Challenges confronting health care workers in government's ARV rollout: rights and responsibilities

Vawda, Yousuf A.; Variawa, Farhana

doi:10.4314/pelj.v15i2.17

Cited by 12 publications

(11 citation statements)

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“…While HIV services have since become more widely available, and there are more trained staff, recent studies show the remaining and increasingly broad-based impacts of HIV stigma [ 35 , 36 ]. HIV-related stigma remains a social and health system concern [ 37 ] and the roll-out of services with no additional health human resources may also increase provider strain [ 38 ].In contrast, stigma seemed less of an issue for those affected by TB – a finding borne out in Roger’s study, carried out at the same time, on stigma among co-infected ART and TB patients in South Africa [ 39 ]. This, together with the ‘short-term’ nature of the treatment and curability of TB, alongside greater service availability at primary healthcare level, may explain the relatively higher overall acceptability of TB-services.…”

Section: Discussionmentioning

confidence: 99%

Patients’ perspectives of acceptability of ART, TB and maternal health services in a subdistrict of Johannesburg, South Africa

Bucyibaruta

Eyles

Harris

et al. 2018

BMC Health Serv Res

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BackgroundThe field of acceptability of health services is emerging and growing in coherence. But there are gaps, including relatively little integration of elements of acceptability. This study attempted to analyse collectively three elements of acceptability namely: patient-provider, patient-service organisation and patient-community interactions.MethodsMixed methods were used to analyse secondary data collected as part of the Researching Equity in Access to Health Care (REACH) study of access to tuberculosis (TB) treatment, antiretroviral therapy (ART) and maternal health (MH) services in South Africa’s public health sector.ResultsProvider acceptability was consistently high across all the three tracer services at 97.6% (ART), 96.6% (TB) and 96.4% (MH). Service acceptability was high only for TB tracer (70.1%). Community acceptability was high for both TB (83.6%) and MH (96.8%) tracers.ConclusionThrough mixed methods, this paper provides a nuanced view of acceptability of health services.

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Section: Discussionmentioning

confidence: 99%

Patients’ perspectives of acceptability of ART, TB and maternal health services in a subdistrict of Johannesburg, South Africa

Bucyibaruta

Eyles

Harris

et al. 2018

BMC Health Serv Res

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“…The burden of carrying out this and other essential simple tests [21,22] may require investment in a dedicated lay cadre to ensure that the precise multi-stage manipulation of this test is accurately adhered to, plus reflex testing for samples with CD4 cell count less than 200cells/ mm 3 . This cadre could also coordinate all other POC quality assurance (QA) in the PHC facility.…”

Section: Plos Onementioning

confidence: 99%

Diagnostic performance and usability of the VISITECT CD4 semi-quantitative test for advanced HIV disease screening

Ndlovu

Massaquoi²,

Bangwen³

et al. 2020

PLoS ONE

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Background In sub-Saharan Africa, a third of people starting antiretroviral therapy and majority of patients returning to HIV-care after disengagement, present with advanced HIV disease (ADH), and are at high risk of mortality. Simplified and more affordable point-of-care (POC) diagnostics are required to increase access to prompt CD4 cell count screening for ambulatory and asymptomatic patients. The Visitect CD4 Lateral Flow Assay (LFA) is a disposable POC test, providing a visually interpreted result of above or below 200 CD4cells/mm 3. This study evaluated the diagnostic performance of this index test. Methods Consenting patients above 18years of age and eligible for CD4 testing were enrolled in Nsanje district hospital (Malawi), Gutu mission hospital (Zimbabwe) and Centre hopitalier de Kabinda (DRC). A total of 708 venous blood samples were tested in the index test and in the BD FACSCount assay (reference test method) in the laboratories (Phase 1) to determine diagnostic accuracy. A total of 433 finger-prick (FP) samples were tested on the index test at POC by clinicians (Phase 2) and a self-completed questionnaire was administered to all testers to explore usability of the index test. Results Among 708 patients, 67.2% were female and median CD4 was 297cells/mm 3. The sensitivity of the Visitect CD4 LFA using venous blood in the laboratory was 95.

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“…This is particularly in terms of staff training and time; as well as alterations to physical infrastructure to make well ventilated private space for HIV counselling and testing. Vawda and Variawa (2012) further emphasised that the lack of space is related to a lack of adequate ventilation and ultraviolet light in many ARV facilities thus contributing to the spread of air-borne pathogens.…”

Section: Lack Of Infrastructurementioning

confidence: 99%

The Experiences of Lay Counsellors Regarding Hiv and Aids Care and Support in Tshwane Clinics

Mkhabele¹,

Peu²

2016

SWPR

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Challenges confronting health care workers in government's ARV rollout: rights and responsibilities

Cited by 12 publications

References 0 publications

Patients’ perspectives of acceptability of ART, TB and maternal health services in a subdistrict of Johannesburg, South Africa

Patients’ perspectives of acceptability of ART, TB and maternal health services in a subdistrict of Johannesburg, South Africa

Diagnostic performance and usability of the VISITECT CD4 semi-quantitative test for advanced HIV disease screening

The Experiences of Lay Counsellors Regarding Hiv and Aids Care and Support in Tshwane Clinics

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