Barriers to Access to Antiretroviral Treatment in Mozambique, as Perceived by Patients and Health Workers in Urban and Rural Settings
Barriers to Access to Antiretroviral Treatment in Mozambique, as Perceived by Patients and Health Workers in Urban and Rural Settings
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DOI：
10.1089/apc.2009.0050
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发表时间：
2009-10-01
影响因子：
4.9
通讯作者：
Baltussen, Rob
中科院分区：
文献类型：
--
作者：
Posse, Mariana;Baltussen, Rob
这项研究确定，排名，并比较被视为在莫桑比克城市和农村环境中获得抗逆转录病毒治疗（ART）的障碍因素。数据收集于2008年3月至7月。它包括13次重点小组讨论和一份结构化问卷，问卷对象是贝拉和布齐地区的252名艾滋病毒/艾滋病感染者和28名卫生工作者。采用内容分析、因子分析和最高得分百分比进行数据分析。数据分析揭示了六组因素，根据括号内最大可达到分数的百分比进行排序：（1）患者资源可用性，其中从家到卫生设施的距离，交通和食物可用性被评为低于40%;（2）社区信息（47%）;（3）服务可用性（53%），其中，等待获得CD 4分析结果的时间和卫生设施医生/护士的充足性均被评为45%;（4）患者信息和对治疗的态度（74%）、家庭支持（77%）和医务人员保密性（79%）。决策者在努力进一步改善获得抗逆转录病毒治疗的机会时，可能会决定在设计干预措施时将注意力集中在改善城乡环境中患者资源可用性、社区信息和服务可用性的具体方面。
This study identifies, ranks, and compares factors perceived as barriers to accessing antiretroviral treatment (ART) in urban and rural settings in Mozambique. Data were collected between March and July 2008. It consisted of 13 focus group discussions and a structured questionnaire administered to 252 people living with HIV/AIDS (PLWHA) and 28 health workers in the districts of Beira and Buzi. Data analysis was performed using content analysis, factor analysis, and percentages of the maximum attainable scores. The data analysis revealed six clusters of factors, which were ranked according to the percentages of the maximum attainable scores between brackets: (1) patient resource availability, in which distance from home to the health facility, transportation and food availability were rated below 40%; (2) community information (47%), and (3) service availability (53%), in which the waiting time to receive the results of CD4 analysis and the sufficiency of doctors/nurses at the health facility were both rated at 45%; (4) patient information and attitudes toward treatment (74%); family support (77%) and health personnel confidentiality (79%). Policy makers, in efforts to further improve the access to ART may decide to target their attention in designing interventions to improve specific aspects of patient resource availability, community information, and service availability in both urban and rural settings.