ArticleJournal of the International Association of Providers of AIDS Care
Health System Factors Constrain HIV Care Providers in Delivering High-Quality Care: Perceptions from a Qualitative Study of Providers in Western Kenya.
Article in Journal of the International Association of Providers of AIDS Care. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.
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Who cites it
21 citing papers in PubMed, 31 citations in OpenAlex.
- Health services and programmatic responses to improving adolescent HIV care in Lusaka, Zambia: A descriptive qualitative study.African journal of primary health care & family medicine · 2026Article
- 'You don't need schooling-just take the pills and don't stop.': Pathways between formal education and chronic HIV care in Malawi.SSM. Qualitative research in health · 2025Article
- Healthcare providers' intention to discriminate against people with HIV.Frontiers in public health · 2025Article
- A qualitative study on the challenges of clinical leadership in an HIV care system: insights from healthcare providers in Eldoret, Kenya.Frontiers in health services · 2025Article
- Patterns of person-centred communications in public HIV clinics: a latent class analysis using the Roter interaction analysis system.Journal of the International AIDS Society · 2023Article
- Implementing six multi-month dispensing of antiretroviral therapy in Ethiopia: perspectives of clients and healthcare workers.BMC health services research · 2023Article
- Article
- Strengthening HIV and HIV co-morbidity care in low- and middle-income countries: insights from behavioural economics to improve healthcare worker behaviour.Journal of the International AIDS Society · 2023Article
- Health Care Needs Among People Living with HIV: The Implication of Continuum of Care.HIV/AIDS (Auckland, N.Z.) · 2023Article
- Article
- "Provider discretionary power practices to support implementation of patient-centered HIV care in Lusaka, Zambia".Frontiers in health services · 2022Article
- Health system opportunities and challenges for PrEP implementation in Kenya: A qualitative framework analysis.PloS one · 2022Review
- Patient-Centred Care for Patients With Diabetes and HIV at a Public Tertiary Hospital in South Africa: An Ethnographic Study.International journal of health policy and management · 2021Article
- Implementing enhanced patient care to promote patient engagement in HIV care in a rural setting in Kenya.BMC health services research · 2021Article
- Article
- "Dispense antiretrovirals daily!" restructuring the delivery of HIV services to optimize antiretroviral initiation among men in Malawi.PloS one · 2021Article
- Uptake and impact of facility-based HIV self-testing on PrEP delivery: a pilot study among young women in Kisumu, Kenya.Journal of the International AIDS Society · 2020Article
- "At home, no one knows": A qualitative study of retention challenges among women living with HIV in Tanzania.PloS one · 2020Article
- Article
- Higher Clinician-Patient Communication Is Associated With Greater Satisfaction With HIV Care.Journal of the International Association of Providers of AIDS CareArticle
Corrections and comments
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Authors and funding
10 authors at 5 institutions in 3 countries.
Funding
Abstract
The burden on health systems due to increased volume of patients with HIV continues to rapidly increase. The goal of this study was to examine the experiences of HIV care providers in a high patient volume HIV treatment and care program in eastern Africa. Sixty care providers within the Academic Model Providing Access to Healthcare program in western Kenya were recruited into this qualitative study. We conducted in-depth interviews focused on providers' perspectives on health system factors that impact patient engagement in HIV care. Results from thematic analysis demonstrated that providers perceive a work environment that constrained their ability to deliver high-quality HIV care and encouraged negative patient-provider relationships. Providers described their roles as high strain, low control, and low support. Health system strengthening must include efforts to improve the working environment and easing burden of care providers tasked with delivering antiretroviral therapy to increasing numbers of patients in resource-constrained settings.
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Registered trials
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.