Patient and nurse perspectives on loss to follow-up in HIV care

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dc.contributor.advisor Khoza, L. B.
dc.contributor.advisor Ingersoll, K.
dc.contributor.author Modipane, Mahlatse Bridgette
dc.date 2019
dc.date.accessioned 2019-05-28T05:38:20Z
dc.date.available 2019-05-28T05:38:20Z
dc.date.issued 2020-05-16
dc.identifier.citation Modipane, Mahlatse Modipane (2019) Patient and nurse perspectives on loss to follow-up in HIV care, University of Venda, South Africa <http://hdl.handle.net/11602/1292>.
dc.identifier.uri http://hdl.handle.net/11602/1292
dc.description PhD (Psychology) en_US
dc.description Department of Psychology
dc.description.abstract Background: South Africa has world’s highest prevalence of HIV-positive people with approximately 7.06 million HIV-positive people with 110 000 HIV- related deaths reported by Statistics South Africa in 2017. South Africa has expanded access to anti-retroviral therapy services, from urban centers to resource-constrained rural communities. The rate of loss, however, to follow-up for patients on anti-retroviral treatment continues to increase. Aim of the Study: The aim of this study was to determine patient and nurse perspectives on loss to follow up among HIV-positive patients in Sekhukhune District of Limpopo Province, South Africa. The findings of the study guided the development of a proposed strategy to decrease loss to follow up among HIV-positive patients. Method: A qualitative research design was used with non-probability purposive sampling and with probability systematic sampling. The sample of patients comprised 30 HIV-positive people classified as lost to follow-up from clinics with high prevalence rates of lost to follow-up patients. Eight nurses, four from clinics with high rates and four from clinics with low lost to follow-up rates comprised the sample of nurses. Semi-structured interviews were conducted using the study research questions as a guide. Eight interviews were conducted with nurse clinic managers and 30 with the patients. Content analysis was used to analyze the data. Results: The key themes that emerged from the study included patients’ and nurses` perspectives on factors contributing to loss to follow up among HIV- positive patients; and Patients’ and nurses’ perspectives on strategies that would address barriers to loss to follow up among HIV- positive patients. Sub-themes on patients’ and nurses’ perspectives on factors contributing to loss to follow up among HIV- positive patients included: Lack of understanding of anti-retroviral treatment; fearful to disclose HIV status; lack of confidentiality; negative side effects; use of traditional medicine; self-transfer from one clinic to another. Patients’ and nurses’ elicited the strategies that would assist patients to remain in care and to take antiretroviral treatment consistently. The strategies included: providing patients with health education; working as a team; implementing social support group programme; providing nurses with in-service education on ethics and ethos. Informed by various intervention models in HIV care: Information Motivational Behavioural model; Health Belief Model; Social Action Theory and Social Cognitive Theory; I proposed a strategy that may reduce the rate of non-adherence and loss to follow up among patients with HIV in Limpopo Province. en_US
dc.description.sponsorship HWSETA en_US
dc.format.extent 1 online resource (xiii, 149 leaves : color illustration, color maps)
dc.language.iso en en_US
dc.rights University of Venda
dc.subject Loss to follow up en_US
dc.subject HIV- positive patients en_US
dc.subject Health care workers en_US
dc.subject Compliance en_US
dc.subject Defaulters en_US
dc.subject HIV care en_US
dc.subject Retention in care en_US
dc.subject Antiretroviral therapy en_US
dc.subject Strategy development en_US
dc.subject.ddc 616.97920968
dc.subject.lcsh Nurse and patient -- South Africa
dc.subject.lcsh HIV-positive persons -- South Africa
dc.subject.lcsh HIV infections -- South Africa
dc.subject.lcsh AIDS (Disease) -- South Africa
dc.subject.lcsh AIDS (Disease) -- Patients -- South Africa
dc.subject.lcsh Patients -- South Africa
dc.title Patient and nurse perspectives on loss to follow-up in HIV care en_US
dc.type Thesis en_US

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