Experiences of nurses in managing HIV and Tuberculosis in rural clinics, South Africa

Globally, an estimated 40.8 million people were living with Human Immunodeficiency Virus (HIV) in 2024, with approximately 8.15 million reported in South Africa by 2025. Pulmonary tuberculosis (PTB) remains a prevalent opportunistic infection among people living with HIV. There is a paucity of research on the experiences of professional nurses in managing HIV and PTB co-infection.

This study aimed to explore and describe the experiences of professional nurses in managing newly diagnosed patients living with HIV and PTB co-infection in the rural primary health care (PHC) clinics.

The research was conducted in Mthatha, Eastern Cape province, South Africa.

A qualitative research approach with an exploratory, descriptive and contextual design was used. Data were gathered from 11 professional nurses through semi-structured interviews, which were audio recorded, transcribed, and analysed using Tesch's eight-step method.

Three themes emerged, with Theme 1, exploring the roles of professional nurses in managing HIV and PTB co-infection. Theme 2, delved into the challenges experienced in managing this co-infection. Lastly, Theme 3 focused on the support structures that facilitated the care provision of patients.

The HIV and PTB co-infection affects people globally. Tailored interventions are needed to support clinicians, especially professional nurses, in managing HIV and PTB co-infection and improving care for newly diagnosed patients.

This study provides insights into the experiences of professional nurses in managing newly diagnosed patients living with HIV and PTB co-infection. It further expands the knowledge on health care interventions adopted by professional nurses to promote the health of these patients.