Observational studyJournal of the International Association of Providers of AIDS Care2016
Identifying Perceived Barriers along the HIV Care Continuum: Findings from Providers, Peer Educators, and Observations of Provider-Patient Interactions in Ethiopia.
Observational study in Journal of the International Association of Providers of AIDS Care, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
18 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Peer Support in Chronic Conditions from the Peer Supporters' Perspective: A Systematic Review.Psychosocial intervention · 2025Pooled it
- Trial
- Developing a male-specific counselling curriculum for HIV treatment in Malawi.Gates open research · 2025Article
- Role of religious beliefs in adherence to antiretroviral therapy in the Cape Town metropole: a study protocol.BMJ open · 2022Article
- Men's late presentation for HIV care in Eastern Uganda: The role of masculinity norms.PloS one · 2022Article
- Article
- Health Care Providers' Challenges to High-Quality HIV Care and Antiretroviral Treatment Retention in Rural South Africa.Qualitative health research · 2021Article
- Why Counseling Intervention Fails to Improve Compliance towards Antiretroviral Therapy: Findings from a Mixed-Methods Study among People Living with HIV in Bali Province, Indonesia.Infectious disease reports · 2021Article
- Predictors of antiretroviral therapy initiation in eThekwini (Durban), South Africa: Findings from a prospective cohort study.PloS one · 2021Article
- Article
- Dimensions of HIV-related stigma in rural communities in Kenya and Uganda at the start of a large HIV 'test and treat' trial.PloS one · 2021Article
- Daily struggle to take antiretrovirals: a qualitative study in Papuans living with HIV and their healthcare providers.BMJ open · 2020Article
- Challenges and barriers to HIV service uptake and delivery along the HIV care cascade in Cameroon.The Pan African medical journal · 2020Article
- Why are HIV-infected people not started on antiretroviral therapy? A mixed-methods study from Gujarat, India.Public health action · 2017Article
- Disclosure History Among Persons Initiating Antiretroviral Treatment at Six HIV Clinics in Oromia, Ethiopia, 2012-2013.AIDS and behavior · 2017Article
- HIV Care and Treatment Beliefs among Patients Initiating Antiretroviral Treatment (ART) in Oromia, Ethiopia.AIDS and behavior · 2016Article
- Retention in Care among HIV-Infected Adults in Ethiopia, 2005- 2011: A Mixed-Methods Study.PloS one · 2016Article
- Factors associated with initiation of antiretroviral therapy in the advanced stages of HIV infection in six Ethiopian HIV clinics, 2012 to 2013.Journal of the International AIDS Society · 2016Article
Corrections and comments
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Authors and funding
11 authors.
Funding
Abstract
Increasing the proportion of HIV-positive individuals who link promptly to and are retained in care remains challenging in sub-Saharan Africa, but little evidence is available from the provider perspective. In 4 Ethiopian health facilities, we (1) interviewed providers and peer educators about their perceptions of service delivery- and patient-level barriers and (2) observed provider-patient interactions to characterize content and interpersonal aspects of counseling. In interviews, providers and peer educators demonstrated empathy and identified nonacceptance of HIV status, anticipated stigma from unintended disclosure, and fear of antiretroviral therapy as patient barriers, and brusque counseling and insufficient counseling at provider-initiated testing sites as service delivery-related. However, observations from the same clinics showed that providers often failed to elicit patients' barriers to retention, making it unlikely these would be addressed during counseling. Training is needed to improve interpersonal aspects of counseling and ensure providers elicit and address barriers to HIV care experienced by patients.
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