Evaluation of the National Adherence Guidelines for Chronic Diseases in South Africa : Patient Perspectives on Differentiated Care Models, 2017

This report presents the result of the qualitative evaluation to understand the implementation of five adherence interventions from the patient perspective in four South African provinces. The research is part of the evaluation of the new Adherence...

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Main Author:	World Bank
Other Authors:	Fraser, Nicole
Format:	Report
Language:	English
Published:	World Bank, Washington, DC 2017
Subjects:	CHRONIC DISEASE HIV AIDS TUBERCULOSIS EVALUATION SERVICE DELIVERY SURVEYS HEALTHCARE PATIENT INTERVIEWS
Online Access:	http://documents.worldbank.org/curated/en/779941507667444415/Evaluation-of-the-national-adherence-guidelines-for-chronic-diseases-in-South-Africa-patient-perspectives-on-differentiated-care-models-2017 http://hdl.handle.net/10986/28874

id	okr-10986-28874
recordtype	oai_dc
spelling	okr-10986-288742021-06-14T10:13:06Z Evaluation of the National Adherence Guidelines for Chronic Diseases in South Africa : Patient Perspectives on Differentiated Care Models, 2017 World Bank Fraser, Nicole Shubber, Zara Görgens, Marelize CHRONIC DISEASE HIV AIDS TUBERCULOSIS EVALUATION SERVICE DELIVERY SURVEYS HEALTHCARE PATIENT INTERVIEWS This report presents the result of the qualitative evaluation to understand the implementation of five adherence interventions from the patient 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: questions: 1. How does patient satisfaction with care at the intervention sites compare to the control sites among HIV positive patients? 2. What are the barriers to and facilitators of ART initiation and adherence among HIV-positive patients eligible for each intervention? 3. What are the strengths and weaknesses of each intervention for HIV positive patients from the patient perspective? 4. What additional strategies do patients feel would be helpful in improving treatment adherence? The report presents the triangulated qualitative and quantitative data from patient surveys and focus group discussions under each of the four questions. The results show that from the patient perspective, each intervention has promise and supported either ART initiation or adherence, however each could be improved. Detailed illustrative quotes are provided for each intervention according to the main themes identified. Specifically, patients had very positive feelings about Adherence Clubs and Decentralized Medication Delivery in focus group discussions. 2017-11-15T22:26:11Z 2017-11-15T22:26:11Z 2017-06 Report http://documents.worldbank.org/curated/en/779941507667444415/Evaluation-of-the-national-adherence-guidelines-for-chronic-diseases-in-South-Africa-patient-perspectives-on-differentiated-care-models-2017 http://hdl.handle.net/10986/28874 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	CHRONIC DISEASE HIV AIDS TUBERCULOSIS EVALUATION SERVICE DELIVERY SURVEYS HEALTHCARE PATIENT INTERVIEWS
spellingShingle	CHRONIC DISEASE HIV AIDS TUBERCULOSIS EVALUATION SERVICE DELIVERY SURVEYS HEALTHCARE PATIENT INTERVIEWS World Bank Evaluation of the National Adherence Guidelines for Chronic Diseases in South Africa : Patient Perspectives on Differentiated 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 patient 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: questions: 1. How does patient satisfaction with care at the intervention sites compare to the control sites among HIV positive patients? 2. What are the barriers to and facilitators of ART initiation and adherence among HIV-positive patients eligible for each intervention? 3. What are the strengths and weaknesses of each intervention for HIV positive patients from the patient perspective? 4. What additional strategies do patients feel would be helpful in improving treatment adherence? The report presents the triangulated qualitative and quantitative data from patient surveys and focus group discussions under each of the four questions. The results show that from the patient perspective, each intervention has promise and supported either ART initiation or adherence, however each could be improved. Detailed illustrative quotes are provided for each intervention according to the main themes identified. Specifically, patients had very positive feelings about Adherence Clubs and Decentralized Medication Delivery in focus group discussions.
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 : Patient Perspectives on Differentiated Care Models, 2017
title_short	Evaluation of the National Adherence Guidelines for Chronic Diseases in South Africa : Patient Perspectives on Differentiated Care Models, 2017
title_full	Evaluation of the National Adherence Guidelines for Chronic Diseases in South Africa : Patient Perspectives on Differentiated Care Models, 2017
title_fullStr	Evaluation of the National Adherence Guidelines for Chronic Diseases in South Africa : Patient Perspectives on Differentiated Care Models, 2017
title_full_unstemmed	Evaluation of the National Adherence Guidelines for Chronic Diseases in South Africa : Patient Perspectives on Differentiated Care Models, 2017
title_sort	evaluation of the national adherence guidelines for chronic diseases in south africa : patient perspectives on differentiated care models, 2017
publisher	World Bank, Washington, DC
publishDate	2017
url	http://documents.worldbank.org/curated/en/779941507667444415/Evaluation-of-the-national-adherence-guidelines-for-chronic-diseases-in-South-Africa-patient-perspectives-on-differentiated-care-models-2017 http://hdl.handle.net/10986/28874
_version_	1764467931206385664

Evaluation of the National Adherence Guidelines for Chronic Diseases in South Africa : Patient Perspectives on Differentiated Care Models, 2017

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