scholarly journals Factors facilitating trained NIMART nurses’ adherence to treatment guidelines: A vital matter in the management of TB/HIV treatment in South Africa

2020 ◽  
Author(s):  
LUFUNO MAKHADO ◽  
Mashudu Davhana-Maselesele ◽  
Rachel Tsakani Lebese ◽  
Sonto Maria Maputle
Keyword(s):  
South Africa ◽  
Health Workforce ◽  
Treatment Guidelines ◽  
Behavioural Change ◽  
Treatment Guideline ◽  
Hiv Treatment ◽  
World Health ◽  
Adherence To Treatment ◽  
Continuous Training ◽  
Training Support

Abstract Background: Globally the burden of tuberculosis or human immunodeficiency virus (TB/HIV) is at 24% with 3% global health workforce and this an alarming rate that World Health Organization (WHO) declared African region as a critical workforce shortage area. To facilitate adherence to treatment guidelines, WHO recommended a strategy of task shifting for these countries with high health workforce shortages. The strategy aimed at the redistribution of health care tasks to available workers. The purpose of the study was to determine factors facilitating trained nurse-initiated management of antiretroviral therapy (NIMART) nurses’ adherence to TB/HIV treatment guidelines in KwaZulu-Natal (KZN) and North West (NW) Provinces of South Africa.Design: The study was qualitative, explorative and descriptive in nature. The population comprised of 24 participants who were purposively selected. The in-depth focus group discussion was conducted. Data analysis was through the used of ATLAS T.I. software program (version 7.0) and followed the basic steps of notice-collect-think (NCT) analysis. Trustworthiness and ethical consideration were ensured.Results: The following one theme namely; marked identified needs to be met to promote adherence to treatment guidelines and sub-themes emerged from raw data: Expected positive attitudinal needs outlined and an outline of a positive behavioural change. Conclusion: Factors such as continuous training, support supervision and improved relationships with colleagues need to be enhanced to enable NIMART nurses to adhere to treatment guideline.

scholarly journals Factors facilitating trained NIMART nurses’ adherence to treatment guidelines: A vital matter in the management of TB/HIV treatment in South Africa

2020 ◽  
Author(s):  
LUFUNO MAKHADO ◽  
Mashudu Davhana-Maselesele ◽  
Rachel Tsakani Lebese ◽  
Sonto Maria Maputle
Keyword(s):  
South Africa ◽  
Health Workforce ◽  
Treatment Guidelines ◽  
Behavioural Change ◽  
Treatment Guideline ◽  
Hiv Treatment ◽  
World Health ◽  
Adherence To Treatment ◽  
Continuous Training ◽  
Training Support

Abstract Background: Globally the burden of tuberculosis or human immunodeficiency virus (TB/HIV) is at 24% with 3% global health workforce and this an alarming rate that World Health Organization (WHO) declared African region as a critical workforce shortage area. To facilitate adherence to treatment guidelines, WHO recommended a strategy of task shifting for these countries with high health workforce shortages. The strategy aimed at the redistribution of health care tasks to available workers. The purpose of the study was to determine factors facilitating trained nurse-initiated management of antiretroviral therapy (NIMART) nurses’ adherence to TB/HIV treatment guidelines in KwaZulu-Natal (KZN) and North West (NW) Provinces of South Africa.Design: The study was qualitative, explorative and descriptive in nature. The population comprised of 24 participants who were purposively selected. The in-depth focus group discussion was conducted. Data analysis was through the used of ATLAS T.I. software program (version 7.0) and followed the basic steps of notice-collect-think (NCT) analysis. Trustworthiness and ethical consideration were ensured.Results: The following one theme namely; marked identified needs to be met to promote adherence to treatment guidelines and sub-themes emerged from raw data: Expected positive attitudinal needs outlined and an outline of a positive behavioural change. Conclusion: Factors such as continuous training, support supervision and improved relationships with colleagues need to be enhanced to enable NIMART nurses to adhere to treatment guideline.

scholarly journals Factors facilitating trained NIMART nurses’ adherence to treatment guidelines: A vital matter in the management of TB/HIV treatment in South Africa

