ArticleHealth SA = SA Gesondheid2020
Conceptual framework for strengthening nurse-initiated management of antiretroviral therapy training and implementation in North West province.
Article in Health SA = SA Gesondheid, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed, 6 citations in OpenAlex.
- Psychobiological and Psychosocial Responses of Nurse-Initiated Management of Antiretroviral Therapy-Trained Nurses Caring for People Living With HIV: Protocol for a Scoping Review.JMIR research protocols · 2026Article
- Primary healthcare nurses' experiences in managing chronic diseases during COVID-19 in the North West province.African journal of primary health care & family medicine · 2024Article
- Healthcare practitioners' experiences in managing HIV among young people in Namibia.Curationis · 2024Article
- Article
- Assessing the cost and utilization of SMS printers by primary health care facilities: lessons learned from South Africa.Journal of public health in Africa · 2023Article
- A Conceptual Model to Strengthen Integrated Management of HIV and NCDs among NIMART-Trained Nurses in Limpopo Province, South Africa.Clinics and practice · 2023Article
- Incorporation of Nurse Initiated Management of Antiretroviral Treatment course within the undergraduate nursing programme North West province.Health SA = SA Gesondheid · 2023Article
- Ten years of nurse-initiated antiretroviral treatment in South Africa: A narrative review of enablers and barriers.Southern African journal of HIV medicine · 2021Article
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Authors and funding
2 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundThe implementation of nurse-initiated management of antiretroviral therapy (NIMART) management training is a challenge in the primary health care (PHC). It is evident from the literature reviewed and the data obtained from the North West province that gaps still exist. There is no conceptual framework providing guidance to NIMART training and implementation.
aimTherefore, the aim of this study was to develop a conceptual framework to strengthen NIMART training and implementation in the North West province to improve patients and human immunodeficiency virus (HIV) programme outcomes.
settingThe study was conducted in the North West Province, South Africa.
methodsA pragmatic, explanatory, sequential, mixed-methods research design was followed. A descriptive and explorative programme evaluation design was used. Data were collected from two sources: antiretroviral therapy (ART) statistics from District Health Information System (DHIS) & Tier.net of 10 PHC facilities to evaluate and determine the impact of NIMART on the HIV programme and five focus group discussions conducted amongst 28 NIMART nurses and three HIV programme managers to describe challenges influencing NIMART training and implementation.
resultsThe study revealed that there was low ART initiation compared to the number of clients who tested HIV-positive. There was poor monitoring of patients on ART, which was evident in the low viral load collection and suppression, high loss to follow-up and deaths related to HIV. Challenges exist and this was confirmed by the qualitative findings, including human resource ratios, training and mentoring and the entire absence of a conceptual framework or model that guides training and implementation.
conclusionThe study findings were conceptualised to describe and develop a framework needed to facilitate and influence NIMART training and implementation to improve the HIV programme and patient outcomes. Dickoff, James and Wiedenbach's practice-oriented theory and Donabedian's structure process outcomes model provided a starting point in the ultimate development of the framework. Although the study was limited to the North West province's PHC clinics and community health centres and did not include hospitals, it is of high significance as there is no such conceptual framework in the province or in even South Africa.
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