Evidence map›Paper›PMID 36670448›Full record

ArticleBMC health services research2023

Feasibility and acceptability of integrating hepatitis B care into routine HIV services: a qualitative study among health care providers and patients in West Nile region, Uganda.

Joan Nankya Mutyoba, Claude Wandera, David Ejalu, Emmanuel Seremba, Rachel Beyagira, Jacinto Amandua, Kaggwa Mugagga, Andrew Kambugu, Alex Muganzi, Philippa Easterbrook and 1 more

Abstract read
In one paragraph

Article in BMC health services research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

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

  1. 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

11 authors.

Joan Nankya MutyobaDepartment of Epidemiology and Biostatistics, School of Public Health, Makerere University College of Health Sciences, P.O. Box 7072, Kampala, Uganda. eron.jm@hotmail.com.
Claude WanderaInfectious Diseases Institute, Makerere University College of Health Sciences, Kampala, Uganda.
David EjaluDepartment of Epidemiology and Biostatistics, School of Public Health, Makerere University College of Health Sciences, P.O. Box 7072, Kampala, Uganda.
Emmanuel SerembaDepartment of Medicine, School of Medicine, Makerere University College of Health Sciences, Kampala, Uganda.
Rachel BeyagiraProgram on viral Hepatitis, Ministry of Health, Kampala, Uganda.
Jacinto AmanduaInfectious Diseases Institute, Makerere University College of Health Sciences, Kampala, Uganda.
Kaggwa MugaggaWHO, Kampala, Uganda.
Andrew KambuguInfectious Diseases Institute, Makerere University College of Health Sciences, Kampala, Uganda.
Alex MuganziInfectious Diseases Institute, Makerere University College of Health Sciences, Kampala, Uganda.
Philippa EasterbrookWHO, Kampala, Uganda.
Ponsiano OcamaDepartment of Medicine, School of Medicine, Makerere University College of Health Sciences, Kampala, Uganda.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDespite facing a dual burden of HBV and HIV, Africa lacks experience in offering integrated care for HIV and HBV. To contextualize individual and group-level feasibility and acceptability of an integrated HIV/HBV care model, we explored perspectives of health care providers and care recipients on feasibility and acceptability of integration.

methodsIn two regional hospitals of West Nile region, we performed a demonstration project to assess feasibility and acceptability of merging the care of HBV-monoinfected patients with existing HIV care system. Using interviews with health care providers as key informants, and 6 focus groups discussions with 3 groups of patients, we explored feasibility [(i)whether integration is perceived to fit within the existing healthcare infrastructure, (ii) perceived ease of implementation of HIV/HBV integrated care, and (iii) perceived sustainability of integration] and acceptability [whether the HIV/HBV care model is perceived as (i) suitable, (ii) satisfying and attractive (iii) there is perceived demand, need and intention to recommend its use]. We audio-recorded the interviews and data was analysed using framework analysis.

resultsThe following themes emerged from the data (i) integrating HBV into HIV care is perceived to be feasible, fit and beneficial, after making requisite adjustments (ii) integration is acceptable due to the need for both free treatment and anticipated collaboration between HIV and HBV clients in terms of peer-support (iii) there are concerns about the likely rise in stigma and the lack of community awareness about integrated care.

conclusionThe integrated HIV/HBV care model is feasible and acceptable among both providers and recipients. Necessary adjustments to the existing care system, including training, for community sensitization on the reasons and significance of integration are required.

Indexed as

Hepatitis BHIV InfectionsFeasibility StudiesHealth PersonnelHumansUgandaFeasibilityHepatitis BHIVIntegrationUganda

Identifiers

PMID36670448
PMCPMC9854069

What OpenQuestion holds

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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.