2020 ◽  
Author(s):  
Lufuno Makhado ◽  
Mashudu Davhana-Maselesele ◽  
Rachel Tsakani Lebese ◽  
Sonto Maria Maputle
Keyword(s):  
South Africa ◽  
Health Workforce ◽  
Treatment Guidelines ◽  
Behavioural Change ◽  
Treatment Guideline ◽  
Hiv Treatment ◽  
World Health ◽  
Adherence To Treatment ◽  
Continuous Training ◽  
Training Support

Abstract Background: Globally the burden of tuberculosis or human immunodeficiency virus (TB/HIV) is at 24% with 3% global health workforce and this an alarming rate that World Health Organization (WHO) declared African region as critical workforce shortage area. To facilitate adherence to treatment guidelines, WHO recommended a strategy of task shifting for these countries with high health workforce shortages. The strategy aimed at redistribution of health care tasks to available workers. The purpose of the study was to determine factors facilitating trained NIMART nurses’ adherence to TB/HIV treatment guidelines in KwaZulu-Natal (KZN) and North West (NW) Provinces of South Africa.Design: The study was qualitative, explorative and descriptive in nature. Population comprised of 24 participants who were purposively selected. In-depth one-on-one interview was conducted. Data analysis was through the used of ATLAS T.I. software program (version 7.0) and followed the basic steps of notice-collect-think (NCT) analysis. Trustworthiness and ethical consideration were ensured.Results: The following one theme namely; marked identified needs to be met in order to promote adherence to treatment guidelines and sub-themes emerged from raw data: Expected positive attitudinal needs outlined and an outline of a positive behavioural change. Conclusion: Factors such as continuous training, support supervision and improved relationships with colleagues need to be enhanced to enable NIMART nurses to adhere to treatment guideline.

scholarly journals Factors facilitating trained NIMART nurses’ adherence to treatment guidelines: A vital matter in the management of TB/HIV treatment in South Africa

2020 ◽  
Author(s):  
LUFUNO MAKHADO ◽  
Mashudu Davhana-Maselesele ◽  
Rachel Tsakani Lebese ◽  
Sonto Maria Maputle
Keyword(s):  
South Africa ◽  
Health Workforce ◽  
Treatment Guidelines ◽  
Behavioural Change ◽  
Treatment Guideline ◽  
Hiv Treatment ◽  
World Health ◽  
Adherence To Treatment ◽  
Continuous Training ◽  
Training Support

Abstract Background: Globally the burden of tuberculosis or human immunodeficiency virus (TB/HIV) is at 24% with 3% global health workforce and this an alarming rate that World Health Organization (WHO) declared African region as a critical workforce shortage area. To facilitate adherence to treatment guidelines, WHO recommended a strategy of task shifting for these countries with high health workforce shortages. The strategy aimed at the redistribution of health care tasks to available workers. The purpose of the study was to determine factors facilitating trained nurse-initiated management of antiretroviral therapy (NIMART) nurses’ adherence to TB/HIV treatment guidelines in KwaZulu-Natal (KZN) and North West (NW) Provinces of South Africa.Design: The study was qualitative, explorative and descriptive in nature. The population comprised of 24 participants who were purposively selected. The in-depth focus group discussion was conducted. Data analysis was through the used of ATLAS T.I. software program (version 7.0) and followed the basic steps of notice-collect-think (NCT) analysis. Trustworthiness and ethical consideration were ensured.Results: The following one theme namely; marked identified needs to be met to promote adherence to treatment guidelines and sub-themes emerged from raw data: Expected positive attitudinal needs outlined and an outline of a positive behavioural change. Conclusion: Factors such as continuous training, support supervision and improved relationships with colleagues need to be enhanced to enable NIMART nurses to adhere to treatment guideline.

scholarly journals Factors facilitating trained NIMART nurses’ adherence to treatment guidelines: A vital matter in the management of TB/HIV treatment in South Africa

2020 ◽  
Author(s):  
LUFUNO MAKHADO ◽  
Mashudu Davhana-Maselesele ◽  
Rachel Tsakani Lebese ◽  
Sonto Maria Maputle
Keyword(s):  
South Africa ◽  
Treatment Guidelines ◽  
Behavioural Change ◽  
Hiv Treatment ◽  
World Health ◽  
Adherence To Treatment ◽  
African Region ◽  
Continuous Training ◽  
North West ◽  
Training Support

