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A qualitative exploration of doctors and nurses experiences on the management of tuberculosis and HIV co-infection in a tuberculosis-HIV high burden community in northern KwaZulu-Natal, South Africa
Mabuza, Mbuso Precious; Shumba, Constance.
  • Mabuza, Mbuso Precious; s.af
  • Shumba, Constance; s.af
J. Public Health Africa (Online) ; 9(1): 19-24, 2018. tab
Artigo em Inglês | AIM | ID: biblio-1263267
Biblioteca responsável: CG1.1
ABSTRACT
South Africa is faced with a huge challenge of addressing the high burden of tuberculosis-human immune virus (TBHIV) co-infection, and this challenge is more pronounced in the province of KwaZulu-Natal which has one of the highest burdens of TB-HIV co-infection in the world. The study explored the experiences of doctors and nurses with regard to the management of tuberculosis and HIV coinfection in a TB-HIV high burden community in northern KwaZulu-Natal, South Africa. The particular focus was to provide insight and to inform policy and programme development for effective management of TB-HIV co-infection in the TB-HIV high burden community of northern KwaZulu- Natal. An interpretivist exploratory qualitative approach was employed through individual semi-structured interviews of 16 participants comprising eight doctors and eight nurses, with a total interview time of 8.95 hours. Purposive sampling was used to select the doctors and nurses from the public and private sector of the TB-HIV high burden community of northern KwaZulu- Natal. Thematic analysis was used to analyse the data. Five key themes emerged from this study and these themes were discussed together with the sub-themes based on the various participant responses. The five key themes were practical experience about the management of TB-HIV co-infection; access to information and training on the management of TB-HIV co-infection; challenges and concerns about the management of TB-HIV co-infection; perception about local beliefs; and knowledge of policies and guidelines. Overall, this study highlights barriers that hamper the effective management of TB-HIV co-infection in northern KwaZulu-Natal. Recommendations of this study point towards an urgent need to scale up the management of TB-HIV co-infection through effective policies, improved capacity and infrastructure, stronger partnerships of all stakeholders, and further research
Assuntos
Texto completo: DisponíveL Índice: AIM (África) Assunto principal: Médicos / África do Sul / Tuberculose / Infecções por HIV / Gerenciamento Clínico / Coinfecção / Enfermeiras e Enfermeiros Tipo de estudo: Guia de Prática Clínica / Pesquisa qualitativa País/Região como assunto: África Idioma: Inglês Revista: J. Public Health Africa (Online) Ano de publicação: 2018 Tipo de documento: Artigo

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Texto completo: DisponíveL Índice: AIM (África) Assunto principal: Médicos / África do Sul / Tuberculose / Infecções por HIV / Gerenciamento Clínico / Coinfecção / Enfermeiras e Enfermeiros Tipo de estudo: Guia de Prática Clínica / Pesquisa qualitativa País/Região como assunto: África Idioma: Inglês Revista: J. Public Health Africa (Online) Ano de publicação: 2018 Tipo de documento: Artigo