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West Ashley Library
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Wando Mount Pleasant Library
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Village Library
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St. Paul's/Hollywood Library
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Otranto Road Library
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McClellanville Library
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John's Island Library
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Hurd/St. Andrews Library
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Folly Beach Library
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Dorchester Road Library
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A rehabilitation model as key to comprehensive care in the era of HIV as a chronic disease in South Africa.
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- Author(s): Chetty, Verusia (AUTHOR); Hanass-Hancock, Jill (AUTHOR)
- Source:
AIDS Care. Mar2016 Supplement, Vol. 28, p132-139. 8p. - Source:
- Additional Information
- Subject Terms: CHRONIC disease treatment; THERAPEUTICS; COMMUNICATION; COMMUNITY health services; FOCUS groups; HEALTH care teams; HEALTH facilities; HEALTH services accessibility; HIV infections; HIV-positive persons; HOME care services; INTERPROFESSIONAL relations; LEADERSHIP; MEDICAL care costs; MEDICAL personnel; PERSONNEL management; RESEARCH funding; TRANSPORTATION; QUALITATIVE research; JUDGMENT sampling; PATIENT-centered care; DATA analysis software
- Subject Terms:
- Abstract: In the era of widespread access to antiretroviral therapy, people living with HIV survive; however, this comes with new experiences of comorbidities and HIV-related disability posing new challenges to rehabilitation professionals and an already fragile health system in Southern Africa. Public health approaches to HIV need to include not only prevention, treatment and support but also rehabilitation. While some well-resourced countries have developed rehabilitation approaches for HIV, resource-poor settings of Southern Africa lack a model of care that includes rehabilitation approaches providing accessible and comprehensive care for people living with HIV. In this study, a learning in action approach was used to conceptualize a comprehensive model of care that addresses HIV-related disability and a feasible rehabilitation framework for resource-poor settings. The study used qualitative methods in the form of a focus group discussion with thirty participants including people living with HIV, the multidisciplinary healthcare team and community outreach partners at a semi-rural health facility in South Africa. The discussion focused on barriers and enablers of access to rehabilitation. Participants identified barriers at various levels, including transport, physical access, financial constraints and poor multi-stakeholder team interaction. The results of the group discussions informed the design of an inclusive model of HIV care. This model was further informed by established integrated rehabilitation models. Participants emphasized that objectives need to respond to policy, improve access to patient-centered care and maintain a multidisciplinary team approach. They proposed that guiding principles should include efficient communication, collaboration of all stakeholders and leadership in teams to enable staff to implement the model. Training of professional staff and lay personnel within task-shifting approaches was seen as an essential enabler to implementation. The health facility as well as outreach services such as intermediate clinics, home-based care, outreach and community-based rehabilitation was identified as important structures for potential rehabilitation interventions. [ABSTRACT FROM PUBLISHER]
- Abstract: Copyright of AIDS Care is the property of Routledge and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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