Implementation of South Africa's Central Chronic Medicine Dispensing and Distribution Program for HIV Treatment: A Qualitative Evaluation.
We used the Practical, Robust Implementation and Sustainability Model to evaluate implementation of South Africa's Central Chronic Medicine Dispensing and Distribution (CCMDD) program, a differentiated service delivery program which allows clinically stable HIV-positive patients to receive antiretro...
| Publicado en: | AIDS & Behavior Vol. 26; no. 8; pp. 2600 - 2613 |
|---|---|
| Autores principales: | , , , , , , , , |
| Formato: | Journal Article |
| Publicado: |
Springer Nature
Aug2022
|
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=157789297&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 157789297 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10907165 G1T jtl: AIDS & Behavior issn: 10907165 maglogo: N pubinfo: dt: Aug2022 vid: 26 iid: 8 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 157789297 155050341 10.1007/s10461-022-03602-y 157789297 ppf: 2600 ppct: 13 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Implementation of South Africa's Central Chronic Medicine Dispensing and Distribution Program for HIV Treatment: A Qualitative Evaluation. aug: au: Bogart, Laura M. Shazi, Zinhle MacCarthy, Sarah Mendoza-Graf, Alexandra Wara, Nafisa J. Zionts, Dani Dube, Nduduzo Govere, Sabina Bassett, Ingrid V. affil: RAND Corporation, P.O. Box 2138, 1776 Main Street, 90407-2138, Santa Monica, CA, USA sug: subj: Drugs, Prescription Supply and Distribution Human Immunodeficiency Virus Program Implementation South Africa Drug Delivery Systems Qualitative Studies South Africa Antiretroviral Therapy, Highly Active Health Care Delivery Acquired Immunodeficiency Syndrome Implementation Science HIV-Positive Persons Anti-Retroviral Agents Semi-Structured Interview Stakeholder Participation Focus Groups Consumer Attitudes Health Services Accessibility Patient Education Feedback Data Analysis Software Human ab: We used the Practical, Robust Implementation and Sustainability Model to evaluate implementation of South Africa's Central Chronic Medicine Dispensing and Distribution (CCMDD) program, a differentiated service delivery program which allows clinically stable HIV-positive patients to receive antiretroviral therapy refills at clinic- or community-based pick-up points. Across ten clinics, we conducted 109 semi-structured interviews with stakeholders (pick-up point staff, CCMDD service providers and administrators) and 16 focus groups with 138 patients. Participants had highly favorable attitudes and said CCMDD decreased stigma concerns. Patient-level barriers included inadequate education about CCMDD and inability to get refills on designated dates. Organizational-level barriers included challenges with communication and transportation, errors in medication packaging and tracking, rigid CCMDD rules, and inadequate infrastructure. Recommendations included: (1) provide patient education and improve communication around refills (at the patient level); (2) provide dedicated space and staff, and ongoing training (at the organizational/clinic level); and (3) allow for prescription renewal at pick-up points and less frequent refills, and provide feedback to clinics (at the CCMDD program level). pubtype: Academic Journal doctype: Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
|---|