ArticlePatient preference and adherence2017
Acceptability of community-based adherence clubs among health facility staff in South Africa: a qualitative study.
Article in Patient preference and adherence, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed, 23 citations in OpenAlex.
- "That makes me feel human": a qualitative evaluation of the acceptability of an HIV differentiated care intervention for formerly incarcerated people re-entering community settings in South Africa.BMC health services research · 2022Trial
- Acceptability and Preferences of Two Different Community Models of ART Delivery in a High Prevalence Urban Setting in Zambia: Cluster-Randomized Trial, Nested in the HPTN 071 (PopART) Study.AIDS and behavior · 2022Trial
- Trial
- Support provided by outreach team leaders to caregivers of HIV/AIDS orphans in the North-West province of South Africa.BMC nursing · 2024Article
- Strategies that enabled access to chronic care during the COVID-19 pandemic and beyond in South Africa.Health SA = SA Gesondheid · 2024Article
- Understanding health outcome drivers among adherence club patients in clinics of Gauteng, South Africa: a structural equation modelling (SEM) approach.AIDS research and therapy · 2023Article
- Barriers and facilitators to the implementation and scale up of differentiated service delivery models for HIV treatment in Africa: a scoping review.BMC health services research · 2022Article
- How the Term 'Self-Management' is Used in HIV Research in Low- and Middle-Income Countries: A Scoping Review.AIDS and behavior · 2022Article
- Alternative mechanisms for delivery of medication in South Africa: A scoping review.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2021Article
- Will differentiated care for stable HIV patients reduce healthcare systems costs?Journal of the International AIDS Society · 2020Article
- Household-focused interventions to enhance the treatment and management of HIV in low- and middle-income countries: a scoping review.BMC public health · 2019Article
- Retention in care and factors critical for effectively implementing antiretroviral adherence clubs in a rural district in South Africa.Journal of the International AIDS Society · 2019Article
- Most new HIV infections, vertical transmissions and AIDS-related deaths occur in lower-prevalence countries.Journal of virus eradication · 2019Article
- What do the implementation outcome variables tell us about the scaling-up of the antiretroviral treatment adherence clubs in South Africa? A document review.Health research policy and systems · 2019Review
- Implementation science in resource-poor countries and communities.Implementation science : IS · 2018Article
- Application of machine learning models in predicting length of stay among healthcare workers in underserved communities in South Africa.Human resources for health · 2018Article
Corrections and comments
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Authors and funding
7 authors at 4 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPatient retention in care for HIV/AIDS is a critical challenge for antiretroviral treatment programs. Community-based adherence programs (CBAPs) as compared to health care facility-based adherence programs have been considered as one of the options to provide treatment maintenance support for groups of patients on antiretroviral therapy. Such an approach provides a way of enhancing self-management of the patient's condition. In addition, CBAPs have been implemented to support antiretroviral treatment expansion in resource-limited settings. CBAPs involve 30 patients that are allocated to a group and meet at either a facility or a community venue for less than an hour every 2 or 3 months depending on the supply of medication. Our study aimed to establish perceived challenges in moving adherence clubs from health facilities to communities.
methodsA qualitative study was conducted in 39 clinics in Mpumalanga and Gauteng Provinces in South Africa between December 2015 and January 2016. Purposive sampling method was used to identify nurses, club managers, data capturers, pharmacists and pharmacy assistants who had been involved in facility-based treatment adherence clubs. Key-informant interviews were conducted. Also, semi-structured interviews were used and thematic content analysis was done.
resultsA total of 53 health care workers, 12 (22.6%) males and 41 (77.4%) females, participated in the study. Most of them 49 (92.5%) indicated that participating in community adherence clubs were a good idea. Reduction in waiting time at the health facilities, in defaulter rate, improvement in adherence to treatment as well as reduction in stigma were some of the perceived benefits. However, security of medication, storage conditions and transportation of the prepacked medication to the distribution sites were the areas of concern.
conclusionHealth care workers were agreeable to idea of the moving adherence clubs from health facilities to communities. Although some challenges were identified, these could be addressed by the key stakeholders. However, government and nongovernmental organizations need to exercise caution when transitioning to community-based adherence clubs.
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