Stumbling Blocks at the Clinic: Experiences of Seeking HIV Treatment and Care in South Africa.

Clicks: 238
ID: 53604
2018
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Abstract
Prompt antiretroviral therapy (ART) initiation maximises the therapeutic and prevention benefits of a treat-all strategy for HIV therapy. Using in-depth semi-structured interviews with men and women 18 years and older (N = 41), who were highly motivated and seeking treatment, this study examined salient factors that were associated with delays in treatment access and initiation. Results revealed clinic-related barriers including an onerous, inefficient multi-step process to initiate ART. Participants experienced additional delays due to difficulties accessing care (e.g., being turned away from clinics and referred elsewhere) and health service challenges. Health service challenges included difficulty securing appointments, administrative mistakes (especially lost clinic folders and test results), difficulty navigating the clinic system (e.g., failure to collect a queue card or waiting for incorrect services) and negative clinic-patient interactions. Overall, there was a pervasive negative perception of clinics. Results strongly indicate the need for more patient-centred models of care and the need to reduce unnecessary patient-days at clinics.
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maughanbrown2018stumblingaids Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors Maughan-Brown, Brendan;Kuo, Caroline;Galárraga, Omar;Smith, Philip;Lurie, Mark N;Bekker, Linda-Gail;Harrison, Abigail;
Journal aids and behavior
Year 2018
DOI
10.1007/s10461-017-1877-4
URL
Keywords
hiv care continuum antiretroviral therapy initiation barriers to treat-all hiv treatment access linkage to care

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