Evidence map›Paper›PMID 35316549›Full record

SynthesisTropical medicine & international health : TM & IH2022

Systematic review: Development of a person-centered care framework within the context of HIV treatment settings in sub-Saharan Africa.

Malia Duffy, Caitlin Madevu-Matson, Jessica E Posner, Hana Zwick, Melissa Sharer, Antonia M Powell

Abstract readSystematic Review
In one paragraph

Synthesis in Tropical medicine & international health : TM & IH, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

20 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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.

Malia DuffyInternational Division, John Snow, Inc., Boston, Massachusetts, USA.
Caitlin Madevu-MatsonInternational Division, John Snow, Inc., Boston, Massachusetts, USA.
Jessica E PosnerInternational Division, John Snow, Inc., Boston, Massachusetts, USA.
Hana ZwickInternational Division, John Snow, Inc., Boston, Massachusetts, USA.
Melissa SharerInternational Division, John Snow, Inc., Boston, Massachusetts, USA.
Antonia M PowellInternational Division, John Snow, Inc., Boston, Massachusetts, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesPerson-centred care (PCC) meets the needs of individuals by increasing convenience, providing supportive and culturally appropriate services to diverse populations, and engaging families, communities, and stakeholders in planning and provision of care. While the evidence demonstrates that PCC approaches can lead to clinical improvements across the HIV care continuum, it is not yet well defined in the context of HIV service delivery.

methodsA systematic review was conducted to define PCC practices for HIV treatment services in health facilities in sub-Saharan Africa. Data synthesis led to the development of a PCC framework including domain and sub-domain development. The study team used the Effective Public Health Project Practice tool for quantitative studies to assess the quality of the included studies.

resultsThirty-one studies from 12 countries met the inclusion criteria, including 56,586 study participants (females 42%-100% and males 0%-58%), resulting in three major domains and 11 sub-domains. These include staffing (sub-domains of composition, availability, and competency); service delivery standards (sub-domains of client feedback mechanisms; service efficiency and integration; convenience and access; and digital health worker support tools); and direct client support services (sub-domains of psychosocial services, logistics support, client-agency, and digital client support tools). Twenty-five of the person-centred interventions within these domains resulted in improvements in linkage to care, treatment retention, and/or viral suppression.

conclusionsThe PCC framework can help to provide a more consistent classification of HIV treatment interventions and will support improved assessment of these interventions to ensure that people receive personalised care.

Indexed as

Health FacilitiesHIV InfectionsAfrica South of the SaharaFemaleHumansMalePatient-Centered Careclient-centred careHIVHIV care continuumHIV treatmentperson-centred caresub-Saharan Africa

Identifiers

PMID35316549
PMCPMC9324124

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.