ArticleHealth SA = SA Gesondheid2020
Challenges influencing nurse-initiated management of antiretroviral therapy training and implementation in Ngaka Modiri Molema district, 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 6 papers.
What it found
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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.
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Who cites it
6 citing papers in PubMed.
- Experiences of nurses in managing HIV and Tuberculosis in rural clinics, South Africa.Health SA = SA Gesondheid · 2025Article
- Healthcare practitioners' experiences in managing HIV among young people in Namibia.Curationis · 2024Article
- HIV Care Profiling and Delivery Status in the Mobile Health Clinics of eThekwini District in KwaZulu Natal, South Africa: A Descriptive Evaluation Study.Nursing reports (Pavia, Italy) · 2023Article
- Rural nurses' antiretroviral prescribing practices in children, Limpopo province, South Africa.Southern African journal of HIV medicine · 2023Article
- Introduction and integration of PrEP and sexual and reproductive health services for young people: Health provider perspectives from South Africa.Frontiers in reproductive health · 2022Article
- Ten years of nurse-initiated antiretroviral treatment in South Africa: A narrative review of enablers and barriers.Southern African journal of HIV medicine · 2021Article
Corrections and comments
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Authors and funding
2 authors.
Funding
Abstract
backgroundThe increasing number of people testing human immunodeficiency virus positive and who demand antiretroviral therapy (ART) prompted the Department of Health to adopt World Health Organization's task shifting where professional nurses (PNs) initiate ART rather than doctors. This resulted in decentralisation of services to primary healthcare (PHC), generating a need to capacitate PNs on nurse-initiated-management of ART (NIMART). The impact of NIMART was assessed and even though there was an increased number of patients on ART, the quality of care is of serious concern.
aimThe aim of this study was to explore and describe the challenges influencing NIMART training and implementation amongst PNs and programme managers.
settingThe study was conducted from the PHC facilities, in the rural districts of the North West province.
methodsAn exploratory programme evaluation and contextual research design was used in the study. Purposive sampling was used. Focus group discussion (
resultsThe results revealed two themes: inadequacy in NIMART training and the healthcare system challenges that influence NIMART training and implementation. Theme 1 included among others the lack of standardised curriculum and model or conceptual framework to strengthen NIMART training. And theme 2 included patient and district healthcare structural system.
conclusionThere a need to improve NIMART training and implementation through the standardisation of NIMART curriculum, introduction of pre-service NIMART training in institutions of higher learning, addressing staff shortages and negative attitude of PNs providing ART.
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Registered trials
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