Qualitative assessment of facilitators and barriers to HIV programme implementation by community health workers in Mopani district, South Africa

PloS One
Nireshni NaidooRemco P H Peters

Abstract

South Africa has implemented a community-based HIV programme (CBHP) in its primary healthcare (PHC) re-engineering strategy that aims to improve public healthcare delivery. This CBHP is delivered by ward-based outreach teams (WBOTs); provision of community HIV services comprises an important component of this programme. We conducted an exploratory study to determine the facilitators and barriers to successful implementation of this CBHP in rural Mopani District, South Africa. Focus group discussions were conducted with the community health workers (CHWs) and PHC nurses; participant interviews were conducted with community members who access these health services, community leaders, and social workers. We conducted a thematic content analysis and based on the key themes reported, we identified the Consolidated Framework for Implementation Research, consisting of five domains, as the most appropriate model to interpret our findings. First, in terms of intervention characteristics, community members generally valued the HIV services provided, but the variable needs impacted on programme implementation. Outer setting challenges include inability to meet the need of patients as a result of stigma, non-disclosure of HIV status and so...Continue Reading

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Citations

Nov 28, 2018·Health Security·Juliette MorganRebecca E Bunnell
Jan 19, 2020·Social Science & Medicine·Olajumoke OnaziEllen M H Mitchell
Apr 22, 2021·Cancer Causes & Control : CCC·Jaques van HeerdenUNKNOWN SACCSG Neuroblastoma Workgroup
May 5, 2021·BMC Health Services Research·Chukwudi A NnajiHumphrey Karamagi
Sep 24, 2021·Health Research Policy and Systems·Pamela LairdRoz Walker

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