Experiences and challenges of nurses in initiating antiretroviral drugs among adolescents living with HIV and AIDS in Thaba-Tseka, Lesotho.

IF 1.1 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Ajar-African Journal of Aids Research Pub Date : 2024-10-01 Epub Date: 2024-10-16 DOI:10.2989/16085906.2024.2336261
Palesa Grace Likoti, Nelisiwe Khuzwayo
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Abstract

Background: Lesotho has the second-highest HIV and AIDS prevalence globally and is the country's second leading cause of death. Despite increasing ART coverage, adolescents remain left behind and face high mortality because of delayed ART initiation. This study aimed to explore the experiences and challenges of nurses when initiating adolescents living with HIV on ART in Thaba-Tseka, Lesotho.

Methods: A qualitative descriptive research design and twelve in-depth interviews were conducted among nurses from a hospital in the Thaba-Tseka district. Participants were selected purposively until data saturation was reached. Data were transcribed verbatim and analysed manually using the thematic analysis approach. The findings were presented in themes and sub-themes. Individual face-to-face interviews were conducted in English and Sesotho from May to August 2021.

Results: The key findings in this study involved adolescents' attendance at the health care facility, ART initiation process, HIV stigma influencing the uptake of ART, poor ART follow-up and socio-economic factors affecting adherence to ART.

Conclusion: The themes uncovered in this study provide valuable insights into the gaps in ART initiation, and highlight the challenges encountered by nurses during this process among adolescents in Lesotho. The experiences and obstacles shared by nurses during ART initiation cover a range of issues, collectively demonstrating their engagement in HIV and ART care. These findings emphasise the critical role of policymakers and health care providers in devising customised ART initiation interventions for adolescents. Addressing these challenges will be crucial for enhancing ART uptake and adherence among adolescents living with HIV in Lesotho.

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莱索托 Thaba-Tseka 的护士在为感染艾滋病毒和艾滋病的青少年提供抗逆转录病毒药物方面的经验和挑战。
背景介绍莱索托是全球艾滋病毒和艾滋病流行率第二高的国家,也是该国第二大死因。尽管抗逆转录病毒疗法的覆盖率在不断提高,但青少年仍然被落在后面,并且由于抗逆转录病毒疗法的启动延迟而面临着很高的死亡率。本研究旨在探讨莱索托Thaba-Tseka地区护士在帮助感染艾滋病病毒的青少年开始接受抗逆转录病毒疗法时所遇到的经验和挑战:方法:采用定性描述研究设计,对塔巴-采卡地区一家医院的护士进行了 12 次深入访谈。访谈对象是有目的性地选择的,直到达到数据饱和为止。数据被逐字转录,并采用主题分析法进行人工分析。分析结果以主题和次主题的形式呈现。2021 年 5 月至 8 月期间,以英语和塞索托语进行了面对面的个别访谈:本研究的主要发现涉及青少年在医疗机构的就诊情况、抗逆转录病毒疗法的启动过程、影响接受抗逆转录病毒疗法的艾滋病耻辱感、抗逆转录病毒疗法随访效果不佳以及影响坚持抗逆转录病毒疗法的社会经济因素:本研究揭示的主题为了解抗逆转录病毒疗法启动过程中存在的不足提供了宝贵的见解,并强调了护士在莱索托青少年抗逆转录病毒疗法启动过程中遇到的挑战。护士们在抗逆转录病毒疗法启动过程中分享的经验和遇到的障碍涵盖了一系列问题,共同表明了她们对艾滋病和抗逆转录病毒疗法护理的参与。这些发现强调了政策制定者和医疗服务提供者在为青少年量身定制抗逆转录病毒疗法启动干预措施方面的关键作用。应对这些挑战对于提高莱索托感染艾滋病病毒的青少年接受抗逆转录病毒疗法并坚持治疗至关重要。
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来源期刊
Ajar-African Journal of Aids Research
Ajar-African Journal of Aids Research 医学-公共卫生、环境卫生与职业卫生
CiteScore
1.80
自引率
8.30%
发文量
38
审稿时长
>12 weeks
期刊介绍: African Journal of AIDS Research (AJAR) is a peer-reviewed research journal publishing papers that make an original contribution to the understanding of social dimensions of HIV/AIDS in African contexts. AJAR includes articles from, amongst others, the disciplines of sociology, demography, epidemiology, social geography, economics, psychology, anthropology, philosophy, health communication, media, cultural studies, public health, education, nursing science and social work. Papers relating to impact, care, prevention and social planning, as well as articles covering social theory and the history and politics of HIV/AIDS, will be considered for publication.
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