Evaluation of the National Adherence Guidelines for Chronic Diseases in South Africa : Healthcare Provider Perspectives on Different Care Models, 2017
This report presents the result of the qualitative evaluation to understand the implementation of five adherence interventions from the provider perspective in four South African provinces. The research is part of the evaluation of the new Adherenc...
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World Bank, Washington, DC
2017
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| Online Access: | http://documents.worldbank.org/curated/en/810521507666263273/Evaluation-of-the-national-adherence-guidelines-for-chronic-diseases-in-South-Africa-healthcare-provider-perspectives-on-different-care-models-2017 http://hdl.handle.net/10986/28873 |
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okr-10986-288732021-06-14T10:12:22Z Evaluation of the National Adherence Guidelines for Chronic Diseases in South Africa : Healthcare Provider Perspectives on Different Care Models, 2017 World Bank Fraser, Nicole Shubber, Zara Görgens, Marelize EVALUATION SURVEYS HEALTHCARE SERVICE DELIVERY HEALTH INTERVENTIONS ANTIRETROVIRAL THERAPY TUBERCULOSIS HIV AIDS CHRONIC DISEASE This report presents the result of the qualitative evaluation to understand the implementation of five adherence interventions from the provider perspective in four South African provinces. The research is part of the evaluation of the new Adherence Guidelines for HIV, TB and other chronic diseases. The study sought to answer four key questions: 1. What are the barriers to and facilitators of implementing the minimum package interventions from the perspective of the providers? 2. What are the strengths and weaknesses of each intervention for HIV positive patients from the perspective of providers? 3. How could implementation of adherence interventions and the minimum package of interventions be improved? 4. What additional strategies do providers feel would be helpful in improving treatment adherence? The report presents the thematic analysis of the qualitative interview transcripts under each of the four questions. Emerging themes are illustrated with quotes from respondents at intervention and control clinics. The results show that providers were generally positive about all the interventions, though they had mixed comments about the Direct Medicine Delivery and Tracing and Retention-in-Care models, largely because they were not always well implemented or providers felt they did not have the resources to implement them at scale. Additionally, providers' views were mixed on their perceived effectiveness of Adherence Clubs. 2017-11-15T22:25:56Z 2017-11-15T22:25:56Z 2017-06 Report http://documents.worldbank.org/curated/en/810521507666263273/Evaluation-of-the-national-adherence-guidelines-for-chronic-diseases-in-South-Africa-healthcare-provider-perspectives-on-different-care-models-2017 http://hdl.handle.net/10986/28873 English CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo World Bank World Bank, Washington, DC Economic & Sector Work :: Other Health Study Economic & Sector Work Africa South Africa |
| repository_type |
Digital Repository |
| institution_category |
Foreign Institution |
| institution |
Digital Repositories |
| building |
World Bank Open Knowledge Repository |
| collection |
World Bank |
| language |
English |
| topic |
EVALUATION SURVEYS HEALTHCARE SERVICE DELIVERY HEALTH INTERVENTIONS ANTIRETROVIRAL THERAPY TUBERCULOSIS HIV AIDS CHRONIC DISEASE |
| spellingShingle |
EVALUATION SURVEYS HEALTHCARE SERVICE DELIVERY HEALTH INTERVENTIONS ANTIRETROVIRAL THERAPY TUBERCULOSIS HIV AIDS CHRONIC DISEASE World Bank Evaluation of the National Adherence Guidelines for Chronic Diseases in South Africa : Healthcare Provider Perspectives on Different Care Models, 2017 |
| geographic_facet |
Africa South Africa |
| description |
This report presents the result of the
qualitative evaluation to understand the implementation of
five adherence interventions from the provider perspective
in four South African provinces. The research is part of the
evaluation of the new Adherence Guidelines for HIV, TB and
other chronic diseases. The study sought to answer four key
questions: 1. What are the barriers to and facilitators of
implementing the minimum package interventions from the
perspective of the providers? 2. What are the strengths and
weaknesses of each intervention for HIV positive patients
from the perspective of providers? 3. How could
implementation of adherence interventions and the minimum
package of interventions be improved? 4. What additional
strategies do providers feel would be helpful in improving
treatment adherence? The report presents the thematic
analysis of the qualitative interview transcripts under each
of the four questions. Emerging themes are illustrated with
quotes from respondents at intervention and control clinics.
The results show that providers were generally positive
about all the interventions, though they had mixed comments
about the Direct Medicine Delivery and Tracing and
Retention-in-Care models, largely because they were not
always well implemented or providers felt they did not have
the resources to implement them at scale. Additionally,
providers' views were mixed on their perceived
effectiveness of Adherence Clubs. |
| author2 |
Fraser, Nicole |
| author_facet |
Fraser, Nicole World Bank |
| format |
Report |
| author |
World Bank |
| author_sort |
World Bank |
| title |
Evaluation of the National Adherence Guidelines for Chronic Diseases in South Africa : Healthcare Provider Perspectives on Different Care Models, 2017 |
| title_short |
Evaluation of the National Adherence Guidelines for Chronic Diseases in South Africa : Healthcare Provider Perspectives on Different Care Models, 2017 |
| title_full |
Evaluation of the National Adherence Guidelines for Chronic Diseases in South Africa : Healthcare Provider Perspectives on Different Care Models, 2017 |
| title_fullStr |
Evaluation of the National Adherence Guidelines for Chronic Diseases in South Africa : Healthcare Provider Perspectives on Different Care Models, 2017 |
| title_full_unstemmed |
Evaluation of the National Adherence Guidelines for Chronic Diseases in South Africa : Healthcare Provider Perspectives on Different Care Models, 2017 |
| title_sort |
evaluation of the national adherence guidelines for chronic diseases in south africa : healthcare provider perspectives on different care models, 2017 |
| publisher |
World Bank, Washington, DC |
| publishDate |
2017 |
| url |
http://documents.worldbank.org/curated/en/810521507666263273/Evaluation-of-the-national-adherence-guidelines-for-chronic-diseases-in-South-Africa-healthcare-provider-perspectives-on-different-care-models-2017 http://hdl.handle.net/10986/28873 |
| _version_ |
1764467929025347584 |