RESEARCH PAPER
Exploration of NIMART-trained nurses’ experiences in the implementation of integrated management of HIV and NCDs in Limpopo Province, South Africa
1
School of Nursing Science, North-West University, South Africa
2
Department of Public Health, School of Health Sciences, University of Venda, South Africa
Submission date: 2021-07-08
Final revision date: 2021-08-02
Acceptance date: 2021-08-09
Publication date: 2023-09-15
HIV & AIDS Review 2023;22(3):217-225
KEYWORDS
TOPICS
epidemiology - population studiespsychological aspects of HIV and AIDSsocio-medical aspects of HIV and AIDSeducational aspects of HIV and AIDSpatient-physician relationship
ABSTRACT
Introduction:
Integrated management of human immunodeficiency virus (HIV) and non-communicable diseases (NCDs) strives to merge the management of NCDs into existing executive approaches of communicable diseases to increase utilization of primary healthcare services by people living with HIV. This study describes and explores experiences of NIMART nurses in the implementation of integrated management of HIV and NCDs in Limpopo Province, South Africa.
Material and methods:
Twenty eight participants were purposely selected from rural primary healthcare facilities in Limpopo Province. Data were collected through four online focus group discussions and analyzed using ATLAS.ti program.
Results:
The study established that the structure of clinics was unpleasant, the training of nurses was inadequate, the supply of medication and equipment was inconsistent, and there was a lack of external and internal support to implement HIV and NCDs services. There was a dire shortage of staff and imbalance of management of HIV and NCDs. Further training is suggested to strengthen the implementation of integrated management of HIV and NCDs in Limpopo Province, South Africa.
Conclusions:
Although much has been done in the implementation of integrated management of HIV and NCDs in South Africa, there is a need for the Department of Health to eliminate the challenges identified in the present study. Continuous professional development could lead to enhanced clinical competencies and quality of care in primary health care (PHC) facilities.
Integrated management of human immunodeficiency virus (HIV) and non-communicable diseases (NCDs) strives to merge the management of NCDs into existing executive approaches of communicable diseases to increase utilization of primary healthcare services by people living with HIV. This study describes and explores experiences of NIMART nurses in the implementation of integrated management of HIV and NCDs in Limpopo Province, South Africa.
Material and methods:
Twenty eight participants were purposely selected from rural primary healthcare facilities in Limpopo Province. Data were collected through four online focus group discussions and analyzed using ATLAS.ti program.
Results:
The study established that the structure of clinics was unpleasant, the training of nurses was inadequate, the supply of medication and equipment was inconsistent, and there was a lack of external and internal support to implement HIV and NCDs services. There was a dire shortage of staff and imbalance of management of HIV and NCDs. Further training is suggested to strengthen the implementation of integrated management of HIV and NCDs in Limpopo Province, South Africa.
Conclusions:
Although much has been done in the implementation of integrated management of HIV and NCDs in South Africa, there is a need for the Department of Health to eliminate the challenges identified in the present study. Continuous professional development could lead to enhanced clinical competencies and quality of care in primary health care (PHC) facilities.
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