Please use this identifier to cite or link to this item:
https://hdl.handle.net/10321/4506
DC Field | Value | Language |
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dc.contributor.author | Perriat, Delphine | en_US |
dc.contributor.author | Plazy, Mélanie | en_US |
dc.contributor.author | Gumede, Dumile | en_US |
dc.contributor.author | Boyer, Sylvie | en_US |
dc.contributor.author | Pillay, Deenan | en_US |
dc.contributor.author | Dabis, François | en_US |
dc.contributor.author | Seeley, Janet | en_US |
dc.contributor.author | Orne-Gliemann, Joanna | en_US |
dc.contributor.author | ANRS 12249 TasP Study Group | en_US |
dc.date.accessioned | 2022-11-07T08:52:35Z | - |
dc.date.available | 2022-11-07T08:52:35Z | - |
dc.date.issued | 2018-01 | - |
dc.identifier.citation | Perriat, D. et al. 2018. If you are here at the clinic, you do not know how many people need help in the community : perspectives of home-based HIV services from health care workers in rural KwaZulu-Natal, South Africa in the era of universal test-and-treat. PloS one. 13(11): e0202473-. doi:10.1371/journal.pone.0202473 | en_US |
dc.identifier.issn | 1932-6203 (Online) | - |
dc.identifier.other | pubmed: 30412926 | - |
dc.identifier.other | pmc: PMC6226311 | - |
dc.identifier.uri | https://hdl.handle.net/10321/4506 | - |
dc.description.abstract | Limited engagement in clinic-based care is affecting the HIV response. We explored the field experiences and perceptions of local health care workers regarding home-based strategies as opportunities to improve the cascade of care of people living with HIV in rural South Africa as part of a Universal Test-and-Treat approach.<h4>Methods</h4>In Hlabisa sub-district, home-based HIV services, including rapid HIV testing and counselling, and support for linkage to and retention in clinic-based HIV care, were implemented by health care workers within the ANRS 12249 Treatment-as-Prevention (TasP) trial. From April to July 2016, we conducted a mixed-methods study among health care workers from the TasP trial and from local government clinics, using self-administrated questionnaires (n = 90 in the TasP trial, n = 56 in government clinics), semi-structured interviews (n = 13 in the TasP trial, n = 5 in government clinics) and three focus group discussions (n = 6-10 health care workers of the TasP trial per group). Descriptive statistics were used for quantitative data and qualitative data were analysed thematically.<h4>Results</h4>More than 90% of health care workers assessed home-based testing and support for linkage to care as feasible and acceptable by the population they serve. Many health care workers underlined how home visits could facilitate reaching people who had slipped through the cracks of the clinic-based health care system and encourage them to successfully access care. Health care workers however expressed concerns about the ability of home-based services to answer the HIV care needs of all community members, including people working outside their home during the day or those who fear HIV-related stigmatization. Overall, health care workers encouraged policy-makers to more formally integrate home-based services in the local health system. They promoted reshaping the disease-specific and care-oriented services towards more comprehensive goals.<h4>Conclusion</h4>Because home-based services allow identification of people early during their infection and encourage them to take actions leading to viral suppression, HCWs assessed them as valuable components within the panel of UTT interventions, aiming to reach the 90-90-90 UNAIDS targets, especially in the rural Southern African region.<h4>Trial registration</h4>The registration number of the ANRS 12249 TasP trial on ClinicalTrials.gov is NCT01509508. | en_US |
dc.format.extent | 23 p | en_US |
dc.format.medium | Electronic-eCollection | - |
dc.language.iso | en | en_US |
dc.publisher | Public Library of Science (PLoS) | en_US |
dc.relation.ispartof | PloS one; Vol. 13, Issue 11 | en_US |
dc.subject | ANRS 12249 TasP Study Group | en_US |
dc.subject | General Science & Technology | en_US |
dc.subject.mesh | Humans | - |
dc.subject.mesh | HIV-1 | - |
dc.subject.mesh | HIV Infections | - |
dc.subject.mesh | Adult | - |
dc.subject.mesh | Home Care Services | - |
dc.subject.mesh | Rural Health Services | - |
dc.subject.mesh | Delivery of Health Care | - |
dc.subject.mesh | South Africa | - |
dc.subject.mesh | Female | - |
dc.subject.mesh | Male | - |
dc.subject.mesh | Surveys and Questionnaires | - |
dc.subject.mesh | Adult | - |
dc.subject.mesh | Delivery of Health Care | - |
dc.subject.mesh | Female | - |
dc.subject.mesh | HIV Infections | - |
dc.subject.mesh | HIV-1 | - |
dc.subject.mesh | Home Care Services | - |
dc.subject.mesh | Humans | - |
dc.subject.mesh | Male | - |
dc.subject.mesh | Rural Health Services | - |
dc.subject.mesh | South Africa | - |
dc.subject.mesh | Surveys and Questionnaires | - |
dc.title | If you are here at the clinic, you do not know how many people need help in the community : perspectives of home-based HIV services from health care workers in rural KwaZulu-Natal, South Africa in the era of universal test-and-treat | en_US |
dc.type | Article | en_US |
dc.date.updated | 2022-10-26T13:55:43Z | - |
dcterms.dateAccepted | 2018-8-3 | - |
dc.identifier.doi | 10.1371/journal.pone.0202473 | - |
local.sdg | SDG03 | - |
local.sdg | SDG05 | - |
item.fulltext | With Fulltext | - |
item.openairecristype | http://purl.org/coar/resource_type/c_18cf | - |
item.languageiso639-1 | en | - |
item.openairetype | Article | - |
item.grantfulltext | open | - |
item.cerifentitytype | Publications | - |
Appears in Collections: | Research Publications (Health Sciences) |
Files in This Item:
File | Description | Size | Format | |
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Perriat et al 2018.pdf | Published version | 1.74 MB | Adobe PDF | View/Open |
PLOS Copyright clearance.docx | Copyright clearance | 209.58 kB | Microsoft Word XML | View/Open |
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