Full Text Available
Note: Clicking the button above will open the full text document at the original institutional repository in a new window.
Clinician and patient views on antiretroviral treatment integration in primary health care clinics, Tshwane, South Africa
Dissertation (MSc)--University of Pretoria, 2017.
Saved in:
| Other Authors: | |
|---|---|
| Format: | Thesis |
| Language: | English |
| Published: |
University of Pretoria
2025
|
| Subjects: | |
| Tags: |
No Tags, Be the first to tag this record!
|
| _version_ | 1867613457377918976 |
|---|---|
| access_status_str | Open Access |
| author2 | Hendricks, S.J.H. (Stephen) |
| author_browse | Hendricks, S.J.H. (Stephen) |
| author_facet | Hendricks, S.J.H. (Stephen) |
| collection | Thesis |
| dc_rights_str_mv | © 2021 University of Pretoria. All rights reserved. The copyright in this work vests in the University of Pretoria. No part of this work may be reproduced or transmitted in any form or by any means, without the prior written permission of the University of Pretoria. |
| description | Dissertation (MSc)--University of Pretoria, 2017. |
| format | Thesis |
| id | oai:repository.up.ac.za:2263/103366 |
| institution | University of Pretoria (South Africa) |
| language | English |
| last_indexed | 2026-06-10T12:36:27.243Z |
| license_str | Other — see source repository |
| provenance_str_mv | Harvested via OAI-PMH from UPSpace — University of Pretoria Institutional Repository |
| publishDate | 2025 |
| publishDateRange | 2025 |
| publishDateSort | 2025 |
| publisher | University of Pretoria |
| publisherStr | University of Pretoria |
| record_format | dspace |
| source_str | UPSpace — University of Pretoria Institutional Repository |
| spelling | oai:repository.up.ac.za:2263/103366 Clinician and patient views on antiretroviral treatment integration in primary health care clinics, Tshwane, South Africa Hendricks, S.J.H. (Stephen) stephen.hendriks@up.ac.za Bergh, Anne-Marie Mathibe, Maphuthego Deliah UCTD Dissertation (MSc)--University of Pretoria, 2017. Background: Primary health care (PHC) clinicians and patients are major role players in the South African antiretroviral treatment programme. Understanding their perceptions of integrated care and the management of people living with HIV/AIDS in PHC facilities is necessary for successful implementation and sustainability. Objective: This study explored clinician and patient perceptions of integration of antiretroviral treatment in PHC clinics. Method: An exploratory, qualitative design was used. Four City of Tshwane PHC facilities were purposively selected, two urban and two rural. A self-administered questionnaire was distributed to 35 clinicians and four focus group interviews were conducted with HIV patients. Results: Models of care implemented were: full integration; partial integration; and separate services. Workload, staff development and support for integration affected clinicians’ performance and viewpoints. Promotion of privacy, reduced discrimination and increased access to comprehensive care were perceived as benefits of service integration and delays, poor patient care and patient dissatisfaction as negative aspects. In three facilities patients were satisfied with integration or semi-integration and felt common queues prevented stigma and discrimination, while the reverse was true in separate services. Single-month issuance of antiretroviral drugs and clinic schedule organisation were viewed negatively, as well as staff attitudes, poor communication and long waiting times. Conclusion: Integration of ART service in primary health services improved accessibility of the comprehensive service packages and coverage. The fully integrated model shared resources and had equitable work distribution amongst clinicians. This study was part of my masters in public health studies. I conceptualised and conducted the study. Professor Hendricks was the supervisor and Dr Bergh guided and supported the research process and assisted with data analysis. Dr Bergh and I wrote the first draft of the manuscript and Prof Hendricks gave inputs to the final manuscript. All authors approved the final manuscript for submission. School of Health Systems and Public Health (SHSPH) MSc Restricted 2025-07-15T09:02:19Z 2025-07-15T09:02:19Z 2014 2014 Dissertation * http://hdl.handle.net/2263/103366 en © 2021 University of Pretoria. All rights reserved. The copyright in this work vests in the University of Pretoria. No part of this work may be reproduced or transmitted in any form or by any means, without the prior written permission of the University of Pretoria. application/pdf University of Pretoria |
| spellingShingle | UCTD Clinician and patient views on antiretroviral treatment integration in primary health care clinics, Tshwane, South Africa |
| title | Clinician and patient views on antiretroviral treatment integration in primary health care clinics, Tshwane, South Africa |
| title_full | Clinician and patient views on antiretroviral treatment integration in primary health care clinics, Tshwane, South Africa |
| title_fullStr | Clinician and patient views on antiretroviral treatment integration in primary health care clinics, Tshwane, South Africa |
| title_full_unstemmed | Clinician and patient views on antiretroviral treatment integration in primary health care clinics, Tshwane, South Africa |
| title_short | Clinician and patient views on antiretroviral treatment integration in primary health care clinics, Tshwane, South Africa |
| title_sort | clinician and patient views on antiretroviral treatment integration in primary health care clinics tshwane south africa |
| topic | UCTD |
| url | http://hdl.handle.net/2263/103366 |