A simple tool to evaluate the antiretroviral therapy programme in primary health care setting of Lesotho

Nyangu, Isabel; Nkosi, Zerish Zethu

doi:10.1111/jonm.12944

Cited by 3 publications

(5 citation statements)

References 11 publications

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Section: Interventions Modelsmentioning

confidence: 99%

“…It is noteworthy that Nyangu and Nkosi mentioned that registered nurse midwives and nurse clinicians manage the majority of PHC facilities, and their professional titles did not affect service provision [65]. However, it was suggested that there is a need to provide more staffing to address staff shortages and reduce patients waiting times at facilities [65]. Ideally, Uys and Klopper recommended that at least one specialist nurse, five registered nurse midwives and four enrolled nurses were needed for the effective running of PHC settings [66].…”

Section: Interventions Modelsmentioning

confidence: 99%

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Use of Primary Healthcare Facilities for Care and Support of Chronic Diseases: Hypertension

Ramathebane¹,

Maja²,

Molungoa³

2022

Primary Health Care

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Hospitalisation of chronic diseases can be costly and time-consuming to patients with chronic diseases, and success of management of chronic diseases is in the primary care. This chapter gives a detailed description of primary health and its role in the management of chronic diseases. Hypertension as a chronic disease of interest and its management in the primary healthcare (PHC) context are also to be discussed in detail. However, to give this chapter clarity, a brief description of the country Lesotho will be given. The summary of the country will highlight major barriers to health care which mainly include poverty, difficult topography with no or poor infrastructure which hinder access to primary health care. Situational analysis is made with regard to current practice. The potential role of a pharmacist in the care and treatment of hypertension is explored. Best practices, need for policy change, guidelines and implementation plans will be highlighted. The aim of the chapter is to evaluate how chronic diseases are managed at the primary health care. The objectives include: a) to explore primary health care concept, b) to critically evaluate PHC concept in an African country and c) to describe human resource needs to meet the demands of PHC chronic diseases management.

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Section: Interventions Modelsmentioning

confidence: 99%

Section: Interventions Modelsmentioning

confidence: 99%

Use of Primary Healthcare Facilities for Care and Support of Chronic Diseases: Hypertension

Ramathebane¹,

Maja²,

Molungoa³

2022

Primary Health Care

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“…Research (PIH, 2017) also revealed a high prevalence of mental disorders among PLWHA in selected regions in Lesotho. Nurses are the primary HIV treatment providers and provide most mental health services (Nyangu, 2016& Damane, 2018. However, there remains a gap in the management of mental health disorders due to a lack of training, specialist support and attention to physical illnesses in PLWHA, as is the case in most sub-Saharan African countries (Vavani et al, 2020;Ayugi, 2015).…”

Section: Introductionmentioning

confidence: 99%

“…Barriers such as lack of specialists and training, limited resources, and high patient volumes have been documented to compromise the integration of mental health in the HIV/AIDS treatment (Parcesepe, 2018;Mthinyane et al, 2021). (Ayugi, 2015;Nyangu, 2016;Ramokanate et al, 2021) identified similar challenges in the context of mental health and HIV/AIDS care in Lesotho, respectively.…”

Section: Introductionmentioning

confidence: 99%

Exploring Nurse’s Perceptions of Integration of Mental Health Services in HIV/AIDS Treatment in Lesotho: A Qualitative Survey

Ramokanate,

Nyangu,

Rathobei

2023

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Background: Mental disorders are highly prevalent among people living with HIV/AIDS compared with the general population. In sub-Saharan Africa, where Lesotho resides, there are high HIV/AIDS and mental disorder prevalence with significant treatment gaps. Nurses are the primary HIV/AIDS treatment providers in Lesotho but lack the skills and resources to implement mental health care integration, which the World Health Organisation recommends. This study sought to explore and describe the perceptions of nurses regarding the integration of mental health services in HIV/AIDS treatment. A qualitative, explorative, and descriptive research design was used to collect data from a sample of 10 nurses who were purposively selected. A total of six in-depth interviews and one focus group discussion were conducted. Permission to conduct the study was sought from the Ministry of Health (ID46-2022). Written informed consent was sought from the participants, who were allowed to ask questions and could withdraw from the study without any prejudice. Data were transcribed verbatim and analysed using thematic analysis. Some nurses described uncertainty about the relationship between mental health and HIV/AIDS, while others described antiretroviral treatment as a factor that influences a patient’s mental health. Intrinsic factors that influenced their ability to integrate the services were empathy and personal experiences. Extrinsic factors that influenced their ability were the high prevalence of mental health illness and the collaboration from village health workers. The lack of competency and other health service limitations hampered the integration of mental health services in HIV/AIDS management. These findings necessitate the need for training and continuing professional development for nurses in the provision of mental health services to PLWHIV. Nursing curricula need to work towards the integration of mental health into HIV/AIDS treatment programs.

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“…Majority of health care facilities in Lesotho are managed by nurses who are qualified as either midwives or clinicians (Nyangu & Nkosi, 2019a). Lesotho is one of the few countries that permitted initiation of ART by nurses owing to the scarcity of Medical Doctors, a move that has seen a great increase of the coverage of ART (Nyangu, 2016). Such an initiative has been seen to be operative and feasible as majority of patients receive health care in the facilities located variously across the country.…”

Section: Introductionmentioning

confidence: 99%

Nurses’ Perceptions regarding the antiretroviral therapy services at selected health facilities in Lesotho

Nyangu

Nkosi²

2021

Preprint

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Background: In Lesotho, ART services are provided in primary health care (PHC) facilities which are mostly run by nurses. Purpose: The study aimed to describe perceptions of nurses regarding the antiretroviral therapy services at PHC facilities across six selected districts in Lesotho. Methods: A cross sectional survey was conducted in which convenience sampling was used to select 214 nurses working at PHC facilities across six districts. They completed a structured self-report questionnaire that collected information on their perceptions using a Likert scale with six options (strongly agree, agree, neutral, disagree, strongly disagree, and no answer). The response rate was 92% (n=197) and data were analyzed using SPSS (23). Results: Perceptions of nurses were positive and the same on whether ARVS and other medications were available; they were qualified and competent to provide ART services; they had adequate resources and equipment to provide ART services; they were satisfied with their jobs and the services they provided; and there was monitoring and evaluating system for the ART services. Their perceptions significantly differed and were mostly negative on whether they were adequately staffed to provide ART services; their organizational structures allowed for the provision of adequate and efficient services; ART services were accessible; and there was adequate and accurate documentation of the ART services they provided. Conclusions: As nurses are the main health care providers in Lesotho, their perceptions are important in improving service delivery. It is important to standardize ART services across the districts to ensure equitable accessibility in line with service demand.

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A simple tool to evaluate the antiretroviral therapy programme in primary health care setting of Lesotho

Cited by 3 publications

References 11 publications

Use of Primary Healthcare Facilities for Care and Support of Chronic Diseases: Hypertension

Use of Primary Healthcare Facilities for Care and Support of Chronic Diseases: Hypertension

Exploring Nurse’s Perceptions of Integration of Mental Health Services in HIV/AIDS Treatment in Lesotho: A Qualitative Survey

Nurses’ Perceptions regarding the antiretroviral therapy services at selected health facilities in Lesotho

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