Original Research

Challenges of primary healthcare nurses regarding the integration of HIV and AIDS services into primary healthcare in Vhembe district of Limpopo province, South Africa

Azwidihwi R. Tshililo, Lizzy Mangena-Netshikweta, Livhuwani H. Nemathaga, Mary Maluleke
Curationis | Vol 42, No 1 | a1849 | DOI: https://doi.org/10.4102/curationis.v42i1.1849 | © 2019 Azwidihwi R. Tshililo, Lizzy Mangena-Netshikweta, Livhuwani H. Nemathaga, Mary Maluleke | This work is licensed under CC Attribution 4.0
Submitted: 26 July 2017 | Published: 28 January 2019

About the author(s)

Azwidihwi R. Tshililo, Department of Advanced Nursing Science, University of Venda, South Africa
Lizzy Mangena-Netshikweta, Department of Advanced Nursing Science, University of Venda, South Africa
Livhuwani H. Nemathaga, Department of Advanced Nursing Science, University of Venda, South Africa
Mary Maluleke, Department of Advanced Nursing Science, University of Venda, South Africa


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Abstract

Background: Integration of human immunodeficiency virus and acquired immune deficiency syndrome (HIV and AIDS) services into primary healthcare (PHC) is a key public health approach to achieving universal access to antiretroviral therapy (ART). Despite the government’s efforts of integrating HIV services into PHC, an insufficient number of PHC staff and inadequate infrastructure are challenging when integrating HIV and AIDS services into PHC. This study explored the challenges of PHC nurses regarding the integration of HIV and AIDS services into PHC.

Objectives: The aim of the study was to explore the challenges of PHC nurses regarding the integration of HIV and AIDS services into PHC.

Method: An exploratory, descriptive and contextual qualitative research design utilising face-to-face semi-structured interviews was conducted with 12 PHC nurses from selected clinics and health centres in the Vhembe district of Limpopo province.

Results: Two main themes emerged from data analysis which included challenges related to healthcare recipients and challenges related to healthcare providers.

Conclusion: Clear policies on the integration of HIV and AIDS services into PHC should be available and should include strategies to promote HIV testing and counselling, adherence to ART and scheduled appointments, disclosure of HIV status as well as revising the human resource policy to reduce workload.


Keywords

challenges; HIV/AIDS services; integration; primary health care nurses

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