Promoting Tuberculosis Preventive Therapy for People Living with HIV in South Africa: Interventions Hindered by Complicated Clinical Guidelines and Imbalanced Patient-Provider Dynamics.

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ID: 53601
2019
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Abstract
Isoniazid preventive therapy (IPT) reduces the risk of active tuberculosis among people living with HIV, but implementation of IPT in South Africa and elsewhere remains slow. The objective of this study was to examine both nurse perceptions of clinical mentorship and patient perceptions of in-queue health education for promoting IPT uptake in Potchefstroom, South Africa. We measured adoption, fidelity, acceptability, and sustainability of the interventions using both quantitative and qualitative methods. Adoption, fidelity, and acceptability of the interventions were moderately high. However, nurses believed they could not sustain their increased prescriptions of IPT, and though many patients intended to ask nurses about IPT, few did. Most patients attributed their behavior to an imbalance of patient-provider power. National IPT guidelines should be unambiguous and easily implemented after minimal training on patient eligibility and appropriate medication durations, nurse-patient dynamics should empower the patient, and district-level support and monitoring should be implemented.
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jarrett2019promotingaids Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors Jarrett, Brooke A;Woznica, Daniel M;Tilchin, Carla;Mpungose, Nthabiseng;Motlhaoleng, Katlego;Golub, Jonathan E;Martinson, Neil A;Hanrahan, Colleen F;
Journal aids and behavior
Year 2019
DOI
10.1007/s10461-019-02675-6
URL
Keywords
health education hiv tuberculosis isoniazid mentors

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