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The importance of self-management for better treatment outcomes for HIV patients in a low-income setting: perspectives of HIV experts and service providers.
- Source :
- AIDS Research & Therapy; 5/4/2024, Vol. 21 Issue 1, p1-11, 11p
- Publication Year :
- 2024
-
Abstract
- Background: Self-management is the most important strategy to improve quality of life in patients with a chronic disease. Despite the increasing number of people living with HIV (PLWH) in low-income countries, very little research on self-management is conducted in this setting. The aim of this research is to understand the perspectives of service providers and experts on the importance of self-management for PLWH. Methods: A systematizing expert interview type of qualitative methodology was used to gain the perspectives of experts and service providers. The study participants had experience in researching, managing, or providing HIV service in east and southern African (ESA) countries. All the interviews were audio recorded, transcribed, and translated to English. The quality of the transcripts was ensured by randomly checking the texts against the audio record. A thematic analysis approach supported by Atlas TI version 9 software. Result: PLWH face a variety of multi-dimensional problems thematized under contextual and process dimensions. The problems identified under the contextual dimension include disease-specific, facility-related, and social environment-related. Problems with individual origin, such as ignorance, outweighing beliefs over scientific issues, low self-esteem, and a lack of social support, were mostly highlighted under the process dimensions. Those problems have a deleterious impact on self-management, treatment outcomes, and the quality of life of PLWH. Low self-management is also a result of professional-centered service delivery in healthcare facilities and health service providers' incapacity to comprehend a patient's need beyond the medical concerns. Participants in the study asserted that patients have a significant stake in enhancing treatment results and quality of life through enhancing self-management. Conclusion and recommendation: HIV patients face multifaceted problems beyond their medical issues. The success of medical treatment for HIV is strongly contingent upon patients' self-management practices and the supportive roles of their family, society, and health service providers. The development and integration of self-management practices into clinical care will benefit patients, their families, and the health system. [ABSTRACT FROM AUTHOR]
- Subjects :
- MIDDLE-income countries
SELF-management (Psychology)
QUALITATIVE research
HEALTH attitudes
MEDICAL quality control
MEDICAL care
HIV infections
TREATMENT effectiveness
DESCRIPTIVE statistics
PSYCHOLOGY of HIV-positive persons
SOUND recordings
THEMATIC analysis
PATIENT-centered care
QUALITY of life
SOCIAL support
QUALITY assurance
DATA analysis software
LOW-income countries
SELF-perception
Subjects
Details
- Language :
- English
- ISSN :
- 17426405
- Volume :
- 21
- Issue :
- 1
- Database :
- Complementary Index
- Journal :
- AIDS Research & Therapy
- Publication Type :
- Academic Journal
- Accession number :
- 177046024
- Full Text :
- https://doi.org/10.1186/s12981-024-00612-9