Health worker' perceptions of risks, barriers to and facilitators of long-acting injectable antiretroviral therapy delivery to women for prevention of vertical transmission programs.
This study examines the perceptions and experiences of health workers and caregivers regarding the delivery of long-acting antiretroviral therapy (LA-ART) in Uganda, especially for preventing vertical transmission of HIV. Using a qualitative implementation research design informed by the Health Beli...
| Publicado en: | AIDS Care Vol. 37; no. 8; pp. 1355 - 1366 |
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| Autores principales: | , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Taylor & Francis Ltd
Aug2025
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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=187409075&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 187409075 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09540121 AAE jtl: AIDS Care issn: 09540121 maglogo: N pubinfo: dt: Aug2025 vid: 37 iid: 8 pid: 377 pub: Taylor & Francis Ltd place: Philadelphia, Pennsylvania artinfo: ui: 187409075 187018355 187409075 187409075 10.1080/09540121.2025.2532600 187409075 ppf: 1355 ppct: 11 formats: tig: atl: Health worker' perceptions of risks, barriers to and facilitators of long-acting injectable antiretroviral therapy delivery to women for prevention of vertical transmission programs. aug: au: Ekusai-Sebatta, Deborah Kiragga, Agnes N. Odongpiny, Eva Laker Agnes Namugenyi, Ritah Shanice Byakika-Kibwika, Pauline Seeley, Janet King, Rachel affil: College of Health Sciences, Infectious Diseases Institute, Makerere University, Kampala, Uganda sug: subj: HIV Infections Transmission HIV Infections Prevention and Control Disease Transmission, Vertical Prevention and Control Anti-Retroviral Agents Administration and Dosage Disease Transmission, Vertical Risk Factors Attitude to Risk Health Services Accessibility Uganda Attitude of Health Personnel Uganda HIV Infections Risk Factors Work Experiences Caregiver Attitudes Uganda Injections Drug Delivery Systems Program Evaluation Human Uganda Qualitative Studies Implementation Science Health Belief Model Interviews Thematic Analysis Data Analysis Software Patient Preference Patient Satisfaction Medication Compliance Stigma Personnel, Health Facility Education Health Care Costs Patient Education Government Programs Funding Source ab: This study examines the perceptions and experiences of health workers and caregivers regarding the delivery of long-acting antiretroviral therapy (LA-ART) in Uganda, especially for preventing vertical transmission of HIV. Using a qualitative implementation research design informed by the Health Belief Model, the researchers conducted 17 key informant interviews with clinicians, nurses, peer mothers, social workers, department heads, and lead researchers across six study centers between May 2022 and September 2023. The interviews were recorded and transcribed verbatim into English language and analyzed thematically using NVivo 14. Five key themes emerged: perceived benefits, perceived barriers, facility readiness, and recommendations for implementation. Health workers highlighted benefits such as treatment convenience, improved adherence, and patient acceptance. However, they also identified major barriers, including stigma, limited staff training, and financial constraints. Concerns about health facility readiness particularly cold chain storage for the injectable medication were also noted. The findings underscore the importance of addressing these challenges to support effective LA-ART delivery. The study recommends comprehensive training for healthcare workers, patient education, and a phased rollout strategy. Understanding the views of frontline workers is crucial for the successful integration of LA-ART into HIV care and improving health outcomes for people living with HIV. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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