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Experiences in receiving financial incentives to access HIV care in Johannesburg, South Africa

BACKGROUND: Financial incentivisation has been used to improve all steps of the HIV cascade with varying results. Most studies conducted on the matter are of a quantitative nature, not giving enough space for in-depth understanding as to why financial incentives work or do not work. OBJECTIVES: To d...

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Autores principales: Schlehr, Sara Rachel, Singh, Leanne, Nyatela, Athini, Nqakala, Sizwe, Lalla-Edward, Samanta T.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: AOSIS 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9724036/
https://www.ncbi.nlm.nih.gov/pubmed/36479419
http://dx.doi.org/10.4102/sajhivmed.v23i1.1426
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author Schlehr, Sara Rachel
Singh, Leanne
Nyatela, Athini
Nqakala, Sizwe
Lalla-Edward, Samanta T.
author_facet Schlehr, Sara Rachel
Singh, Leanne
Nyatela, Athini
Nqakala, Sizwe
Lalla-Edward, Samanta T.
author_sort Schlehr, Sara Rachel
collection PubMed
description BACKGROUND: Financial incentivisation has been used to improve all steps of the HIV cascade with varying results. Most studies conducted on the matter are of a quantitative nature, not giving enough space for in-depth understanding as to why financial incentives work or do not work. OBJECTIVES: To describe experiences with, and opinions on, the use of financial incentives to promote linkage to and retention in care from the perspective of people living with HIV. METHOD: We performed a qualitative cross-sectional study. In-depth interviews were conducted with adult men and women with HIV accessing health services or research study visits. After codebook development, NVivo 12 software was used to code and analyse the data. RESULTS: Through the provision of financial incentives, participants were able to cover basic needs. However, some deemed financial incentives as a form of income rather than a nudge to spark interest in changing their health behaviour. Participants communicated that a need for some type of incentive exists and recommended food vouchers as the best possible solution. CONCLUSION: Financial incentivisation can facilitate engagement in the HIV care continuum through providing support to people living with HIV. WHAT THIS STUDY ADDS: This study complements the body of research that explores the feasibility of using incentives and which of them may be most beneficial in encouraging patients with HIV to enter into and sustain HIV care.
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spelling pubmed-97240362022-12-06 Experiences in receiving financial incentives to access HIV care in Johannesburg, South Africa Schlehr, Sara Rachel Singh, Leanne Nyatela, Athini Nqakala, Sizwe Lalla-Edward, Samanta T. South Afr J HIV Med Original Research BACKGROUND: Financial incentivisation has been used to improve all steps of the HIV cascade with varying results. Most studies conducted on the matter are of a quantitative nature, not giving enough space for in-depth understanding as to why financial incentives work or do not work. OBJECTIVES: To describe experiences with, and opinions on, the use of financial incentives to promote linkage to and retention in care from the perspective of people living with HIV. METHOD: We performed a qualitative cross-sectional study. In-depth interviews were conducted with adult men and women with HIV accessing health services or research study visits. After codebook development, NVivo 12 software was used to code and analyse the data. RESULTS: Through the provision of financial incentives, participants were able to cover basic needs. However, some deemed financial incentives as a form of income rather than a nudge to spark interest in changing their health behaviour. Participants communicated that a need for some type of incentive exists and recommended food vouchers as the best possible solution. CONCLUSION: Financial incentivisation can facilitate engagement in the HIV care continuum through providing support to people living with HIV. WHAT THIS STUDY ADDS: This study complements the body of research that explores the feasibility of using incentives and which of them may be most beneficial in encouraging patients with HIV to enter into and sustain HIV care. AOSIS 2022-11-17 /pmc/articles/PMC9724036/ /pubmed/36479419 http://dx.doi.org/10.4102/sajhivmed.v23i1.1426 Text en © 2022. The Authors https://creativecommons.org/licenses/by/4.0/Licensee: AOSIS. This work is licensed under the Creative Commons Attribution License.
spellingShingle Original Research
Schlehr, Sara Rachel
Singh, Leanne
Nyatela, Athini
Nqakala, Sizwe
Lalla-Edward, Samanta T.
Experiences in receiving financial incentives to access HIV care in Johannesburg, South Africa
title Experiences in receiving financial incentives to access HIV care in Johannesburg, South Africa
title_full Experiences in receiving financial incentives to access HIV care in Johannesburg, South Africa
title_fullStr Experiences in receiving financial incentives to access HIV care in Johannesburg, South Africa
title_full_unstemmed Experiences in receiving financial incentives to access HIV care in Johannesburg, South Africa
title_short Experiences in receiving financial incentives to access HIV care in Johannesburg, South Africa
title_sort experiences in receiving financial incentives to access hiv care in johannesburg, south africa
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9724036/
https://www.ncbi.nlm.nih.gov/pubmed/36479419
http://dx.doi.org/10.4102/sajhivmed.v23i1.1426
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