Comparing patients’ experiences in three differentiated service delivery models for HIV treatment in South Africa
Loading...
Date
2022
Journal Title
Journal ISSN
Volume Title
Publisher
SAGE Publications
Abstract
Differentiated service delivery for HIV treatment seeks to enhance medication adherence while respecting the preferences of people living with HIV. Nevertheless, patients’ experiences of using these differentiated service delivery
models or approaches have not been qualitatively compared. Underpinned by the tenets of descriptive phenomenology,
we explored and compared the experiences of patients in three differentiated service delivery models using the National
Health Services’ Patient Experience Framework. Data were collected from 68 purposively selected people living with
HIV receiving care in facility adherence clubs, community adherence clubs, and quick pharmacy pick-up. Using the
constant comparative thematic analysis approach, we compared themes identified across the different participant groups.
Compared to facility adherence clubs and community adherence clubs, patients in the quick pharmacy pick-up model
experienced less information sharing; communication and education; and emotional/psychological support. Patients’
positive experience with a differentiated service delivery model is based on how well the model fits into their HIV disease
self-management goals.
Description
Keywords
Service delivery, Antiretroviral therapy, HIV treatment, HIV, South Africa
Citation
Mukumbang, F. C. et al. (2022). Comparing patients’ experiences in three differentiated service delivery models for HIV treatment in South Africa. Qualitative Health Research, 32(2), 238–254. https://doi.org/10.1177/10497323211050371