Evidence map›Paper›PMID 28615327›Full record

ArticleSexually transmitted infections2017

Where are we now? A multicountry qualitative study to explore access to pre-antiretroviral care services: a precursor to antiretroviral therapy initiation.

Dominic Bukenya, Alison Wringe, Mosa Moshabela, Morten Skovdal, Robert Ssekubugu, Sara Paparini, Jenny Renju, Estelle McLean, Oliver Bonnington, Joyce Wamoyi and 1 more

Abstract readMulticenter Study
In one paragraph

Article in Sexually transmitted infections, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed.

  1. Trial
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  6. When Global ART Budgets Cannot Cover All Patients, Who Should Be Eligible?Journal of acquired immune deficiency syndromes (1999) · 2019
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Dominic BukenyaMedical Research Council/ Uganda Virus Research Institute, Uganda Research Unit on AIDS, Entebbe, Uganda.
Alison WringeDepartment of Epidemiology and Population Health, London School of Hygiene & Tropical Medicine, London, UK.
Mosa MoshabelaAfrica Health Research Institute, KwaZulu-Natal, South Africa.ORCID 0000-0002-9438-7095
Morten SkovdalUniversity of Copenhagen, Copenhagen, Denmark.
Robert SsekubuguRakai Health Sciences Program, Rakai, Uganda.
Sara PapariniDepartment of Global Health, London School of Hygiene & Tropical Medicine, London, UK.
Jenny RenjuDepartment of Epidemiology and Population Health, London School of Hygiene & Tropical Medicine, London, UK.ORCID 0000-0001-5650-1902
Estelle McLeanDepartment of Epidemiology and Population Health, London School of Hygiene & Tropical Medicine, London, UK.
Oliver BonningtonDepartment of Global Health, London School of Hygiene & Tropical Medicine, London, UK.
Joyce WamoyiNational Institute for Medical Research, Mwanza, Tanzania.
Janet SeeleyMedical Research Council/ Uganda Virus Research Institute, Uganda Research Unit on AIDS, Entebbe, Uganda.

Funding

East Africa International Epidemiology Database to evaluate AIDS (IeDEA) Regional ConsortiumU01AI069911 · NIAID · INDIANA UNIV-PURDUE UNIV AT INDIANAPOLIS · PI Leslie Anne Enane, AGGREY SEMWENDERO SEMEERE · 2006 to 2026
$57.7M
Medical Research Council G0902143Medical Research Council MC_U950097151NIAID NIH HHS U01 AI069911Wellcome Trust
6 · The paper itself

Abstract

objectiveTo explore barriers and facilitators to accessing postdiagnosis HIV care in five sub-Saharan African countries.

methodsIn-depth interviews were conducted with 77 people living with HIV (PLHIV) in pre-antiretroviral therapy care or not-yet-in care and 46 healthcare workers. Participants were purposely selected from health and demographic surveillance sites in Karonga (Malawi), Manicaland (Zimbabwe), uMkhanyakude (South Africa), Kisesa (Tanzania) and Rakai and Kyamulibwa (Uganda). Thematic content analysis was conducted, guided by the constructs of affordability, availability and acceptability of care.-

results

conclusionDespite efforts to decentralise services over the past decade, many barriers to accessing HIV care persist. There is a need to increase sustained access to care for PLHIV not yet on treatment, with initiatives that encompass biomedical aspects of care alongside considerations for individual and collective challenges they faced. A failure to do so may undermine efforts to achieve universal access to antiretroviral therapy.

Indexed as

Africa South of the SaharaCost of IllnessFemaleHealth Care SurveysHealth Knowledge, Attitudes, PracticeHealth Services AccessibilityHIV InfectionsHumansMalePrimary Health CareQualitative ResearchReagent Kits, DiagnosticSentinel SurveillanceSocioeconomic FactorsTravelViral LoadReagent Kits, DiagnosticAfricaHIVSocial Sciencetreatment

Identifiers

PMID28615327
PMCPMC5739845

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.