HIV care and support services offered in mobile health clinics: a systematic review

Ngcobo, Silingene; Makhado, Lufuno; Sehularo, Leepile Alfred

doi:10.5114/hivar.2022.117888

Cited by 2 publications

(4 citation statements)

References 44 publications

(139 reference statements)

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“…Decentralized human immunodeficiency virus (HIV) care plays an important role in the HIV care continuum enforced in various care modalities including mobile health clinics (MHCs). MHCs are a community-based intervention that functions specifically as a delivery model for various medical services, including primary care and screening, preventative specialty care, and social interventions [ 1 , 2 ]. Registered nurses in the South African public health system are the main drivers that operate the MHCs [ 3 ], which are also used as an additional healthcare delivery approach aimed at HIV program expansion, without misplacing their initial inception purpose of serving general populations with healthcare access challenges [ 4 ].…”

Section: Introductionmentioning

confidence: 99%

“…Registered nurses in the South African public health system are the main drivers that operate the MHCs [ 3 ], which are also used as an additional healthcare delivery approach aimed at HIV program expansion, without misplacing their initial inception purpose of serving general populations with healthcare access challenges [ 4 ]. Instead MHCs have been officially acknowledged and accepted as primary health care (PHC) service extension for remote areas within the local district health system [ 2 ] offering various healthcare services including HIV care, which is the focus of this study.…”

Section: Introductionmentioning

confidence: 99%

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Registered nurses’ experiences regarding operational factors influencing the implementation of HIV care services in the mobile health clinics of eThekwini Municipality in KwaZulu-Natal

Ngcobo,

Makhado,

Sehularo

2024

BMC Nurs

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Background Registered nurses working in the mobile health clinics (MHCs) play an important role in enabling HIV care access to populations in remote areas through Nurse Initiated Antiretroviral Therapy program (NIMART). Aim To explore and describe the nurses’ experiences regarding operational factors influencing the implementation of HIV care services in the mobile health clinics (MHCs) of eThekwini Municipality in KwaZulu Natal. Methods Qualitative Exploratory Descriptive (QED) method was used after permission was granted from North-West University Human Research Ethics Committee provincial and local health authorities. Data saturation informed sample size of thirteen MHCs nurses were purposefully sampled to participate. Audio-recorded, semi-structured, online, one-on-one interviews guided by open-ended questions were done for data collection, and including demographic profile. The interview transcripts were analysed using Atlas-TI and SPSS descriptive statistics was used for demographics. Results Eleven subthemes emerged under patient-related, nurse-related, and organisational-related themes which influence the operational factors in the MHCs, namely: patient defaulting treatment, lack of privacy, unavailability of phones, stressful and demotivating MHCs, nurses feel unsafe, lack of support from management, lack of budget, unavailability of computers, shortage of medical equipment, shortage of nursing staff and absence of data capturers. Conclusion Structured contextual coaching and support program for nurses is imperative to ensure effective and strengthened operations in MHCs, further supported by improvement in human resource for health allocation for MHCs in light of expanding health care programs Contributions Evaluation of health care programmes, and human resource for health quality improvement needs in the clinical practice of HIV care of MHCs nurses which advocate for specific policy formulations.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Registered nurses’ experiences regarding operational factors influencing the implementation of HIV care services in the mobile health clinics of eThekwini Municipality in KwaZulu-Natal

Ngcobo,

Makhado,

Sehularo

2024

BMC Nurs

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“…MHCs significantly serve as one of the strategic interventions towards addressing the quadruple burden of the diseases encompassing the country's current public health system [8], which include HIV. In this context, MHCs are being embraced as an additional healthcare delivery modality aimed at HIV program expansion, without misplacing their initial inception purpose of serving general populations with healthcare access challenges [9,10]. MHCs are an officially acknowledged and accepted primary health care (PHC) service extension for remote areas within the local district health system [10].…”

Section: Introductionmentioning

confidence: 99%

“…In this context, MHCs are being embraced as an additional healthcare delivery modality aimed at HIV program expansion, without misplacing their initial inception purpose of serving general populations with healthcare access challenges [9,10]. MHCs are an officially acknowledged and accepted primary health care (PHC) service extension for remote areas within the local district health system [10].…”

Section: Introductionmentioning

confidence: 99%

HIV Care Profiling and Delivery Status in the Mobile Health Clinics of eThekwini District in KwaZulu Natal, South Africa: A Descriptive Evaluation Study

Ngcobo,

Makhado,

Sehularo

2023

Nursing Reports

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Mobile health clinics (MHCs) serve as an alternative HIV care delivery method for the HIV-burdened eThekwini district. This study aimed to describe and profile the HIV care services provided by the MHCs through process evaluation. A descriptive cross-sectional quantitative evaluation study was performed on 137 MHCs using total population sampling. An online data collection method using a validated 50-item researcher-developed instrument was administered to professional nurses who are MHC team leaders, following ethical approval from the local university and departments of health. Descriptive statistics were used to analyze the data. The results described that HIV care services are offered in open spaces (43%), community buildings (37%), solid built buildings called health posts (15%), vehicles (9%), and tents (2%) with no electricity (77%), water (55%), and sanitation (64%). Adults (97%) are the main recipients of HIV care in MHCs (90%) offering antiretroviral therapy (95%). Staff, monitoring, and retaining care challenges were noted, with good linkage (91%) and referral pathways (n = 123.90%). In conclusion, the standardization and prioritization of HIV care with specific contextual practice guidelines are vital.

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HIV care and support services offered in mobile health clinics: a systematic review

Cited by 2 publications

References 44 publications

Registered nurses’ experiences regarding operational factors influencing the implementation of HIV care services in the mobile health clinics of eThekwini Municipality in KwaZulu-Natal

Registered nurses’ experiences regarding operational factors influencing the implementation of HIV care services in the mobile health clinics of eThekwini Municipality in KwaZulu-Natal

HIV Care Profiling and Delivery Status in the Mobile Health Clinics of eThekwini District in KwaZulu Natal, South Africa: A Descriptive Evaluation Study

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