ArticleAIDS care2015
Understanding HIV-infected patients' experiences with PEPFAR-associated transitions at a Centre of Excellence in KwaZulu Natal, South Africa: a qualitative study.
Article in AIDS care, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.
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Who cites it
23 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Being HIV positive and staying on antiretroviral therapy in Africa: A qualitative systematic review and theoretical model.PloS one · 2019Pooled it
- Early impacts of PEPFAR funding freeze on HIV service delivery in mid-Western Uganda.BMC health services research · 2026Article
- Shaping sustainable paths for HIV/AIDS funding: a review and reminder.Annals of medicine and surgery (2012) · 2025Review
- Article
- The impact of shifts in PEPFAR funding policy on HIV services in Eastern Uganda (2015-21).Health policy and planning · 2024Article
- Evaluation of the impact of PEPFAR transition on retention in care in South Africa's Western Cape Province.South African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde · 2023Article
- Five different ways of reasoning: Tanzanian healthcare workers' ideas about how to improve HIV prevention among same-sex attracted men.BMC health services research · 2023Article
- Stakeholders' Perspectives on the Financial Sustainability of the HIV Response in Nigeria: A Qualitative Study.Global health, science and practice · 2023Article
- Evaluation of the impact of PEPFAR transition on retention in care in South Africa's Western Cape.medRxiv : the preprint server for health sciences · 2023Article
- Prevalence, motivation, and outcomes of clinic transfer in a clinical cohort of people living with HIV in North West Province, South Africa.BMC health services research · 2022Article
- Article
- The impact of loss of PEPFAR support on HIV services at health facilities in low-burden districts in Uganda.BMC health services research · 2021Article
- Program sustainability post PEPFAR direct service support in the Western Cape, South Africa.PloS one · 2021Article
- The differential impacts of PEPFAR transition on private for-profit, private not-for-profit and publicly owned health facilities in Uganda.Health policy and planning · 2020Article
- Using national laboratory data to assess cumulative frequency of linkage after transfer to community-based HIV clinics in South Africa.Journal of the International AIDS Society · 2019Article
- The impact of PEPFAR transition on HIV service delivery at health facilities in Uganda.PloS one · 2019Article
- Effect of PEPFAR funding policy change on HIV service delivery in a large HIV care and treatment network in Nigeria.PloS one · 2019Article
- "My future is bright…I won't die with the cause of AIDS": ten-year patient ART outcomes and experiences in South Africa.Journal of the International AIDS Society · 2018Article
- Assessing the completeness and accuracy of South African National Laboratory CD4 and viral load data: a cross-sectional study.BMJ open · 2018Article
- Treatment guidelines and early loss from care for people living with HIV in Cape Town, South Africa: A retrospective cohort study.PLoS medicine · 2017Observational
Corrections and comments
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Authors and funding
10 authors.
Funding
Abstract
South Africa was the largest recipient of funding from the President's Emergency Plan for AIDS Relief (PEPFAR) for antiretroviral therapy (ART) programs from 2004 to 2012. Funding decreases have led to transfers from hospital and non-governmental organization-based care to government-funded, community-based clinics. We conducted semi-structured interviews with 36 participants to assess patient experiences related to transfer of care from a PEPFAR-funded, hospital-based clinic in Durban to either primary care clinics or hospital-based clinics. Participant narratives revealed the importance of connectedness between patients and the PEPFAR-funded clinic program staff, who were described as respectful and conscientious. Participants reported that transfer clinics were largely focused on dispensing medication and on throughput, rather than holistic care. Although participants appreciated the free treatment at transfer sites, they expressed frustration with long waiting times and low perceived quality of patient-provider communication, and felt that they were treated disrespectfully. These factors eroded confidence in the quality of the care. The transfer was described by participants as hurried with an apparent lack of preparation at transfer clinics for new patient influx. Formal (e.g., counseling) and informal (e.g., family) social supports, both within and beyond the PEPFAR-funded clinic, provided a buffer to challenges faced during and after the transition in care. These data support the importance of social support, adequate preparation for transfer, and improving the quality of care in receiving clinics, in order to optimize retention in care and long-term adherence to treatment.
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