Health System Factors Constrain HIV Care Providers in Delivering High-Quality Care: Perceptions from a Qualitative Study of Providers in Western Kenya Article Swipe

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Becky L. Genberg , Juddy Wachira , Catherine Kafu , Ira B. Wilson , Beatrice Koech , Regina Kamene , Jacqueline Akinyi , Jennifer Knight , Paula Braitstein , Norma C. Ware ·

YOU? · · 2019 · Open Access · · DOI: https://doi.org/10.1177/2325958218823285

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.

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Medicine Thematic analysis Qualitative research Health care Nursing Human immunodeficiency virus (HIV) Family medicine Sociology Economics Social science Economic growth

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Type: article
Language: en
Landing Page: https://doi.org/10.1177/2325958218823285
PDF: https://journals.sagepub.com/doi/pdf/10.1177/2325958218823285
OA Status: gold
Cited By: 30
References: 32
Related Works: 10
OpenAlex ID: https://openalex.org/W2915042228

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OpenAlex ID: https://openalex.org/W2915042228

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DOI: https://doi.org/10.1177/2325958218823285

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Title: Health System Factors Constrain HIV Care Providers in Delivering High-Quality Care: Perceptions from a Qualitative Study of Providers in Western Kenya

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Type: article

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Language: en

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Publication year: 2019

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Publication date: 2019-01-01

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Authors: Becky L. Genberg, Juddy Wachira, Catherine Kafu, Ira B. Wilson, Beatrice Koech, Regina Kamene, Jacqueline Akinyi, Jennifer Knight, Paula Braitstein, Norma C. Ware

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Landing page: https://doi.org/10.1177/2325958218823285

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PDF URL: https://journals.sagepub.com/doi/pdf/10.1177/2325958218823285

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Concepts: Medicine, Thematic analysis, Qualitative research, Health care, Nursing, Human immunodeficiency virus (HIV), Family medicine, Sociology, Economics, Social science, Economic growth

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Cited by: 30

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