Readable research linked to original sources
Articles
Browse normalized, publication-ready research with direct links to its evidence and source.
Loading articles data…
Readable research linked to original sources
Browse normalized, publication-ready research with direct links to its evidence and source.
Loading articles data…
Readable research linked to original sources
Browse normalized, publication-ready research with direct links to its evidence and source.
7 articles
Newest firstIntroductionDifferentiated service delivery (DSD) models aim to reduce time healthcare providers spend with DSD clients, increasing time available for non-DSD clients. We measured nurses time allocation and explored their experiences with DSD models in South Africa. MethodsWe conducted time and motion observations and surveyed nurses at 24 public primary healthcare facilities across two SENTINEL study rounds (09/2…
Open article record in new tab ↗BackgroundAnticipated stigma - the fear that HIV diagnosis and status disclosure could have negative social implications - may adversely affect engagement with HIV care and treatment, despite universal eligibility for treatment under universal-test-and-treat (UTT). We aimed to determine the prevalence and predictors of anticipated stigma among newly HIV-diagnosed individuals in the context of universal access to t…
Open article record in new tab ↗PurposeDifferentiated service delivery (DSD) models for antiretroviral therapy (ART) for HIV are intended to increase patient-centeredness, a concept that incorporates patient choice of service delivery options. We explored choice in DSD model enrollment at 42 public sector clinics in Malawi, South Africa, and Zambia. MethodsFrom 09/2022-05/2023, we surveyed ART clients and healthcare providers, asking ART clients…
Open article record in new tab ↗We piloted a Motivational Interviewing (MI) training program for lay counsellors in South Africa (SA) to assess its impact on retention and viral suppression among newly diagnosed individuals living with HIV (PLHIV) at 12 months post-diagnosis. We randomized eight primary healthcare clinics (PHC) in Johannesburg to either the intervention clinics (n=4) where all lay counsellors were supported for 12 months before…
Open article record in new tab ↗BackgroundWe developed a motivational Interviewing (MI) training and support program for lay counsellors in South Africa - branded "Thusa-Thuso - helping you help", commonly referred to as Thusa-Thuso. We present the results of a pilot study to determine the programs impact on MI technical skills and qualitatively assess the feasibility of a training-of-trainers (TOT) scale-up strategy among counselling staff of n…
Open article record in new tab ↗BackgroundMany countries in sub-Saharan Africa are rapidly scaling up "differentiated service delivery" (DSD) models for HIV treatment to improve the quality of care, increase access, reduce costs, and support the continued expansion and sustainability of antiretroviral therapy (ART) programs. Although there is some published evidence about the health outcomes of patients in DSD models, little is known about their…
BACKGROUNDSouth Africa rolled out Universal Test-and-Treat (UTT) in 2016, extending treatment eligibility to all persons living with HIV (PLHIV). Through this study, we sought to understand the experience of people living with HIV in the UTT era in South Africa. METHODSIn May 2021, we conducted in-depth interviews (IDI) (N = 27) with adult ([≥] 18 years) PLHIV referred by HIV counsellors at three peri-urban primar…
Open article record in new tab ↗