Patient and health worker experiences of differentiated models of care for stable HIV patients in Malawi: A qualitative study

PloS One
Margaret L PrustAndrews Gunda

Abstract

Several models of differentiated care for stable HIV patients on antiretroviral therapy (ART) in Malawi have been introduced to ensure that care is efficient and patient-centered. Three models have been prioritized by the government for a deeper and broader understanding: adjusted appointment spacing through multi-month scripting (MMS); fast-track drug refills (FTRs) on alternating visits; and community ART groups (CAGs) where rotating group members collect medications at the facility for all members. This qualitative study aimed to understand the challenges and successes of implementing these models of care and of the process of patient differentiation. A qualitative study was conducted as a part of a broader process evaluation in 30 purposefully selected ART facilities between February and May 2016. Semi-structured, in-depth interviews with 32 health workers that managed and coordinated ART clinics and 30 focus groups were held with 216 ART patients. Interviews and focus groups were audio recorded, transcribed, and coded thematically. Participants reported that the models of differentiated care have yielded key benefits, including: reduced patients' travel and visit time, decongestion of facilities, and enhanced social suppor...Continue Reading

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Citations

Apr 26, 2019·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Ingrid Eshun-WilsonElvin H Geng
Apr 13, 2020·International Journal of Clinical Practice·Yara R Al TallRana K Abu-Farha
Mar 19, 2020·BMC Health Services Research·Henry ZakumumpaNeil Spicer
Jun 24, 2020·AIDS Research and Therapy·Blessings N Kaunda-KhangamwaLenore Manderson
Aug 26, 2020·Research in Social & Administrative Pharmacy : RSAP·Iyeseun O AsiebaToyin Tofade

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