What Influences Linkage to Care After Home-Based HIV Counseling and Testing

Datos Bibliográficos

ID15336239
AutoresReshma Naik (South African Medical Research Council, autor de correspondencia), Wanga Zembe, Wanga Zembe‐mkabile (0000-0003-4106-4513, South African Medical Research Council), Fatima Adigun (Boston University), Elizabeth Jackson (0000-0002-5084-7010), Elizabeth B Jackson (Columbia University), Hanani Tabana (0000-0003-1576-2238, Karolinska Institutet), Debra Jackson (0000-0001-5252-5325, University of the Western Cape), Frank Feeley, Frank G Feeley (0000-0002-7176-5698, Boston University), Tanya Doherty (0000-0003-1592-0080, South African Medical Research Council)
Año2017
Volumen22
Número3
Páginas722-732
Fecha de publicación2017-06-22
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaAIDS and Behavior (JOURNAL)
Identificadores de la revistaISSN: 1090-7165 • E-ISSN: 1573-3254
EditorialSpringer Science+Business Media (PUBLISHER • DE)
DOI10.1007/s10461-017-1830-6
PMID28643242
OpenAlexW2690822412
IdiomaEN
Citas recibidas6
Referencias citadas45

To maximize the benefits of test and treat strategies that utilize community-based HIV testing, clients who test positive must link to care in a timely manner. However, linkage rates across the HIV treatment cascade are typically low and little is known about what might facilitate or hinder care-seeking behavior. This qualitative study was conducted within a home-based HIV counseling and testing (HBHCT) intervention in South Africa. In-depth interviews were conducted with 30 HBHCT clients who tested HIV positive to explore what influenced their care-seeking behavior. A set of field notes for 196 additional HBHCT clients who tested HIV positive at home were also reviewed and analyzed. Content analysis showed that linkage to care is influenced by a myriad of factors at the individual, relationship, community, and health system levels. These factors subtly interact and at times reinforce each other. While some factors such as belief in test results, coping ability, social support, and prior experiences with the health system affect clients' desire and motivation to seek care, others such as limited time and resources affect their agency to do so. To ensure that the benefits of community-based testing models are realized through timely linkage to care, programs and interventions must take into account and address clients' emotions, motivation levels, living situations, relationship dynamics, responsibilities, and personal resources

Affect (linguistics · Agency (philosophy · Coping (psychology · Health care · Health psychology · Intervention (counseling · Linkage (software · Psychological intervention · Public health · Qualitative research · Test (biology · Adolescent Sexual and Reproductive Health · Clinical Psychology · HIV, Drug Use, Sexual Risk · HIV/AIDS Research and Interventions · Medicine · Nursing · Psychology · Social Psychology