Evidence map›Paper›PMID 33165553›Full record

ArticleInternational health2020

Managing ancillary care in resource-constrained settings: Dilemmas faced by frontline HIV prevention researchers in a rural area in South Africa.

Busisiwe Nkosi, Janet Seeley, Natsayi Chimbindi, Thembelihle Zuma, Maureen Kelley, Maryam Shahmanesh

Open access · goldAbstract read
In one paragraph

Article in International health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
5.1field-weighted citation impact, top 4% of its field
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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
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  5. Article
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  12. Spotlight on global health research.International health · 2020
    Article
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

6 authors at 4 institutions in 2 countries.

Busisiwe NkosiAfrica Health Research Institute, KwaZulu-Natal, South Africa.
Janet SeeleyAfrica Health Research Institute, KwaZulu-Natal, South Africa.
Natsayi ChimbindiAfrica Health Research Institute, KwaZulu-Natal, South Africa.
Thembelihle ZumaAfrica Health Research Institute, KwaZulu-Natal, South Africa.
Maureen KelleyEthox Centre and Wellcome Centre for Ethics & Humanities, Nuffield Department of Population Health, University of Oxford, UK.
Maryam ShahmaneshAfrica Health Research Institute, KwaZulu-Natal, South Africa.
Africa Health Research Institute · ZALondon School of Hygiene & Tropical Medicine · GBUniversity College London · GBUniversity of Oxford · GB

Funding

Maximizing combination HIV prevention, uptake and retention by adolescent girls and young womenR01MH114560 · NIMH · KWAZULU-NATAL RESEARCH INSTITUTE TB-HIV · PI SHAHMANESH, MARYAM · 2017 to 2023
$2.0M
Medical Research Council MC_PC_16025NIMH NIH HHS R01 MH114560Wellcome Trust 096527Wellcome Trust 200344/Z/15/ZWellcome Trust 203132
6 · The paper itself

Abstract

backgroundWe describe the findings from a research ethics case study, linked with a team evaluating a package of intervention services to prevent HIV infection in adolescent girls and young women (AGYW) living in a rural and poor setting of KwaZulu-Natal, South Africa.

methodsWe conducted qualitative interviews (n=77) with members of the linked research team evaluating the intervention programme, programme implementing staff, AGYW enrolled in the intervention programme, caregivers, ethics committee members, Public Engagement officers, community advisory board members and community stakeholders. Data were analysed iteratively using thematic framework analysis. Themes were determined by the study aims combined with an inductive development of codes emerging from the data.

resultsThe findings show that the burden of providing ancillary care fell primarily on the shoulders of frontline researchers and programme staff. Dilemmas around responding to gender-based violence illustrated the limits of 'referral to services' as a solution for meeting ancillary care obligations in contexts with barriers to basic health and social services.

conclusionOur findings show important gaps in meeting ancillary care needs. Participants' needs required social and economic support which frontline researchers and implementing partners were not able to meet, causing moral distress.

Indexed as

HIV InfectionsAdolescentCaregiversCounselingFemaleHumansRural PopulationSouth Africaancillary carereferral processSouth Africavulnerability

Identifiers

PMID33165553
PMCPMC7651306
OpenAlexW3105402138

What OpenQuestion holds

Textmetadata
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.