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Care and management of a double burden of chronic diseases: Experiences of patients and perceptions of their healthcare providers

South Africa, 2014 - 2020
Non-communicable Disease
Nasheeta Peer, Anniza de Villiers, Deborah Jonathan, Cathy Kalombo, Andre-Pascal Kengne
Created on October 08, 2021 Last modified October 08, 2021 Page views 2234 Documentation in PDF Metadata DDI/XML JSON
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Identification

Survey ID Number
Careandmanagementofadoubleburdenofchronicdiseases
Title
Care and management of a double burden of chronic diseases: Experiences of patients and perceptions of their healthcare providers
Country
Name Country code
South Africa ZAR
Abstract
Aim:
The increasing burden of comorbid HIV infection and hypertension necessitates a focus on healthcare services providing care for chronic multi-morbidities. The aim of this study was to evaluate the perceptions and experiences of 1) people living with HIV infection (PLWHIV) and comorbid hypertension, and 2) their healthcare providers, related to their diagnoses and interactions with chronic healthcare services in South Africa.
Methods:
This study comprised quantitative and qualitative arms with a multi-layered approach. We randomly selected 17 public healthcare facilities providing HIV care across Cape Town and surrounding rural municipalities.
Results:
Interviews were conducted with clinicians (n=11), specialised nursing professionals (n=10), lay counsellors (n=12), six patients focus groups (n=35) and 20 in-depth individual patient interviews. There were mixed views on being treated at integrated vs. separate chronic care facilities regarding quality of care and privacy/anonymity. Specialised clinics offered better care for HIV infection while hypertension and other non-communicable diseases (NCDs) were neglected. Privacy about HIV status maybe better maintained in integrated clinics but not if status was disclosed by having the green-coloured HIV treatment card. A single appointment date was considered advantageous as it saved time and money leading to greater compliance; however, waiting times at clinics were longer with perhaps fewer patients seen.
Conclusions:
The mixed reactions elicited to the integration of healthcare services for HIV, hypertension and other non-communicable diseases highlights the complexities involved in implementing such services. Greater human resources with retraining and reskilling of healthcare staff is required for the optimal management of chronic multi-morbidities.

Producers and sponsors

Primary investigators
Name Affiliation
Nasheeta Peer Non-communicable Diseases Research Unit, South African Medical Research Council, Durban and Cape Town, South Africa
Anniza de Villiers Non-communicable Diseases Research Unit, South African Medical Research Council, Durban and Cape Town, South Africa
Deborah Jonathan Non-communicable Diseases Research Unit, South African Medical Research Council, Durban and Cape Town, South Africa
Cathy Kalombo Metro-District Health Services, Gugulethu, Cape Town, South Africa
Andre-Pascal Kengne Non-communicable Diseases Research Unit, South African Medical Research Council, Durban and Cape Town, South Africa

Data Collection

Dates of Data Collection
Start End
2014-03-02 2020-07-01
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