Nurses' perceptions  about Botswana patients'  anti-retroviral therapy  adherence

Kip, Esther; Ehlers, Valerie J.; Wal, Dirk M. van der

doi:10.4102/hsag.v14i1.466

Cited by 2 publications

(2 citation statements)

References 2 publications

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“…Studies have confirmed that nonavailability of drugs at treatment sites poses a barrier to adherence to treatment. 16,17 Pharmaceutical formulations…”

Section: Shortage Of Medicinementioning

confidence: 99%

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

Naidoo

2011

South African Family Practice

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“…Studies have confirmed that nonavailability of drugs at treatment sites poses a barrier to adherence to treatment. 16,17 Pharmaceutical formulations…”

Section: Shortage Of Medicinementioning

confidence: 99%

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

Naidoo

2011

South African Family Practice

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“…Increased demand for healthcare services in countries experiencing high HIV disease burden and often coupled with a shortage of health workers, has necessitated task shifting from professional health workers to Lay Health Workers (LHWs) in order to improve healthcare delivery [ 48 ]. In Malawi, in addition to aspects of care related to other acute and chronic health conditions, treatment support for both TB and HIV has been task-shifted to LHW cadre established by the Malawi Ministry of Health, known as Health Surveillance Assistants (HSAs).…”

Section: Discussionmentioning

confidence: 99%

Barriers and facilitators to implementing the HEADSS psychosocial screening tool for adolescents living with HIV/AIDS in teen club program in Malawi: health care providers perspectives

Kip

Udedi

Kulisewa

et al. 2022

Int J Ment Health Syst

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Background Adolescents living with HIV (ALHIV) are at high risk of experiencing mental health problems. Depression is a major contributor to the burden of HIV-related disease amongst ALHIV and is significantly linked to non-adherence to anti-retroviral therapy (ART), yet it is under-recognized. In 2015, the Baylor College of Medicine International Pediatric AIDS Initiative (BIPAI) recommended that the psychosocial screening tool Home, Education, Activities, Drugs, Sexuality, Suicide/Depression (HEADSS) be used to screen ALHIV in Malawi who were part of an adolescent antiretroviral therapy program termed “Teen Club”. However, the HEADSS tool has been substantially under-utilized. This study assessed barriers and facilitators to implementing HEADSS for ALHIV attending Teen Club Program in four selected health facilities in Malawi. Methods We conducted a qualitative study using semi-structured interviews at four program sites (one district hospital and one health center each in two districts) between April and May 2019. Twenty key informants were purposively selected to join this study based on their role and experiences. We used the five domains of the Consolidated Framework for Implementation Research (CFIR) to guide the development of the interview guides, analysis and interpretation of results. Results Barriers included inadequate planning for integration of the HEADSS approach; concerns that the HEADSS tool was too long, time consuming, lacked appropriate cultural context, and increased workload; and reports by participants that they did not have knowledge and skills to screen ALHIV using this tool. Facilitators to implementing the screening were that health care providers viewed screening as a guide to better systematic counselling, believed that screening could build better client provider relationship, and thought that it could fit into the existing work practice since it is not complex. Conclusions A culturally adapted screening tool, especially one that can be used by non-clinicians such as lay health workers, would improve the ability to address mental health needs of ALHIV in many primary care and social service settings where resources for professional mental health staff are limited. These findings are a springboard for efforts to culturally adapt the HEADSS screening tool for detection of mental and risky behaviors among ALHIV attending ART program in Malawi.

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Nurses' perceptions about Botswana patients' anti-retroviral therapy adherence

Cited by 2 publications

References 2 publications

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

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

Barriers and facilitators to implementing the HEADSS psychosocial screening tool for adolescents living with HIV/AIDS in teen club program in Malawi: health care providers perspectives

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