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“There Are Just Too Many Rooms Here!” Perception of Clients and Health Care Workers on the Implementation of Test and Treat Strategy at Area 25 Health Center in Lilongwe, Malawi

Background: Malawi adopted World Health Organisation test-and-treat policy in 2016. The policy initiates early antiretroviral treatment to all clients diagnosed with HIV, irrespective of their CD4 count. However, some facilities record low linkage following the strategy. Perceptions of clients and h...

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Autores principales: Chigona, Regina Kasiya, Mipando, Alinane Linda Nyondo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9943958/
https://www.ncbi.nlm.nih.gov/pubmed/36760147
http://dx.doi.org/10.1177/23259582231154224
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author Chigona, Regina Kasiya
Mipando, Alinane Linda Nyondo
author_facet Chigona, Regina Kasiya
Mipando, Alinane Linda Nyondo
author_sort Chigona, Regina Kasiya
collection PubMed
description Background: Malawi adopted World Health Organisation test-and-treat policy in 2016. The policy initiates early antiretroviral treatment to all clients diagnosed with HIV, irrespective of their CD4 count. However, some facilities record low linkage following the strategy. Perceptions of clients and health care workers on the implementation of test-and-treat strategy were explored in Malawi. Methods: A descriptive qualitative approach was conducted in which 21 in-depth interviews, 9 key informant interviews, and 15 non-participatory observations were conducted. Data were analyzed following thematic approach. Results: Most participants had positive perceptions of the test-and-treat strategy. However, negative perceptions stemmed from the fragmented structure of the facility with multiple rooms in which the client navigates through as well as limited privacy. Conclusion: Optimal implementation of the test-and-treat strategy will need to strengthen privacy and minimize unintended disclosure that is inherent in the organization of services.
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spelling pubmed-99439582023-02-23 “There Are Just Too Many Rooms Here!” Perception of Clients and Health Care Workers on the Implementation of Test and Treat Strategy at Area 25 Health Center in Lilongwe, Malawi Chigona, Regina Kasiya Mipando, Alinane Linda Nyondo J Int Assoc Provid AIDS Care Original Research Article Background: Malawi adopted World Health Organisation test-and-treat policy in 2016. The policy initiates early antiretroviral treatment to all clients diagnosed with HIV, irrespective of their CD4 count. However, some facilities record low linkage following the strategy. Perceptions of clients and health care workers on the implementation of test-and-treat strategy were explored in Malawi. Methods: A descriptive qualitative approach was conducted in which 21 in-depth interviews, 9 key informant interviews, and 15 non-participatory observations were conducted. Data were analyzed following thematic approach. Results: Most participants had positive perceptions of the test-and-treat strategy. However, negative perceptions stemmed from the fragmented structure of the facility with multiple rooms in which the client navigates through as well as limited privacy. Conclusion: Optimal implementation of the test-and-treat strategy will need to strengthen privacy and minimize unintended disclosure that is inherent in the organization of services. SAGE Publications 2023-02-09 /pmc/articles/PMC9943958/ /pubmed/36760147 http://dx.doi.org/10.1177/23259582231154224 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by-nc/4.0/This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Original Research Article
Chigona, Regina Kasiya
Mipando, Alinane Linda Nyondo
“There Are Just Too Many Rooms Here!” Perception of Clients and Health Care Workers on the Implementation of Test and Treat Strategy at Area 25 Health Center in Lilongwe, Malawi
title “There Are Just Too Many Rooms Here!” Perception of Clients and Health Care Workers on the Implementation of Test and Treat Strategy at Area 25 Health Center in Lilongwe, Malawi
title_full “There Are Just Too Many Rooms Here!” Perception of Clients and Health Care Workers on the Implementation of Test and Treat Strategy at Area 25 Health Center in Lilongwe, Malawi
title_fullStr “There Are Just Too Many Rooms Here!” Perception of Clients and Health Care Workers on the Implementation of Test and Treat Strategy at Area 25 Health Center in Lilongwe, Malawi
title_full_unstemmed “There Are Just Too Many Rooms Here!” Perception of Clients and Health Care Workers on the Implementation of Test and Treat Strategy at Area 25 Health Center in Lilongwe, Malawi
title_short “There Are Just Too Many Rooms Here!” Perception of Clients and Health Care Workers on the Implementation of Test and Treat Strategy at Area 25 Health Center in Lilongwe, Malawi
title_sort “there are just too many rooms here!” perception of clients and health care workers on the implementation of test and treat strategy at area 25 health center in lilongwe, malawi
topic Original Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9943958/
https://www.ncbi.nlm.nih.gov/pubmed/36760147
http://dx.doi.org/10.1177/23259582231154224
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