scholarly journals Addressing the intersection between alcohol consumption and antiretroviral treatment: needs assessment and design of interventions for primary healthcare workers, the Western Cape, South Africa

2016 ◽  
Vol 12 (1) ◽  
Author(s):  
M. Schneider ◽  
M. Chersich ◽  
M. Temmerman ◽  
C.D. Parry
Keyword(s):  
South Africa ◽  
Alcohol Consumption ◽  
Needs Assessment ◽  
Primary Healthcare ◽  
Healthcare Workers ◽  
Antiretroviral Treatment ◽  
Western Cape ◽  
Treatment Needs

scholarly journals Progress towards the 2020 targets for HIV diagnosis and antiretroviral treatment in South Africa

2017 ◽  
Vol 18 (1) ◽  
Author(s):  
Leigh F. Johnson ◽  
Rob E. Dorrington ◽  
Haroon Moolla
Keyword(s):  
South Africa ◽  
Antiretroviral Treatment ◽  
Routine Data ◽  
Hiv Positive ◽  
Western Cape ◽  
Hiv Diagnosis ◽  
Public And Private ◽  
North West ◽  
South Africans ◽  
Northern Cape

Background: The UNAIDS targets for 2020 are to achieve a 90% rate of diagnosis in HIVpositive individuals, to provide antiretroviral treatment (ART) to 90% of HIV-diagnosed individuals and to achieve virological suppression in 90% of ART patients.Objectives: To assess South Africa’s progress towards the 2020 targets and variations in performance by province.Methods: A mathematical model was fitted to HIV data for each of South Africa’s provinces, and for the country as a whole. Numbers of HIV tests performed in each province were estimated from routine data over the 2002–2015 period, and numbers of patients receiving ART in each province were estimated by fitting models to reported public and private ART enrolment statistics.Results: By the middle of 2015, 85.5% (95% CI: 84.5% – 86.5%) of HIV-positive South African adults had been diagnosed, with little variation between provinces. However, only 56.9% (95% CI: 55.3% – 58.7%) of HIV-diagnosed adults were on ART, with this proportion varying between 50.8% in North West and 72.7% in Northern Cape. In addition, 78.4% of adults on ART were virally suppressed, with rates ranging from 69.7% in Limpopo to 85.9% in Western Cape. Overall, 3.39 million (95% CI: 3.26–3.52 million) South Africans were on ART by mid- 2015, equivalent to 48.6% (95% CI: 46.0% – 51.2%) of the HIV-positive population. ART coverage varied between 43.0% in Gauteng and 63.0% in Northern Cape.Conclusion: Although South Africa is well on its way to reaching the 90% HIV diagnosis target, most provinces face challenges in reaching the remaining two 90% targets.

scholarly journals Tuberculosis in Healthcare Workers and Infection Control Measures at Primary Healthcare Facilities in South Africa

PLoS ONE ◽  
2013 ◽  
Vol 8 (10) ◽  
pp. e76272 ◽  
Author(s):  
Mareli M. Claassens ◽  
Cari van Schalkwyk ◽  
Elizabeth du Toit ◽  
Eline Roest ◽  
Carl J. Lombard ◽  
...  
Keyword(s):  
South Africa ◽  
Infection Control ◽  
Primary Healthcare ◽  
Healthcare Workers ◽  
Control Measures ◽  
Healthcare Facilities ◽  
Infection Control Measures

scholarly journals ‘Only twice a year’: a qualitative exploration of 6-month antiretroviral treatment refills in adherence clubs for people living with HIV in Khayelitsha, South Africa

BMJ Open ◽  
2020 ◽  
Vol 10 (7) ◽  
pp. e037545 ◽  
Author(s):  
Claire Marriott Keene ◽  
Nompumelelo Zokufa ◽  
Emilie C Venables ◽  
Lynne Wilkinson ◽  
Risa Hoffman ◽  
...  
Keyword(s):  
South Africa ◽  
Health System ◽  
Healthcare Workers ◽  
Antiretroviral Treatment ◽  
Controlled Trial ◽  
People Living With Hiv ◽  
Eligibility Criteria ◽  
Key Informants ◽  
Universal Test And Treat ◽  
Key Informant

ObjectiveLonger intervals between routine clinic visits and medication refills are part of patient-centred, differentiated service delivery (DSD). They have been shown to improve patient outcomes as well as optimise health services—vital as ‘universal test-and-treat’ targets increase numbers of HIV patients on antiretroviral treatment (ART). This qualitative study explored patient, healthcare worker and key informant experiences and perceptions of extending ART refills to 6 months in adherence clubs in Khayelitsha, South Africa.Design and settingIn-depth interviews were conducted in isiXhosa with purposively selected patients and in English with healthcare workers and key informants. All transcripts were audio-recorded, transcribed and translated to English, manually coded and thematically analysed. The participants had been involved in a randomised controlled trial evaluating multi-month ART dispensing in adherence clubs, comparing 6-month and 2-month refills.ParticipantsTwenty-three patients, seven healthcare workers and six key informants.ResultsPatients found that 6-month refills increased convenience and reduced unintended disclosure. Contrary to key informant concerns about patients’ responsibility to manage larger quantities of ART, patients receiving 6-month refills were highly motivated and did not face challenges transporting, storing or adhering to treatment. All participant groups suggested that strict eligibility criteria were necessary for patients to realise the benefits of extended dispensing intervals. Six-month refills were felt to increase health system efficiency, but there were concerns about whether the existing drug supply system could adapt to 6-month refills on a larger scale.ConclusionsPatients, healthcare workers and key informants found 6-month refills within adherence clubs acceptable and beneficial, but concerns were raised about the reliability of the supply chain to manage extended multi-month dispensing. Stepwise, slow expansion could avoid overstressing supply and allow time for the health system to adapt, permitting 6-month ART refills to enhance current DSD options to be more efficient and patient-centred within current health system constraints.

