Title |
Implementing nurse-initiated and managed antiretroviral treatment (NIMART) in South Africa: a qualitative process evaluation of the STRETCH trial
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Published in |
Implementation Science, July 2012
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DOI | 10.1186/1748-5908-7-66 |
Pubmed ID | |
Authors |
Daniella Georgeu, Christopher J Colvin, Simon Lewin, Lara Fairall, Max O Bachmann, Kerry Uebel, Merrick Zwarenstein, Beverly Draper, Eric D Bateman |
Abstract |
Task-shifting is promoted widely as a mechanism for expanding antiretroviral treatment (ART) access. However, the evidence for nurse-initiated and managed ART (NIMART) in Africa is limited, and little is known about the key barriers and enablers to implementing NIMART programmes on a large scale. The STRETCH (Streamlining Tasks and Roles to Expand Treatment and Care for HIV) programme was a complex educational and organisational intervention implemented in the Free State Province of South Africa to enable nurses providing primary HIV/AIDS care to expand their roles and include aspects of care and treatment usually provided by physicians. STRETCH used a phased implementation approach and ART treatment guidelines tailored specifically to nurses. The effects of STRETCH on pre-ART mortality, ART provision, and the quality of HIV/ART care were evaluated through a randomised controlled trial. This study was conducted alongside the trial to develop a contextualised understanding of factors affecting the implementation of the programme. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
United Kingdom | 1 | 33% |
Unknown | 2 | 67% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 2 | 67% |
Science communicators (journalists, bloggers, editors) | 1 | 33% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
United States | 3 | 1% |
South Africa | 2 | <1% |
United Kingdom | 2 | <1% |
Georgia | 1 | <1% |
Sweden | 1 | <1% |
Unknown | 241 | 96% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Master | 48 | 19% |
Researcher | 43 | 17% |
Student > Ph. D. Student | 29 | 12% |
Student > Bachelor | 20 | 8% |
Student > Postgraduate | 12 | 5% |
Other | 61 | 24% |
Unknown | 37 | 15% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 92 | 37% |
Nursing and Health Professions | 35 | 14% |
Social Sciences | 31 | 12% |
Psychology | 12 | 5% |
Business, Management and Accounting | 7 | 3% |
Other | 26 | 10% |
Unknown | 47 | 19% |