ArticleSouth African family practice : official journal of the South African Academy of Family Practice/Primary Care2025
An integrated support model for lay health care workers to improve clients' retention in HIV care.
Article in South African family practice : official journal of the South African Academy of Family Practice/Primary Care, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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- An integrated support model for lay health care workers to improve clients' retention in HIV care.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2025Article
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2 authors.
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Abstract
backgroundRetention in care is vital for the successful management of human immunodeficiency virus (HIV). About 20% of clients interrupt their HIV therapy within 6 months of starting it. Lay healthcare workers complement the healthcare professionals to provide services across the HIV care continuum. However, there is limited support for lay healthcare workers as compared to healthcare professionals. Therefore, this study was conducted at a primary healthcare centre in South Africa to develop a support model for lay healthcare workers to improve clients' retention in HIV care.
methodsInterviews were conducted with the lay healthcare workers, their supervisors, nurses and clients on antiretroviral therapy. The support model was then developed by following Dickoff's survey list of a theoretical framework and the theory development processes of Chinn et al. Results: The context, agent, recipient, dynamics, procedure and outcomes of support were described in the support model. To nurture lay healthcare workers, the nurses, supervisors and department of health must provide a good environment, recognise each person's needs, offer both practical and emotional support, encourage mutual reliance and provide feedback.
conclusionSupport is an ongoing, mutually beneficial action that is essential to the efficient operation of lay healthcare workers. Contribution: Improved motivation, job satisfaction, competence and thriving are possible outcomes of the support for lay healthcare workers. This would increase the number of clients retained in HIV care, improve viral suppression and reduce transmission.
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