Short report: knowledge and perceptions of health workers that strengthen adherence for paediatric and adolescent clients on the intensive adherence counselling program in Kampala, Uganda: a qualitative study.
Short report: knowledge and perceptions of health workers that strengthen adherence for paediatric and adolescent clients on the intensive adherence counselling program in Kampala, Uganda: a qualitative study.
复制标题
DOI：
10.4314/ahs.v21i1.5s
复制
发表时间：
2021-05
影响因子：
1
通讯作者：
Nakanjako D
中科院分区：
文献类型：
--
作者：
Nasuuna E;Kigozi J;Muganzi A;Sewankambo N;Nakanjako D
卫生保健工作者（HWs）支持艾滋病毒阳性的儿童和青少年与可检测的艾滋病毒载量的强化依从性咨询（IAC）计划，以实现病毒抑制通过个人依从性咨询。低再抑制率为23%，表明在15个公共卫生设施的计划的有效性低。我们着手确定支持该计划以提高其有效性的HWS的知识和看法。我们进行了一项定性研究，其中五个卫生工作者，监督临床护理的儿童抗逆转录病毒治疗进行了采访有关该计划。收集了他们对该计划的了解以及对该计划无效原因的看法。采用了归纳法进行专题分析。阅读成绩单，编码和紧急主题确定。五名HW参与了该计划，他们都了解该计划。两个主题出现了IAC计划的有效性，病人因素和卫生系统因素的障碍。患者因素是未能参加预约，未能改变依从性的做法，并缺乏同意。卫生系统的因素是工作量过大，迟迟得不到结果和药品缺货。医务工作者了解IAC计划，应解决客户特定的障碍，以改善儿童的病毒抑制。
Health care workers (HWs) support HIV positive children and adolescents with detectable HIV viral loads on the intensive adherence counselling (IAC) program to achieve viral suppression through individual adherence counselling. Low re-suppression rates of 23% showed low program effectiveness in fifteen public health facilities. We set out to determine the knowledge and perceptions of HWs that support this program to improve its effectiveness. We conducted a qualitative study where five HWs that oversee clinical care for children on ART were interviewed about the program. Data on their knowledge of the program, and perceptions on why it was not effective was collected. Thematic analysis using the inductive approach was used. Transcripts were read, coded and emergent themes determined. Five HWs participated and all were knowledgeable about the program. Two themes emerged as barriers to IAC program effectiveness, patient factors and health system factors. Patient factors were failure to attend appointments, failure to change adherence practices, and lack of consent. Health system factors were work overload, delay in getting results and drug stock outs. HWs are knowledgeable about the IAC program and client specific barriers should be addressed to improve viral suppression for children.