Barriers and facilitators to primary care for people living with HIV and diabetes in Harare

African Journal of Primary Health Care & Family Medicine

 
 
Field Value
 
Title Barriers and facilitators to primary care for people living with HIV and diabetes in Harare
 
Creator Chireshe, Rumbidzai Naidoo, Keshena Manyangadze, Tawanda
 
Subject Primary care; primary health care; integration of care; HIV care; Noncommunicable diseases; diabetes primary healthcare; HIV; T2DM; availability; readiness; accessibility; SARA; Zimbabwe.
Description Background: People living with human immunodeficiency virus (HIV) and comorbid diabetes mellitus (DM) face significant challenges owing to the complex interplay between these chronic conditions and the need for comprehensive and integrated care. Service availability and readiness for primary care are essential for the health of individuals and populations.Aim: This study aimed to explore barriers and facilitators to the provision of care to the patients with HIV and T2DM comorbidity.Setting: The study was conducted at Primary health centres in Harare, Zimbabwe.Methods: A mixed-methods design was applied.Results: An audit of primary care facilities identified that there was adequate infrastructure and equipment for HIV and T2DM diagnosis and treatment. However, there are gaps in the availability of essential medicines and supplies, such as test strips for blood glucose monitoring. The assessment also showed that the centres had a chronic shortage of healthcare providers, including doctors, nurses and counsellors, and there was a need for additional training and support for healthcare providers in the management of HIV and T2DM.Conclusion: The study concludes that the delivery of health services to patients with HIV and T2DM at primary care centres in Harare, Zimbabwe, faces significant challenges. Suggestions included improved resource allocation and multisectoral collaboration to improve the delivery of healthcare services.Contribution: The research contributes insight into disparities between urban and rural primary care facilities in providing services, emphasizing the need for targeted interventions to bridge gaps and enhance care quality.
 
Publisher AOSIS
 
Contributor BREC, MRCZ, University of KwaZuluNatal
Date 2024-10-08
 
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion — Survey
Format text/html application/epub+zip text/xml application/pdf application/pdf
Identifier 10.4102/phcfm.v16i1.4603
 
Source African Journal of Primary Health Care & Family Medicine; Vol 16, No 1 (2024); 9 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/4603/7607 https://phcfm.org/index.php/phcfm/article/view/4603/7608 https://phcfm.org/index.php/phcfm/article/view/4603/7609 https://phcfm.org/index.php/phcfm/article/view/4603/7617 https://phcfm.org/index.php/phcfm/article/view/4603/7610
 
Coverage Africa; Zimbabwe; Harare 2022-2023 Health care proffessional; primary care centres
Rights Copyright (c) 2024 Rumbidzai Chireshe, Keshena Naidoo, Tawanda Manyangadze https://creativecommons.org/licenses/by/4.0
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