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Cited by 29HIV/AIDS Research and InterventionsHIV/AIDS Impact and ResponsesHIV/AIDS drug development and treatment

Clinician perceptions and patient experiences of antiretroviral treatment integration in primary health care clinics, Tshwane, South Africa

Open access
Mathibe, Maphuthego D., Hendricks, Stephen J.H., Bergh, Anne-Marie·2015·Curationis
DOI 10.4102/curationis.v38i1.1489PMC PMC6091789
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Abstract

BACKGROUND: Primary Health Care (PHC) clinicians and patients are major role players in the South African antiretroviral treatment programme. Understanding their perceptions and experiences of integrated care and the management of people living with HIV and AIDS in PHC facilities is necessary for successful implementation and sustainability of integration. OBJECTIVE: This study explored clinician perceptions and patient experiences of integration of antiretroviral treatment in PHC clinics. METHOD: An exploratory, qualitative study was conducted in four city of Tshwane PHC facilities. Two urban and two rural facilities following different models of integration were included. A self-administered questionnaire with open-ended items was completed by 35 clinicians and four focus group interviews were conducted with HIV-positive patients. The data were coded and categories were grouped into sub-themes and themes. RESULTS: Workload, staff development and support for integration affected clinicians' performance and viewpoints. They perceived promotion of privacy, reduced discrimination and increased access to comprehensive care as benefits of service integration. Delays, poor patient care and patient dissatisfaction were viewed as negative aspects of integration. In three facilities patients were satisfied with integration or semi-integration and felt common queues prevented stigma and discrimination, whilst the reverse was true in the facility with separate services. Single-month issuance of antiretroviral drugs and clinic schedule organisation was viewed negatively, as well as poor staff attitudes, poor communication and long waiting times. CONCLUSION: Although a fully integrated service model is preferable, aspects that need further attention are management support from health authorities for health facilities, improved working conditions and appropriate staff development opportunities.

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  • Two important studies in South Africa found that integrated care, in particular shared waiting rooms for all people with chronic conditions, was reported by staff to reduce discrimination and to increase access to care among people with HIV/AIDS.

    “Two important studies in South Africa found that integrated care, in particular shared waiting rooms for all people with chronic conditions, was reported by staff to reduce discrimination and to increase access to care among people with HIV/AIDS 71,72 .”

    From Integrated care for people with long-term mental and physical health conditions in low-income and middle-income countries (2019) · cites this paper as [72]

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Research works printed but not linked: 6

  1. Conradie F., 2014, ‘ Message from the president’, HIV Nursing Matters 5(1), 6.
  2. Gonzalez L.L., 2013, ‘ Trailblazing move to take HIV treatment out of clinics’, HIV Nursing Matters 5(1), 10– 11.
  3. Landman W.A., 2011, ‘ The ethics of responsibility and accountability in nursing’, HIV Nursing Matters 2(2), 20– 23.
  4. Mabitsi M.L., 2013, ‘ TB/HIV integration at primary healthcare facilities: Experiences from Soweto’, HIV Nursing Matters 5(1), 12– 15.
  5. Mukone D., Charumbira A.P.G., Nyamakura R., Zvinavashe M. & Manwere A., 2011, ‘ ART knowledge and adherence’, HIV Nursing Matters 2(2), 16– 19.
  6. Smit L., Diergaardt C., Fourie S., Matshikwe N. & Letsoalo M., 2011, ‘ Nurses HIV and paediatrics’, HIV Nursing Matters 2(3), 10– 13.

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Authors
Mathibe, M. D., Hendricks, S. J. H., & Bergh, A.-M.
Affiliations
University of Pretoria (ZA)
Corresponding author
Mathibe, Maphuthego D.
ORCID
Venue
Curationis
Publisher
AOSIS
Published
2015-02-27
Volume
38
Issue
1
ISSN
  • 0379-8577 (ISSN-L)
  • 2223-6279
DOI
10.4102/curationis.v38i1.1489
PMC
PMC6091789
OpenAlex
W1873755541
Cited by
29
References
31
Citations by year
2025: 2 · 2024: 1 · 2023: 2 · 2022: 1 · 2021: 8 · 2020: 4 · 2019: 4 · 2018: 4 · 2017: 2 · 2015: 1
FWCI
1.81
Type
journal article
Language
en
Open access
Licence
cc-by
Locations
  • Curationis (publishedVersion, cc-by)
  • Europe PMC (PubMed Central) (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
  • UpSpace Institutional Repository (University of Pretoria) (submittedVersion)
Topics
  • Health Sciences › Medicine › Infectious Diseases › HIV/AIDS Research and Interventions
  • Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › HIV/AIDS Impact and Responses
  • Health Sciences › Medicine › Infectious Diseases › HIV/AIDS drug development and treatment
Keywords
primary care, HIV care, clinician perceptions, patient experience, workload, employee development, stigma and discrimination, waiting time, patient satisfaction, Tshwane
MeSH terms
Attitude of Health Personnel, Humans, Interviews as Topic, Surveys and Questionnaires, South Africa, HIV Infections, Patient Satisfaction, Delivery of Health Care, Integrated, Antiretroviral Therapy, Highly Active

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