Abstract
The burden on health systems due to increased volume of patients with HIV continues to rapidly increase. The goal of this study was to examine the experiences of HIV care providers in a high patient volume HIV treatment and care program in eastern Africa. Sixty care providers within the Academic Model Providing Access to Healthcare program in western Kenya were recruited into this qualitative study. We conducted in-depth interviews focused on providers' perspectives on health system factors that impact patient engagement in HIV care. Results from thematic analysis demonstrated that providers perceive a work environment that constrained their ability to deliver high-quality HIV care and encouraged negative patient-provider relationships. Providers described their roles as high strain, low control, and low support. Health system strengthening must include efforts to improve the working environment and easing burden of care providers tasked with delivering antiretroviral therapy to increasing numbers of patients in resource-constrained settings.
| Original language | English (US) |
|---|---|
| Journal | Journal of the International Association of Providers of AIDS Care |
| Volume | 18 |
| DOIs | |
| State | Published - Jan 1 2019 |
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Keywords
- health providers
- health systems
- HIV care
- qualitative research
- sub-Saharan Africa
ASJC Scopus subject areas
- Immunology
- Dermatology
- Infectious Diseases
Cite this
Health System Factors Constrain HIV Care Providers in Delivering High-Quality Care : Perceptions from a Qualitative Study of Providers in Western Kenya. / Genberg, Becky; Wachira, Juddy; Kafu, Catherine; Wilson, Ira; Koech, Beatrice; Kamene, Regina; Akinyi, Jacqueline; Knight, Jennifer; Braitstein, Paula; Ware, Norma.
In: Journal of the International Association of Providers of AIDS Care, Vol. 18, 01.01.2019.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Health System Factors Constrain HIV Care Providers in Delivering High-Quality Care
T2 - Perceptions from a Qualitative Study of Providers in Western Kenya
AU - Genberg, Becky
AU - Wachira, Juddy
AU - Kafu, Catherine
AU - Wilson, Ira
AU - Koech, Beatrice
AU - Kamene, Regina
AU - Akinyi, Jacqueline
AU - Knight, Jennifer
AU - Braitstein, Paula
AU - Ware, Norma
PY - 2019/1/1
Y1 - 2019/1/1
N2 - The burden on health systems due to increased volume of patients with HIV continues to rapidly increase. The goal of this study was to examine the experiences of HIV care providers in a high patient volume HIV treatment and care program in eastern Africa. Sixty care providers within the Academic Model Providing Access to Healthcare program in western Kenya were recruited into this qualitative study. We conducted in-depth interviews focused on providers' perspectives on health system factors that impact patient engagement in HIV care. Results from thematic analysis demonstrated that providers perceive a work environment that constrained their ability to deliver high-quality HIV care and encouraged negative patient-provider relationships. Providers described their roles as high strain, low control, and low support. Health system strengthening must include efforts to improve the working environment and easing burden of care providers tasked with delivering antiretroviral therapy to increasing numbers of patients in resource-constrained settings.
AB - The burden on health systems due to increased volume of patients with HIV continues to rapidly increase. The goal of this study was to examine the experiences of HIV care providers in a high patient volume HIV treatment and care program in eastern Africa. Sixty care providers within the Academic Model Providing Access to Healthcare program in western Kenya were recruited into this qualitative study. We conducted in-depth interviews focused on providers' perspectives on health system factors that impact patient engagement in HIV care. Results from thematic analysis demonstrated that providers perceive a work environment that constrained their ability to deliver high-quality HIV care and encouraged negative patient-provider relationships. Providers described their roles as high strain, low control, and low support. Health system strengthening must include efforts to improve the working environment and easing burden of care providers tasked with delivering antiretroviral therapy to increasing numbers of patients in resource-constrained settings.
KW - health providers
KW - health systems
KW - HIV care
KW - qualitative research
KW - sub-Saharan Africa
UR - http://www.scopus.com/inward/record.url?scp=85062089345&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85062089345&partnerID=8YFLogxK
U2 - 10.1177/2325958218823285
DO - 10.1177/2325958218823285
M3 - Article
C2 - 30798666
AN - SCOPUS:85062089345
VL - 18
JO - Journal of the International Association of Providers of AIDS Care
JF - Journal of the International Association of Providers of AIDS Care
SN - 2325-9574
ER -