Using positive deviance to enhance HIV care retention in South Africa: development of a compassion-focused program to improve the staff and patient experience
These videos have been matched automatically. Contact us if they are not relevant.
These videos have been matched automatically. Contact us if they are not relevant.
View abstract on PubMed
Summary
This summary is machine-generated.Improving HIV patient retention in South Africa requires understanding what works. This study used a positive deviance approach to identify successful strategies in primary care facilities, leading to a new intervention to boost antiretroviral therapy adherence.
Area Of Science
- Public Health
- HIV/AIDS Research
- Health Services Research
Background
- South Africa faces a high HIV burden, with significant challenges in retaining patients on antiretroviral therapy (ART) within public primary care.
- Identifying factors that promote consistent patient retention is crucial for effective HIV management.
Purpose Of The Study
- To discover characteristics of primary care facilities with above-average 12-month retention rates for people with HIV (PWH) using a participatory positive deviance (PD) approach.
- To develop a targeted intervention based on identified high-retention facility characteristics.
Main Methods
- Conducted qualitative research including leadership interviews, staff and patient focus groups, patient shadowing, and facility observations in high- and low-retention facilities in Cape Town.
- Utilized the PD approach to analyze data and identify dominant characteristics contributing to higher ART retention rates.
Main Results
- Higher-retention facilities demonstrated compassionate, patient-centered care, high staff morale and team cohesion, efficient workflows, and welcoming environments.
- Developed the multidimensional 'Connect' intervention focusing on staff support, workflow optimization, and environmental improvements.
Conclusions
- The PD approach successfully identified key factors for improving ART retention in resource-limited settings.
- The 'Connect' intervention offers a potentially feasible and affordable strategy to enhance care for people with HIV if proven effective in trials.
These videos have been matched automatically. Contact us if they are not relevant.
These videos have been matched automatically. Contact us if they are not relevant.
Related Concept Videos
Retroviruses have a single-stranded RNA genome that undergoes a special form of replication. Once the retrovirus has entered the host cell, an enzyme called reverse transcriptase synthesizes double-stranded DNA from the retroviral RNA genome. This DNA copy of the genome is then integrated into the host’s genome inside the nucleus via an enzyme called integrase. Consequently, the retroviral genome is transcribed into RNA whenever the host’s genome is transcribed, allowing the...
Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
Sexually transmitted infections (STIs) are diseases transmitted primarily through unsafe sexual interactions. Bacteria, viruses, or parasites cause them and can result in severe health complications if untreated.ChlamydiaThe bacterium Chlamydia trachomatis is responsible for the disease Chlamydia, the most common STI in the United States. This peculiar pathogen requires human cells to reproduce, residing intracellularly. The initial infection often goes unnoticed because it typically does not...
Adopting a healthier lifestyle often requires overcoming significant challenges, but leveraging psychological, social, and cultural resources can facilitate meaningful change. Effective self-change hinges on understanding and applying key tools such as motivation and goal setting, which help sustain efforts toward long-term health benefits.
Motivation and Self-Determination
Motivation, the driving force behind behavior, plays a pivotal role at every stage of the change process. The research...
Operant conditioning serves as a foundational principle in therapeutic interventions aimed at modifying maladaptive behaviors. Central to this approach is the notion that behaviors, both adaptive and maladaptive, are learned through reinforcement. By analyzing the environmental factors that reinforce problematic behaviors, clinicians can design interventions to weaken these reinforcements and replace maladaptive behaviors with healthier alternatives.
In operant conditioning, behaviors that are...