Abstract Background: Globally, the burden of tuberculosis or human immunodeficiency virus (TB/HIV) is at 24% and this alarming rate compelled the World Health Organization (WHO) to declare the African region as a critical workforce shortage area. To facilitate adherence to treatment guidelines, WHO recommended a strategy of task shifting for countries with high health workforce shortages. The strategy aimed at the redistribution of health care tasks to available workers. The study aimed to determine the factors facilitating nurse-initiated management of antiretroviral therapy (NIMART) trained nurses’ adherence to TB/HIV treatment guidelines. Methods: The study employed an exploratory-descriptive design. The study was conducted in Ugu and Ngaka Modiri Molema Districts of KwaZulu-Natal (KZN) and North West (NW) Provinces of South Africa. The population comprised of 24 participants who were purposively selected. The in-depth focus group discussions were conducted and ATLAS T.I. was used for data analysis following the basic steps of notice-collect-think (NCT) analysis. Trustworthiness and adherence to ethics were ensured. Results: The singular theme of factors facilitating NIMART trained nurses’ adherence to treatment guidelines which included positive attitudinal needs and positive behavioural change emerged from raw data. Conclusion: Continuous training, support supervision, and improved relationships with colleagues need to be enhanced to enable NIMART trained nurses to adhere to treatment guidelines.

scholarly journals Factors facilitating trained NIMART nurses’ adherence to treatment guidelines: A vital matter in the management of TB/HIV treatment in South Africa

2020 ◽  
Author(s):  
LUFUNO MAKHADO ◽  
Mashudu Davhana-Maselesele ◽  
Rachel Tsakani Lebese ◽  
Sonto Maria Maputle
Keyword(s):  
South Africa ◽  
Treatment Guidelines ◽  
Behavioural Change ◽  
Hiv Treatment ◽  
World Health ◽  
Adherence To Treatment ◽  
African Region ◽  
Continuous Training ◽  
North West ◽  
Training Support

Abstract Background: Globally, the burden of tuberculosis or human immunodeficiency virus (TB/HIV) is at 24% and this alarming rate compelled the World Health Organization (WHO) to declare the African region as a critical workforce shortage area. To facilitate adherence to treatment guidelines, WHO recommended a strategy of task shifting for countries with high health workforce shortages. The strategy aimed at the redistribution of health care tasks to available workers. The purpose of this study was to determine factors facilitating trained nurse-initiated management of antiretroviral therapy (NIMART) adherence to TB/HIV treatment guidelines in KwaZulu-Natal (KZN) and North West (NW) Provinces of South Africa.Design: The study was qualitative, exploratory-descriptive in nature. The population comprised of 24 participants who were purposively selected. The in-depth focus group discussions were conducted and data analysis was through ATLAS T.I. software program (version 7.0). This followed the basic steps of notice-collect-think (NCT) analysis. Trustworthiness and adherence to ethics were ensured.Results: The singular theme of factors facilitating trained NIMART nurses’ adherence to treatment guidelines which included positive attitudinal needs and positive behavioural change emerged from raw data. Conclusion: Continuous training, support supervision and improved relationships with colleagues need to be enhanced to enable NIMART nurses to adhere to treatment guidelines.

scholarly journals Factors facilitating trained NIMART nurses’ adherence to treatment guidelines: A vital matter in the management of TB/HIV treatment in South Africa

2020 ◽  
Author(s):  
LUFUNO MAKHADO ◽  
Mashudu Davhana-Maselesele ◽  
Rachel Tsakani Lebese ◽  
Sonto Maria Maputle
Keyword(s):  
South Africa ◽  
Treatment Guidelines ◽  
Behavioural Change ◽  
Hiv Treatment ◽  
World Health ◽  
Adherence To Treatment ◽  
African Region ◽  
Continuous Training ◽  
North West ◽  
Training Support

