'We are left in the cold': nurses' perceptions and responses to antiretroviral treatment roll-out in the Free State, South Africa
| Autor: | Katinka de Wet, Shirley du Plooy |
|---|---|
| Rok vydání: | 2012 |
| Předmět: |
Male
nurses HIV and AIDS antiretroviral treatment Free State South Africa Economic growth Health (social science) Anti-HIV Agents media_common.quotation_subject Nurses Economic shortage South Africa Acquired immunodeficiency syndrome (AIDS) Environmental protection Intervention (counseling) medicine Antiretroviral treatment Immunology and Allergy Humans Quality (business) Policy Making media_common Free state Primary Health Care business.industry Public Health Environmental and Occupational Health medicine.disease Infectious Diseases Nurses perceptions Social Perception Scale (social sciences) Female business Delivery of Health Care Program Evaluation |
| Zdroj: | SAHARA-J: Journal of Social Aspects of HIV/AIDS; Vol 9, No 1 (2012); 30-40 |
| ISSN: | 1813-4424 1729-0376 |
| Popis: | The unprecedented roll-out of antiretroviral therapy (ART) in South Africa is a complex process where no previous endeavour exists that can measure, predict, or direct an intervention of this scale. In the Free State province, unique characteristics and problems distinguish its ART programme, although countrywide problems also occur within the province. The Free State province faces high vacancy rates among its health-care workers, the programme has lower patient enrolment rates because of an obsessionwith quality to the detriment of quantity, and various incidents of ART shortages have also shook the province. The ART rollout intervention thus far has been largely nurse-driven (however not nurse initiated), and they form what many refer to as the ‘backbone’ of the programme. In order to respond to the challenges faced by these front-line ART providers, continuous transformations inevitably take place to respond to new needs associated with the roll-out programme, but also to strengthen the primary health-care system in general. The objective of this article is to present a typology of contradictory contextual factors in the antiretroviral programme as identified through group interviews that were conducted with PNs at public healthcare clinics in the five districts of the Free State province during 2005 and 2006. We intend to show that transformations oftenhave contradictory and problematic outcomes as expressed and perceived by the nurses themselves. This unprecedented endeavour of ART roll-out inevitably has to treasure and support its most valued implementers, i.e. the front-line providers who are not only professionals in the health-care setting, but also social agents in a wider contextual framework. |
| Databáze: | OpenAIRE |
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