Evaluation of Interventions to Increase the Proportion of People Living with HIV Who Are Diagnosed, Initiated on, Adhering to and Retained in HIV Treatment and Care in South Africa : Formative Qualitative Research, Phase 1 Report
This report presents the findings of the first phase of a series of analytical and evaluation studies contributing to the design of an impact and process evaluation of South Africa’s National Adherence Guidelines for Chronic Diseases. The work pack...
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| Format: | Report |
| Language: | English en_US |
| Published: |
World Bank, Washington, DC
2016
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| Online Access: | http://documents.worldbank.org/curated/en/2014/11/26814959/Formative-qualitative-research-phase-1-report http://hdl.handle.net/10986/25401 |
| Summary: | This report presents the findings of the
first phase of a series of analytical and evaluation studies
contributing to the design of an impact and process
evaluation of South Africa’s National Adherence Guidelines
for Chronic Diseases. The work package is a collaborative
effort between the National Department of Health of South
Africa, the National Health Laboratory Service (NHLS), the
National Institute for Communicable Diseases (NICD), Boston
University/Health Economics and Epidemiology Research Office
(HE2RO) and the World Bank. The evaluation seeks to answer
which mechanisms, strategies and delivery models work best
in different settings in South Africa to improve enrolment
in ART after HIV diagnosis, adherence to ART and long-term
retention in care. The research was conducted in 2014 and
consisted of a literature and data review and
semi-structured interviews with key informants and health
care clients in five selected provinces (Gauteng,
KwaZulu-Natal, Limpopo, North West, and Western Cape). Based
on the evidence, the report provides recommendations for
future treatment adherence models and differentiated care in
four priority areas: Improving clients’ understanding of
their treatment; Providing focused counselling and grow
accountability; Ensuring that there are tools and strategies
to assist client self-monitoring; and Reducing barriers to
diagnosis, treatment and care. This research contributed to
the development of South Africa’s chronic treatment
adherence guideline |
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