Abstract Background: Globally, the burden of tuberculosis or human immunodeficiency virus (TB/HIV) is at 24% and this alarming rate compelled the World Health Organization (WHO) to declare the African region as a critical workforce shortage area. To facilitate adherence to treatment guidelines, WHO recommended a strategy of task shifting for countries with high health workforce shortages. The strategy aimed at the redistribution of health care tasks to available workers. The study aimed to determine the factors facilitating nurse-initiated management of antiretroviral therapy (NIMART) trained nurses’ adherence to TB/HIV treatment guidelines. Methods: The study employed an exploratory-descriptive design. The study was conducted in Ugu and Ngaka Modiri Molema Districts of KwaZulu-Natal (KZN) and North West (NW) Provinces of South Africa. The population comprised of 24 participants who were purposively selected. The in-depth focus group discussions were conducted and ATLAS T.I. was used for data analysis following the basic steps of notice-collect-think (NCT) analysis. Trustworthiness and adherence to ethics were ensured.Results: The singular theme of factors facilitating NIMART trained nurses’ adherence to treatment guidelines which included positive attitudinal needs and positive behavioural change emerged from raw data. Conclusion: Continuous training, support supervision, and improved relationships with colleagues need to be enhanced to enable NIMART trained nurses to adhere to treatment guidelines.

scholarly journals Factors facilitating trained NIMART nurses’ adherence to treatment guidelines: a vital matter in the management of TB/HIV treatment in South Africa

BMC Nursing ◽  
2020 ◽  
Vol 19 (1) ◽  
Author(s):  
Lufuno Makhado ◽  
Mashudu Davhana-Maselesele ◽  
Rachel Tsakani Lebese ◽  
Sonto Maria Maputle
Keyword(s):  
South Africa ◽  
Treatment Guidelines ◽  
Hiv Treatment ◽  
Adherence To Treatment ◽  
Vital Matter

scholarly journals Clinical Characteristics of Children with HIV Initiated on Antiretroviral Treatment at HIV Clinics in Bloemfontein, South Africa

2021 ◽  
Vol 10 (1) ◽  
pp. 146-155
Author(s):  
Andrew Walubo ◽  
Refuoe Baleni ◽  
Hillary Mukudu ◽  
Henry Kambafwile ◽  
Mukesh Dhedha ◽  
...  
Keyword(s):  
South Africa ◽  
Global Health ◽  
Clinical Characteristics ◽  
Treatment Guidelines ◽  
Age Groups ◽  
World Health ◽  
Severe Illness ◽  
Age Group ◽  
National Guidelines ◽  
Number Of Children

Background and Objective: Over the past 15 years, there have been three major updates to the South African national guidelines for the management of human immunodeficiency virus (HIV) in children. The purpose of this study is to describe the clinical characteristics of children who were initiated on antiretroviral therapy (ART) in Bloemfontein, South Africa, following these national treatment guidelines. Methods: Clinical information during initiation of ART in children aged 0-13 years was obtained from five HIV clinics in Bloemfontein from 2004 to 2019 as part of the establishment of an antiretroviral (ARV) pediatric registry at the University of the Free State. Data were analyzed for patient demographics, clinical presentation (World Health Organization (WHO) HIV-staging, growth rate and comorbid conditions), types of investigations done, and medicines prescribed. Results: The number of children initiated on ART increased from 168 in the period 2004-2009 to 349 (107.8%) in 2010-2014, and then dropped to 162 in the period 2015-2019. The increase in 2010-2014 was mainly in the <2 years age group by 54.8%, and in the 5 to 10 years age group by 344.4%. In the same period, the number of children with severe illness (WHO HIV-stage 4) decreased by 20.7%, while those with mild to moderate illness (WHO HIV-stage 2 and 3) increased by 17.3%. HIV infection was more severe in children under two years as more patients in this age group presented with WHO HIV-stages 3 and 4, severe underweight (below 3rd percentile), severely suppressed CD4 count (< 25%), and a high viral load (> 1000 copies/ml). There was increased use of ABC/3TC/LPVr in the < 3-year age group and ABC/3TC/EFV in the > 3-year age group. There was reduced use of the stavudine and other regimens. Conclusion and Global Health Implications: More children were started on ART and safer ARV drugs. Children under 2 years were the most debilitated by HIV, and there was an increase in HIV prevalence among children > 5 years. New strategies for the prevention and management of HIV among children in these two age groups are needed.   Copyright © 2021 Walubo et al. Published by Global Health and Education Projects, Inc. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY 4.0) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in this journal, is properly cited.

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