Impact of systematic HIV testing on case finding and retention in care at a primary care clinic in South Africa

2014 ◽  
Vol 19 (12) ◽  
pp. 1411-1419 ◽  
Author(s):  
Kate Clouse ◽  
Colleen F. Hanrahan ◽  
Jean Bassett ◽  
Matthew P. Fox ◽  
Ian Sanne ◽  
...  
Keyword(s):  
South Africa ◽  
Primary Care ◽  
Hiv Testing ◽  
Primary Care Clinic ◽  
Retention In Care ◽  
Case Finding ◽  
Care Clinic

scholarly journals High Uptake of Systematic HIV Counseling and Testing and TB Symptom Screening at a Primary Care Clinic in South Africa

PLoS ONE ◽  
2014 ◽  
Vol 9 (9) ◽  
pp. e105428 ◽  
Author(s):  
Annelies Van Rie ◽  
Kate Clouse ◽  
Colleen Hanrahan ◽  
Katerina Selibas ◽  
Ian Sanne ◽  
...  
Keyword(s):  
South Africa ◽  
Primary Care ◽  
Primary Care Clinic ◽  
High Uptake ◽  
Care Clinic ◽  
Hiv Counseling And Testing ◽  
Hiv Counseling ◽  
Symptom Screening ◽  
Counseling And Testing

scholarly journals Impact of Xpert MTB/RIF for TB Diagnosis in a Primary Care Clinic with High TB and HIV Prevalence in South Africa: A Pragmatic Randomised Trial

PLoS Medicine ◽  
2014 ◽  
Vol 11 (11) ◽  
pp. e1001760 ◽  
Author(s):  
Helen S. Cox ◽  
Slindile Mbhele ◽  
Neisha Mohess ◽  
Andrew Whitelaw ◽  
Odelia Muller ◽  
...  
Keyword(s):  
South Africa ◽  
Primary Care ◽  
Randomised Trial ◽  
Primary Care Clinic ◽  
Hiv Prevalence ◽  
Care Clinic

scholarly journals Rapid HIV testing increases the rate of HIV detection in men who have sex with men: using rapid HIV testing in a primary care clinic

Sexual Health ◽  
2014 ◽  
Vol 11 (1) ◽  
pp. 89 ◽  
Author(s):  
Beng Eu ◽  
Norman Roth ◽  
Mark Stoové ◽  
Mark O'Reilly ◽  
Edward Clarke
Keyword(s):  
Primary Care ◽  
Hiv Testing ◽  
Primary Care Clinic ◽  
Early Experience ◽  
High Rate ◽  
Rapid Testing ◽  
Care Clinic ◽  
Rapid Hiv Testing ◽  
Baseline Rate ◽  
Sex With Men

Rapid HIV testing was approved in Australia in December 2012. Data was collected to describe the early experience of using rapid testing in Australia but as the information was collected, the authors noted that there appeared to be a high rate of HIV diagnoses amongst rapid testers. Further analysis confirmed this impression, when the rate was compared to a baseline rate of HIV diagnoses over the 32 months before the rapid testing started (4.1% vs 1.3%).

Point-of-care testing improves diabetes management in a primary care clinic in South Africa

2017 ◽  
Vol 11 (3) ◽  
pp. 248-253 ◽  
Author(s):  
Lara A. Motta ◽  
Mark D.S. Shephard ◽  
Julie Brink ◽  
Stefan Lawson ◽  
Paul Rheeder
Keyword(s):  
South Africa ◽  
Primary Care ◽  
Diabetes Management ◽  
Point Of Care ◽  
Primary Care Clinic ◽  
Point Of Care Testing ◽  
Care Clinic

scholarly journals Are VA Primary Care Providers Aware of HIV Testing Recommendations for Veterans? Findings at an Urban VA Primary Care Clinic

2013 ◽  
Vol 178 (4) ◽  
pp. e483-e488 ◽  
Author(s):  
Monisha Arya ◽  
Amber L. Bush ◽  
Michael A. Kallen ◽  
Maria C. Rodriguez-Barradas ◽  
Thomas P. Giordano
Keyword(s):  
Primary Care ◽  
Hiv Testing ◽  
Primary Care Clinic ◽  
Primary Care Providers ◽  
Care Providers ◽  
Care Clinic

Patient referral from nurses to doctors in a nurse-led HIV primary care clinic in South Africa: implications for training and support

AIDS Care ◽  
2010 ◽  
Vol 22 (11) ◽  
pp. 1332-1339 ◽  
Author(s):  
Kartik K. Venkatesh ◽  
Guy de Bruyn ◽  
Mark N. Lurie ◽  
Kgotso Lentle ◽  
Nkeko Tshabangu ◽  
...  
Keyword(s):  
South Africa ◽  
Primary Care ◽  
Primary Care Clinic ◽  
Care Clinic ◽  
Patient Referral ◽  
Hiv Primary Care ◽  
Training And Support

scholarly journals 1644. “And the stick to fight TB is IPT”: Perspectives on TPT Implementation Among Senior Nurses in Rural South Africa

2020 ◽  
Vol 7 (Supplement_1) ◽  
pp. S811-S811
Author(s):  
Megan A Grammatico ◽  
Amiya A Ahmed ◽  
Lauretta Grau ◽  
Anthony Moll ◽  
Sheela Shenoi
Keyword(s):  
South Africa ◽  
Primary Care ◽  
Primary Care Clinic ◽  
World Health ◽  
People Living With Hiv ◽  
Successful Implementation ◽  
Limited Time ◽  
Preventative Therapy ◽  
Care Clinic ◽  
Barriers To Implementation

Abstract Background Tuberculosis (TB) disproportionately affects people living with HIV (PLH). The World Health Organization (WHO) has endorsed tuberculosis preventative therapy (TPT) in resource-limited settings with high HIV and TB burdens. South Africa has led global TPT efforts, yet implementation remains sub-optimal. Methods In a rural, impoverished region of South Africa with high TB and HIV prevalence, primary care clinic-based senior nurses were asked to participate in anonymous, semi-structured interviews assessing TPT knowledge, beliefs, and attitudes. The currently available regimen is isoniazid preventive therapy (IPT) for 12 months. Through an iterative process, a code list was generated and applied to each transcript. The data were analyzed using thematic analysis and Nvivo 12 software to identify facilitators and barriers to IPT prescribing. Results Among 22 nurses at 14 primary health clinics, 86% were female, median age 39 (IQR 31-54.8) years, with median 10.5 (IQR3-18) years of health care experience. Nurses felt that TPT was effective at preventing TB. Barriers to implementation included limited time to counsel patients due to understaffing in high-volume clinics and lack of documentation of IPT prescription in patients’ charts, which limited effective follow-up. Nurses certified in Nurse-Initiated Management of Antiretroviral Therapy (NIMART) expressed confidence in their IPT knowledge, but those not certified wanted additional training. Nurses identified patient-level factors impeding TPT implementation, including transportation, HIV-related stigma, mobility, particularly among men, and pill burden associated with length of IPT (12 months) with concurrent daily chronic medications. Facilitators included availability of IPT in both hospitals and primary care clinics, and capacity for task-shifting to other healthcare professionals (counselors, staff nurses). The impending rollout of 3HP (12 weeks of isoniazid-rifapentine) was viewed favorably. Conclusion Nurses identified limited time to counsel PLH and lack of standardized training programs as the main barriers to implementation of TB preventative therapy. Addressing these barriers will be critical to successful implementation of new TPT regimens. Disclosures All Authors: No reported disclosures

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