South Africa, 03 medical and health sciences, 0302 clinical medicine, Nursing, Antiretroviral Therapy, Highly Active, Patient-Centered Care, Health care, Humans, HIV treatment, Community Health Services, 030212 general & internal medicine, Qualitative Research, Patient Care Team, Advanced and Specialized Nursing, 030505 public health, business.industry, Focus Groups, Antiretroviral therapy, Focus group, Anti-Retroviral Agents, stigma, Enabling, Female, 0305 other medical science, business, Research Article, Qualitative research |
| الوصف: | Scale-up of antiretroviral therapy (ART) for people living with HIV requires differentiated models of ART delivery to improve access and contribute to achieving viral suppression for 95% of people on ART. We examined barriers and enablers in South Africa via semistructured interviews with 33 respondents (program implementers, nurses, and other health care providers) from 11 organizations. The interviews were recorded, transcribed, and analyzed for emerging themes using NVivo 11 software. Major enablers of ART delivery included model flexibility, provision of standardized guidance, and an increased focus on person-centered care. Major barriers were related to financial, human, and space resources and the need for time to allow buy-in. Stigma emerged as both a barrier and an enabler. Findings suggest that creating and strengthening models that cater to client needs can achieve better health outcomes. South Africa's efforts can inform emerging models in other settings to achieve epidemic control. |
| تدمد: | 1552-6917 1055-3290 |
| DOI: | 10.1097/jnc.0000000000000062 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::76f678b18e5bf947f2565c6d1d0540c1 https://doi.org/10.1097/jnc.0000000000000062 |
| Rights: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....76f678b18e5bf947f2565c6d1d0540c1 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 15526917 10553290 |
|---|---|
| DOI: | 10.1097/jnc.0000000000000062 |