South African TB nurses' experiences of provider-initiated HIV counseling and testing in the Eastern Cape Province
A qualitative study
Bibliographic Data
| ID | 19440785 |
|---|---|
| Authors | Diana S Pope (Johns Hopkins University, corresponding author), Salla Atkins (0000-0002-4116-893X, d Health Systems Research Unit , Medical Research Council , Capetown , South Africa), Andrea N DeLuca (0000-0003-4532-5311, Johns Hopkins University), Harry Hausler (0000-0001-5896-4089, University of the Western Cape), Ebrahim Hoosain (f Department of Health , Nelson Mandela Metropolitan Municipality , Port Elizabeth , South Africa), David D Celentano (0000-0002-6061-8799, Johns Hopkins University), Richard E Chaisson (0000-0003-4710-925X, Johns Hopkins University) |
| Year | 2010 |
| Volume | 22 |
| Issue | 2 |
| Pages | 238-245 |
| Publication date | 2010-02-01 |
| Open Access | No |
| Type | ARTICLE |
| Venue | AIDS Care (JOURNAL) |
| Journal identifiers | ISSN: 0954-0121 • E-ISSN: 1360-0451 |
| Publisher | Informa UK Limited (PUBLISHER • GB) |
| DOI | 10.1080/09540120903040594 |
| PMID | 20390502 |
| OpenAlex | W2009121030 |
| Language | EN |
| Citations received | 5 |
| References cited | 8 |
This study addressed factors that played a role in the limited but effective implementation of provider-initiated HIV counseling in tuberculosis (TB) clinics in the Eastern Cape Province, South Africa, as part of a clinical trial. The Eastern Cape is a region with some of the highest TB and HIV rates in the world. The parent study was a pragmatic, cluster-randomized trial designed to measure the impact of provider-initiated ("opt-out") counseling on the uptake of HIV counseling and testing in newly registered TB patients. Key informants were interviewed and clinic nurses who participated in the study were invited to participate in focus group discussions (FGDs). Thematic content analysis of transcriptions was conducted on data collected during interviews and FGDs. Three major themes regarding nurse experiences were derived from analysis, indicating that multiple structural and personal factors influence the success of provider-initiated HIV counseling of TB patients in primary care settings: (1) chronic frustration with knowing what TB tasks need to be accomplished but not having the resources, including staff, to accomplish them; (2) conflict between the appreciation of the need and importance of HIV counseling and testing and the health system's recognition of their difficulties implementing it; and (3) ambivalence in their roles as care providers and educators in the context of HIV counseling and testing. Innovative and coordinated strategies are needed in this environment to facilitate greater number of patients receiving HIV counseling and testing services
Family medicine · Focus group · Geography · Qualitative research · Thematic analysis · HIV/AIDS Research and Interventions · Medicine · Nursing · Pneumocystis jirovecii pneumonia detection and treatment · Tuberculosis Research and Epidemiology
Availability and acceptability of HIV counselling and testing services. A qualitative study comparing clients’ experiences of accessing HIV testing at public sector primary health care facilities or non-governmental mobile services in Cape Town, South Africa
Practices and Obstacles to Provider-Initiated HIV Testing and Counseling (Pitc) Among Healthcare Providers in Côte d’Ivoire
Implementing routine provider-initiated HIV testing in public health care facilities in Kenya
Effect of organizational models of provider-initiated testing and counseling (Pitc) in health facilities on adult HIV testing coverage in sub-Saharan Africa
Opportunities for strengthening provider-initiated testing and counselling for HIV in Namibia
| Citations per year | 0.33 |
|---|---|
| Citation span | 2011 - 2020 (10) |
| Highly cited | No |