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Patient and provider perspectives inform an intervention to improve linkage to care for HIV patients in Ukraine

Overview of attention for article published in BMC Health Services Research, January 2018
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Title
Patient and provider perspectives inform an intervention to improve linkage to care for HIV patients in Ukraine
Published in
BMC Health Services Research, January 2018
DOI 10.1186/s12913-018-2885-4
Pubmed ID
Authors

Tetiana Kiriazova, Oleksandr Postnov, Trista Bingham, Janet Myers, Timothy Flanigan, Charles Vitek, Oleksandr Neduzhko

Abstract

Engagement with HIV medical care is critical to successful HIV treatment and prevention efforts. However, in Ukraine, delays in the timely initiation of HIV treatment hamper viral suppression. By January 01, 2016, only 126,604 (57.5%) of the estimated 220,000 people living with HIV (PLWH) had registered for HIV care, and most (55.1%) of those who registered for HIV care in 2015 did that at a late stage of infection. In the US, Anti-Retroviral Treatment and Access to Services (ARTAS) intervention successfully linked newly diagnosed PLWH to HIV services using strengths-based case management with a linkage coordinator. To tailor the ARTAS intervention for Ukraine, we conducted a qualitative study with patients and providers to understand barriers and facilitators that influence linkage to HIV care. During September-October 2014, we conducted 20 in-depth interviews with HIV-positive patients and two focus groups with physicians in infectious disease, sexually transmitted infection (STI), and addiction clinics in Dnipropetrovsk Region of Ukraine. Interviews and focus groups were audio-recorded and transcribed verbatim. We translated illustrative quotes into English. We used thematic analysis for the data analysis. Participants (20 patients and 14 physicians) identified multiple, mostly individual-level factors influencing HIV care initiation. Key barriers included lack of HIV knowledge, non-acceptance of HIV diagnosis, fear of HIV disclosure, lack of psychological support from health providers, and HIV stigma in community. Responsibility for one's health, health deterioration, and supportive provider communication were reported as facilitators to linkage to care. Expected benefits from the case management intervention included psychological support, HIV education, and help with navigating the segmented health system. The findings from the study will be used to optimize the ARTAS for the Ukrainian context. Our findings can also support future linkage-to-care strategies in other countries of Eastern Europe and Central Asia.

Twitter Demographics

The data shown below were collected from the profiles of 2 tweeters who shared this research output. Click here to find out more about how the information was compiled.

Mendeley readers

The data shown below were compiled from readership statistics for 74 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 74 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 10 14%
Researcher 9 12%
Student > Ph. D. Student 8 11%
Student > Bachelor 6 8%
Student > Doctoral Student 5 7%
Other 15 20%
Unknown 21 28%
Readers by discipline Count As %
Nursing and Health Professions 18 24%
Psychology 8 11%
Social Sciences 8 11%
Medicine and Dentistry 6 8%
Agricultural and Biological Sciences 2 3%
Other 8 11%
Unknown 24 32%

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 18 September 2018.
All research outputs
#10,321,862
of 13,532,333 outputs
Outputs from BMC Health Services Research
#3,670
of 4,541 outputs
Outputs of similar age
#266,470
of 396,951 outputs
Outputs of similar age from BMC Health Services Research
#1
of 1 outputs
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