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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| Format: | Report |
| Language: | English |
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World Bank, Washington, DC
2017
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| 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 |
| Summary: | 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. |
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