Strategy for reducing the missing of appointments among on anti-retroviral therapy in Limpopo Province, South Africa

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dc.contributor.advisor Lebese, R. T.
dc.contributor.advisor Tugli, A. K.
dc.contributor.author Lowane, Mygirl Pearl
dc.date 2019
dc.date.accessioned 2019-10-09T09:01:07Z
dc.date.available 2019-10-09T09:01:07Z
dc.date.issued 2019-09-20
dc.identifier.citation Lowane, Mygirl Pearl (2019) Strategy for reducing the missing of appointments among on anti-retroviral therapy in Limpopo Province, South Africa, University of Venda, South Africa.<http://hdl.handle.net/11602/1442>.
dc.identifier.uri http://hdl.handle.net/11602/1442
dc.description PhDH en_US
dc.description Department of Public Health
dc.description.abstract Background: Since the introduction of three-tiered systems appointments, there are a large number of missed appointments among Human immunodeficiency virus-positive clients on Antiretroviral. However, no one knows why these clients missed their scheduled times. Missing of appointments predicts poor adherence and is associated with poor clinical outcomes. Objectives: The proposed study aimed at developing a strategy for reducing the missing of appointments among adults on Antiretroviral Therapy in the Limpopo Province, South Africa. The objectives of the study are to determine patients’ behaviour, the socio-environmental and economic factors that contribute to the missing of appointments and develop strategies to enhance compliance with appointments by Human immunodeficiency virus-positive clients on Antiretroviral therapy in the Limpopo Province. Method: A qualitative research design was used to address the study objectives. Non-probability purposive sampling was used to sample health care centres in Limpopo Province, patients, Professional Nurses and Community Health Workers. Individual interview and focus group discussions strengthened the triangulation of data obtained from the participants. Creswell’s model provided details for data analysis and interpretation. Trustworthiness and Ethics: Measures to ensure data quality, such as credibility, dependability, conformability and transferability, were observed. The researcher ensured compliance with ethical standards to protect the rights of the participants. Approval for this study was obtained from the University of Venda Research Ethics Committee and the Limpopo Department of Health Research Ethics. Results: The study revealed various factors that contribute to the missing of appointments by Human immunodeficiency virus positive-clients on Antiretroviral Therapy. Specific socioeconomic, behavioural, environmental and health service-related factors appear to prevent adherence to appointments. These factors include a lack of family support and client engagement, the absence of financial means, and cultural and religious beliefs. Lack of client involvement in planning their care and poor referral of clients to community health workers were ranked high as being the most contributing factors to clients missing their appointments. Strategy development: Phase 2 of this study dealt with the development of the strategy aimed at reducing the missing of appointment by adults on Antiretroviral Therapy based on the findings of the study. The strengths, weaknesses, opportunities and threats matrix was triangulated in Political, Environmental, Social, Technological and Legal analysis to develop this approach to reduce the missing of appointments among adults on Antiretroviral therapy. A transtheoretical framework illustrated how to implement the strategy. Validation of the developed strategy ensured that the system is free of errors and checked the applicability of the strategies utilising a quantitative design. A simple random sampling approach was used to select the population to participate in this study using the questionnaire developed by the researcher. Almost all respondents agreed that the strategy would facilitate reduced missing appointments by adults on Antiretroviral therapy. Recommendations: Clients involvement and engagement throughout the process of a treatment plan is essential to identify some of the barriers that might contribute to poor adherence to appointment by clients on Antiretroviral therapy. Community health workers and nurses should be capacitated with knowledge and skills to identify the clients at risk of defaulting treatment and appointments and provide counselling that will facilitate behaviour modifications. en_US
dc.description.sponsorship HWSETA en_US
dc.format.extent 1 online resource (xv, 217 leaves : color illustrations)
dc.language.iso en en_US
dc.rights University of Venda
dc.subject Adherence to appointment en_US
dc.subject Antiretroviral therapy en_US
dc.subject Clients on Antiretroviral therapy en_US
dc.subject Missing of appointments en_US
dc.subject.ddc 616.97920096825
dc.subject.lcsh HIV (Virus) -- South Africa -- Limpopo
dc.subject.lcsh HIV-positive persons --South Africa -- Limpopo
dc.subject.lcsh HIV infections -- South Africa -- Limpopo
dc.subject.lcsh AIDS (Disease) -- South Africa -- Limpopo
dc.subject.lcsh AIDS (Disease) -- Patients -- South Africa -- Limpopo
dc.title Strategy for reducing the missing of appointments among on anti-retroviral therapy in Limpopo Province, South Africa en_US
dc.type Thesis en_US

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