Primary health care providers’ views on managing substance use among people living with HIV

African Journal of Primary Health Care & Family Medicine

 
 
Field Value
 
Title Primary health care providers’ views on managing substance use among people living with HIV
 
Creator Kaswa, Ramprakash de Villiers, Marietjie
 
Subject Family Medicine; Rural Medicine; Primary Health Care primary health care workers; HIV; CHC; PLWH; adherence; substance use.
Description Background: The growing culture of substance use among people living with human immunodeficiency virus (PLWH) is a serious threat to the human immunodeficiency virus (HIV) pandemic. As the gatekeepers of comprehensive care, primary care providers are responsible for screening, assessing, and managing individuals who use substances.Aim: This study aimed to evaluate primary care providers’ views and approaches to substance use management among PLWH who attend primary care services in Mthatha.Setting: This study was conducted at Ngangelizwe and Mbekweni Community Health Centres (CHCs) in the Eastern Cape province’s King Sabata Dalindyebo (KSD) sub-district municipality.Methods: This qualitative phenomenological study involved the views of primary care providers. This study included 32 primary health care (PHC) providers. All participants were female except one male with a mean age of 48.6 years (range 27–64 years). Semi-structured interviews were conducted until saturation of the theme was reached. Then, the data from the transcribed interview were analysed with a thematic framework.Results: Substance use among PLWH was reported to be associated with poor clinical outcomes and disruption of antiretroviral therapy (ART) adherence. The significant barriers reported for substance use management in PHC settings were a lack of resources, skilled providers and poor community participation.Conclusion: Substance use management programmes are not commonly offered in PHC because of the lack of human and infrastructural resources, the lack of skilled providers and poor community engagement.Contribution: This study provides a context-specific PHC providers’ approach to substance use management.
 
Publisher AOSIS
 
Contributor
Date 2023-08-25
 
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion — —
Format text/html application/epub+zip text/xml application/pdf
Identifier 10.4102/phcfm.v15i1.3984
 
Source African Journal of Primary Health Care & Family Medicine; Vol 15, No 1 (2023); 11 pages 2071-2936 2071-2928
 
Language eng
 
Relation
The following web links (URLs) may trigger a file download or direct you to an alternative webpage to gain access to a publication file format of the published article:

https://phcfm.org/index.php/phcfm/article/view/3984/6458 https://phcfm.org/index.php/phcfm/article/view/3984/6459 https://phcfm.org/index.php/phcfm/article/view/3984/6460 https://phcfm.org/index.php/phcfm/article/view/3984/6461
 
Coverage Africa; South Africa; Eastern Cape 2021-2022 —
Rights Copyright (c) 2023 Ramprakash Kaswa, Marietjie de Villiers https://creativecommons.org/licenses/by/4.0
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