Back to Search
Start Over
A rehabilitation model as key to comprehensive care in the era of HIV as a chronic disease in South Africa.
- Source :
- AIDS Care; Mar2016 Supplement, Vol. 28, p132-139, 8p
- Publication Year :
- 2016
-
Abstract
- In the era of widespread access to antiretroviral therapy, people living with HIV survive; however, this comes with new experiences of comorbidities and HIV-related disability posing new challenges to rehabilitation professionals and an already fragile health system in Southern Africa. Public health approaches to HIV need to include not only prevention, treatment and support but also rehabilitation. While some well-resourced countries have developed rehabilitation approaches for HIV, resource-poor settings of Southern Africa lack a model of care that includes rehabilitation approaches providing accessible and comprehensive care for people living with HIV. In this study, a learning in action approach was used to conceptualize a comprehensive model of care that addresses HIV-related disability and a feasible rehabilitation framework for resource-poor settings. The study used qualitative methods in the form of a focus group discussion with thirty participants including people living with HIV, the multidisciplinary healthcare team and community outreach partners at a semi-rural health facility in South Africa. The discussion focused on barriers and enablers of access to rehabilitation. Participants identified barriers at various levels, including transport, physical access, financial constraints and poor multi-stakeholder team interaction. The results of the group discussions informed the design of an inclusive model of HIV care. This model was further informed by established integrated rehabilitation models. Participants emphasized that objectives need to respond to policy, improve access to patient-centered care and maintain a multidisciplinary team approach. They proposed that guiding principles should include efficient communication, collaboration of all stakeholders and leadership in teams to enable staff to implement the model. Training of professional staff and lay personnel within task-shifting approaches was seen as an essential enabler to implementation. The health facility as well as outreach services such as intermediate clinics, home-based care, outreach and community-based rehabilitation was identified as important structures for potential rehabilitation interventions. [ABSTRACT FROM PUBLISHER]
- Subjects :
- CHRONIC disease treatment
THERAPEUTICS
COMMUNICATION
COMMUNITY health services
FOCUS groups
HEALTH care teams
HEALTH facilities
HEALTH services accessibility
HIV infections
HIV-positive persons
HOME care services
INTERPROFESSIONAL relations
LEADERSHIP
MEDICAL care costs
MEDICAL personnel
PERSONNEL management
RESEARCH funding
TRANSPORTATION
QUALITATIVE research
JUDGMENT sampling
PATIENT-centered care
DATA analysis software
Subjects
Details
- Language :
- English
- ISSN :
- 09540121
- Volume :
- 28
- Database :
- Complementary Index
- Journal :
- AIDS Care
- Publication Type :
- Academic Journal
- Accession number :
- 114015270
- Full Text :
- https://doi.org/10.1080/09540121.2016.1146204