A Qualitative Assessment of South Africa's Central Chronic Medication Dispensing and Distribution Program for Differentiated Antiretroviral Therapy Delivery in Umlazi Township, South Africa: Client Perspectives after 12 Months of Participation.
South Africa's Central Chronic Medicine Dispensing and Distribution (CCMDD) program provides community-based medication delivery for clinically stable people with HIV (PWH) on antiretroviral therapy (ART). To evaluate CCMDD implementation, we conducted semi-structured interviews with 60 PWH enrolled...
| Publicado en: | AIDS & Behavior Vol. 29; no. 2; pp. 673 - 684 |
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| Autores principales: | , , , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Springer Nature
Feb2025
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| 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=182957468&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 182957468 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10907165 G1T jtl: AIDS & Behavior issn: 10907165 maglogo: N pubinfo: dt: Feb2025 vid: 29 iid: 2 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 182957468 180818324 182957468 182957468 10.1007/s10461-024-04549-y 182957468 ppf: 673 ppct: 11 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: A Qualitative Assessment of South Africa's Central Chronic Medication Dispensing and Distribution Program for Differentiated Antiretroviral Therapy Delivery in Umlazi Township, South Africa: Client Perspectives after 12 Months of Participation. aug: au: Mendoza-Graf, Alexandra Bogart, Laura M. Shazi, Zinhle Khumalo, Anele Qureshi, Nabeel Rahman, Kashfia Govere, Sabina Zionts, Dani Nzuza, Mpilonhle Bassett, Ingrid V. affil: https://ror.org/00f2z7n96 RAND Corporation, Santa Monica, CA, USA sug: subj: Medication Systems Evaluation Program Implementation Psychosocial Factors Patient Attitudes Evaluation Anti-Retroviral Agents Patient Participation South Africa Funding Source Human Male Female Adult Middle Age Qualitative Studies Semi-Structured Interview Content Analysis Interview Guides Implementation Science Conceptual Framework Medication Errors Communication Stigma Acquired Immunodeficiency Syndrome Professional-Patient Relations Adult: 19-44 years Middle Aged: 45-64 years Male Female ab: South Africa's Central Chronic Medicine Dispensing and Distribution (CCMDD) program provides community-based medication delivery for clinically stable people with HIV (PWH) on antiretroviral therapy (ART). To evaluate CCMDD implementation, we conducted semi-structured interviews with 60 PWH enrolled in CCMDD for at least 12 months. In a directed content analysis based on the Practical, Robust Implementation and Sustainability Model (PRISM) implementation science framework, key themes were compared with qualitative data collected from PWH enrolling in CCMDD at an earlier time-point. Results indicated consistently positive views of CCMDD, primarily attributed to convenient and smooth medication pick-up. At the later (vs. earlier) time-point, participants discussed less clinic crowding, mentioned few medication errors, and noted improved communication around refills. Community HIV stigma was a persistent challenge, as was nurses' judgmental communication style. To ensure CCMDD's success, continued focus is needed on decreasing HIV stigma beyond the clinic context and improving provider-patient relationships. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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