Focus group discussion with private sector doctors in the eThekwini Metro of KwaZulu-Natal on the management of HIV/AIDS patients

Naidoo, Panjasaram

doi:10.1080/20786204.2011.10874081

Cited by 2 publications

(4 citation statements)

References 20 publications

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“…Adolescents and caregivers suggested counseling with health providers for the improvement of adherence rate on ART. This result corroborates with other studies that were conducted in 2011 and 2012, which revealed that in both developed and developing countries, ART adherence may be influenced positively by the availability of counseling, enhancing adolescents psychosocial support [29,30]. Most of the health care providers proposed that a competition be organized for this target population that will motivate them to adhere to their treatment.…”

Section: Suggestion For Optimal Adherencesupporting

confidence: 89%

A Qualitative Assessment of the Determinants of Adherence to Antiretroviral Therapy among Adolescents living with HIV in the Centre Region of Cameroon

Ketchaji¹,

Ngouakam²,

Assah³

et al. 2019

J Environ Sci Public Health

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Background: Adherence to antiretroviral therapy (ART) is known to be challenging among adolescents living with HIV/AIDS, meanwhile it is the key to success for ART programmes. In Cameroon, although a few researchers have investigated on the quantitative aspects of adherence among adolescents, less is known about qualitative information. This study aimed at investigating the key factors that contribute to ART adherence for adolescents living with HIV in the Centre Region of Cameroon. Methods:The study was conducted in the Centre Region of Cameroon. Adolescents on ART with disclosed status was recruited from health facilities. Six focus group discussion (FGD) sessions were conducted with 56 adolescents both girls and boys aged more than 15. In addition, 3 FGD with 34 parents/guardians and 10 individual in-depth interviews with health care providers were all conducted between the months of June and September 2018.Results: A total of 56 adolescents, 34 parents and 10 health care providers were approached for participation.Results showed that a range of factors related to the individual, family, environment, medication and health system

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Section: Suggestion For Optimal Adherencesupporting

confidence: 89%

A Qualitative Assessment of the Determinants of Adherence to Antiretroviral Therapy among Adolescents living with HIV in the Centre Region of Cameroon

Ketchaji¹,

Ngouakam²,

Assah³

et al. 2019

J Environ Sci Public Health

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“…A holistic approach to managing HIV-infected patients was discussed in a focus group with private sector doctors as one of the factors to promote adherence to antiretroviral therapy in the eThekwini Health District, KwaZulu-Natal [ 15 ]. This included the need for doctors and other health care workers to encourage the appropriate use of traditional medicine, provided that continuity of antiretroviral therapy and potential drug-herb interaction monitoring was assured.…”

Section: Discussionmentioning

confidence: 99%

“…However, the potential for direct physical harm is a real challenge, with contra-indications and the negative interactions between some prescribed ART medicines and natural products being described [ 14 ]. In the private and public health sectors, doctors play an important role in managing HIV infected patients through partnerships with them, and assistance is needed from nurses, pharmacists, social workers, dieticians and support groups to ensure a holistic management of the patient [ 15 ]. In South Africa, the multidisciplinary team caring for HIV-infected patients in the public health sector consists of doctors, nurses, pharmacists and post-basic pharmacist assistants, amongst other health care workers.…”

Section: Introductionmentioning

confidence: 99%

“…No contact was made with patients and traditional healers who are also healthcare providers. Building on previous work conducted in the eThekwini Health District [ 15 , 16 ], this study reports on the awareness of public health sector biomedical healthcare providers about patient’s disclosure of the use of TCAM besides other prescribed medication. This was done in cases seen by four categories of healthcare providers among HIV-infected patients attending public health sector antiretroviral clinics.…”

Section: Introductionmentioning

confidence: 99%

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Views and experiences of healthcare professionals towards the use of African traditional, complementary and alternative medicines among patients with HIV infection: the case of eThekwini health district, South Africa

Nlooto

2015

BMC Complement Altern Med

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BackgroundMany patients with human immunodeficiency virus infection use traditional, complementary, and alternative medicines and other practices to combat the disease, with some also using prescribed antiretroviral therapy provided by the public health sector. This study aimed to establish the awareness of public sector biomedical health care providers on the use of traditional, complementary and alternative medicines by HIV-infected patients who also used highly active antiretroviral therapy, and to determine whether this was based on patients seen or cases being reported to them. Potential risks of interactions between the prescribed antiretroviral and non-prescribed medication therapies may pose safety and effectiveness issues in patients using both types of treatment.MethodsA descriptive cross-sectional study, using a researcher administered semi-structured questionnaire, was conducted from June to August 2013 at ten public sector antiretroviral clinics in five regional, three specialised and two district hospitals in eThekwini Health District, South Africa. Questionnaires were administered through face-to face interview to 120 eligible participants consisting of doctors, nurses, pharmacists and post-basic pharmacist assistants in HIV clinical practice. The results are presented as percent or proportion with standard error (SE), or as frequency.ResultsNinety-four respondents completed the questionnaire, yielding a response rate of 78.3 %. Almost half (48/94) were aware of patients using African traditional herbal medicines, over-the-counter supplements, unnamed complementary Ayurveda medicines and acupuncture. Twenty-three of the 94 respondents (24.4 %) said they had consulted patients who were using both antiretroviral therapy and certain types of non-prescribed medication in the previous three months.ConclusionsAwareness among healthcare providers on patient use of traditional, complementary and alternative medicines was relatively high. Few respondents had seen patients who used mostly African traditional medicines, over-the counter supplements, and negligible complementary Ayurveda medicines and acupuncture, with caution being advised in the interpretation of the former. Further research is needed to investigate communication between healthcare providers and patients in this regard, and levels of acceptance of traditional, complementary and alternative medicines by biomedical health care workers in HIV public sector practice.

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Focus group discussion with private sector doctors in the eThekwini Metro of KwaZulu-Natal on the management of HIV/AIDS patients

Cited by 2 publications

References 20 publications

A Qualitative Assessment of the Determinants of Adherence to Antiretroviral Therapy among Adolescents living with HIV in the Centre Region of Cameroon

A Qualitative Assessment of the Determinants of Adherence to Antiretroviral Therapy among Adolescents living with HIV in the Centre Region of Cameroon

Views and experiences of healthcare professionals towards the use of African traditional, complementary and alternative medicines among patients with HIV infection: the case of eThekwini health district, South Africa

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