Khoza, L. B.Ingersoll, K.Modipane, Mahlatse Bridgette2019-05-282019-05-282020-05-16Modipane, 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>.http://hdl.handle.net/11602/1292PhD (Psychology)Department of PsychologyBackground: 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.1 online resource (xiii, 149 leaves : color illustration, color maps)enUniversity of VendaLoss to follow upUCTDHIV- positive patientsHealth care workersComplianceDefaultersHIV careRetention in careAntiretroviral therapyStrategy development616.97920968Nurse and patient -- South AfricaHIV-positive persons -- South AfricaHIV infections -- South AfricaAIDS (Disease) -- South AfricaAIDS (Disease) -- Patients -- South AfricaPatients -- South AfricaThesisModipane MB. Patient and nurse perspectives on loss to follow-up in HIV care. []. , 2020 [cited yyyy month dd]. Available from: http://hdl.handle.net/11602/1292Modipane, M. B. (2020). <i>Patient and nurse perspectives on loss to follow-up in HIV care</i>. (). . Retrieved from http://hdl.handle.net/11602/1292Modipane, Mahlatse Bridgette. <i>"Patient and nurse perspectives on loss to follow-up in HIV care."</i> ., , 2020. http://hdl.handle.net/11602/1292TY - Thesis AU - Modipane, Mahlatse Bridgette AB - 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. DA - 2020-05-16 DB - ResearchSpace DP - Univen KW - Loss to follow up KW - HIV- positive patients KW - Health care workers KW - Compliance KW - Defaulters KW - HIV care KW - Retention in care KW - Antiretroviral therapy KW - Strategy development LK - https://univendspace.univen.ac.za PY - 2020 T1 - Patient and nurse perspectives on loss to follow-up in HIV care TI - Patient and nurse perspectives on loss to follow-up in HIV care UR - http://hdl.handle.net/11602/1292 ER -