scholarly journals Patient satisfaction and treatment adherence of stable human immunodeficiency virus-positive patients in antiretroviral adherence clubs and clinics

2018 ◽  
Vol 10 (1) ◽  
Author(s):  
Gabi A. De Jager ◽  
Talitha Crowley ◽  
Tonya M. Esterhuizen
Keyword(s):  
South Africa ◽  
Human Immunodeficiency Virus ◽  
Patient Satisfaction ◽  
Treatment Adherence ◽  
Antiretroviral Treatment ◽  
Art Adherence ◽  
Western Cape ◽  
Significant Difference ◽  
Immunodeficiency Virus ◽  
Antiretroviral Treatment Adherence

Background: South Africa has experienced a substantial increase in access to antiretroviral treatment (ART) in recent years. Effective strategies to manage access to treatment need to be incorporated into and implemented in ART programmes. Antiretroviral treatment adherence clubs are a new strategy that is being implemented in various parts of South Africa. Aim: The aim of the study was to investigate treatment adherence and patient satisfaction of stable human immunodeficiency virus (HIV) patients on ART in ART adherence clubs and clinics. Setting: The study was conducted in the Eden district of the Western Cape, South Africa. Methods: A cross-sectional analytical study was conducted to examine the relationships between patient satisfaction and treatment adherence in ART adherence clubs and clinics in the Eden district, Western Cape province, South Africa. Validated questionnaires were used to measure patient satisfaction and self-reported treatment adherence. Results: The study included 320 participants (98 club and 222 clinic) from 13 primary health care clinics. The analyses showed that higher levels of satisfaction could be predicted with club participants compared to clinic participants (p = 0.05). There was no significant difference between clinic and club participants with regards to treatment adherence. However, being adherent was more likely in participants who were satisfied (odds ratio = 3.18, 95% confidence interval [1.14–7.11], p < 0.01). Conclusion: Antiretroviral treatment adherence clubs provide a service that patients are more satisfied with although they are not more adherent to treatment. This strategy may be effective for the delivery of long-term care for patients on ART.

scholarly journals Psychological Problems Experienced by Primary Healthcare Workers During COVID-19 Epidemic in South Africa

2021 ◽  
pp. 1-7
Author(s):  
Akm Monjurul Hoque ◽  
Akm Monjurul Hoque ◽  
Somaya Buckus ◽  
Maariyah Hoque ◽  
ABM Mahbub ul Alam ◽  
...  
Keyword(s):  
South Africa ◽  
Health Care ◽  
Anxiety Disorder ◽  
Primary Healthcare ◽  
Psychological Health ◽  
Healthcare Workers ◽  
Stress Disorder ◽  
Family Members ◽  
Psychological Problems ◽  
Anxiety And Depression

Background: The COVID-19 pandemic has negatively impacted on healthcare workers globally. The psychological impact of COVID-19 among primary healthcare workers who constitute a vulnerable group is yet to be evaluated in South Africa. The objectives were to estimate the prevalence and risk factors for stress, anxiety and depression among healthcare workers of a rural primary health care setting in South Africa. Method: Self-administered questionnaire-based cross-sectional design was implemented among medical and nursing care professionals. Psychological problems were assessed using the Perceived Stress Scale (PSS-10), Generalized Anxiety Disorder (GAD-7) and Patient Health Questionnaire (PHQ-9). Logistic regression was performed to determine associated factors for psychological problems. Results: The majority of HCWs were female (82.8%), of which 69.2% nurses and 56.6% single. The prevalence of stress, anxiety and depression disorders were 97.5%, 97.5% and 44% respectively. Females were 5.3 times (p<0.05) more likely to have stress disorder than males. Household size, perceived threat of family member not becoming infected with COVID-19 and having no concern of staff shortage were found to be protective for stress disorder (p<0.05). Healthcare workers who were not worried of getting infection and not worried of their family members getting infected found to be protective (OR<1, p<0.05) for anxiety disorder. Those 55 years or older were four times more likely to have depression (p<0.05) than their younger counterparts. Healthcare workers who were not worried of their family members would get infected and those were not worried to be infected were less likely (OR<1, p<0.05) to have depression disorder compared to those were worried. Conclusion: Higher rates of stress, anxiety and depression were found among these HCWs. It is therefore imperative that appropriate and timely mental health care supports are provided to avert immediate and long term adverse psychological health outcomes of the HCWs.

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