Developing a Model for Integrating of Tuberculosis, Human Immunodeficiency Virus and Primary Healthcare Services in Oliver Reginald (O.R) Tambo District, Eastern Cape, South Africa

Dlatu, Ntandazo; Longo-Mbenza, Benjamin; Oladimeji, Elizabeth Kelechi; Apalata, Teke

Title: Developing a Model for Integrating of Tuberculosis, Human Immunodeficiency Virus and Primary Healthcare Services in Oliver Reginald (O.R) Tambo District, Eastern Cape, South Africa
Creator: Dlatu, Ntandazo
Creator: Longo-Mbenza, Benjamin
Creator: Oladimeji, Elizabeth Kelechi
Creator: Apalata, Teke
Description: Despite the policy, frameworks for integration exist; integration of TB and HIV services is far from ideal in many resource-limited countries, including South Africa. Few studies have examined the advantages and disadvantages of integrated TB and HIV care in public health facilities, and even fewer have proposed conceptual models for proven integration. This study aims to fill this vacuum by describing the development of a paradigm for integrating TB, HIV, and patient services in a single facility and highlights the importance of TB-HIV services for greater accessibility under one roof. Development of the proposed model occurred in several phases that included assessment of the existing integration model for TB-HIV and synthesis of quantitative and qualitative data from the study sites, which were selected public health facilities in rural and peri-urban areas in the Oliver Reginald (O.R.) Tambo District Municipality in the Eastern Cape, South Africa. Secondary data on clinical outcomes from 2009–2013 TB–HIV were obtained from various sources for the quantitative analysis of Part 1. Qualitative data included focus group discussions with patients and healthcare workers, which were analyzed thematically in Parts 2 and 3. The development of a potentially better model and the validation of this model shows that the district health system was strengthened by the guiding principles of the model, which placed a strong emphasis on inputs, processes, outcomes, and integration effects. The model is adaptable to different healthcare delivery systems but requires the support of patients, providers (professionals and institutions), payers, and policymakers to be successful.
Date: 2023/07
Subject: Model developement
Subject: TB-HIV integrated model
Subject: TB and HIV
Subject: Quantitative and qualitative data
Type: Article
Identifier: http://hdl.handle.net/11260/13643
Identifier: vital:78964
Identifier: DOI: https://doi.org/10.3390/ijerph20115977
Language: English
Relation: International Journal of Enviromental Research and Public Health
Relation: Dlatu, N.; Longo-Mbenza, B.; Oladimeji, K.E.; Apalata, T. Developing a Model for Integrating of Tuberculosis, Human Immunodeficiency Virus and Primary Healthcare Services in Oliver Reginald (O.R) Tambo District, Eastern Cape, South Africa. Int. J. Environ. Res. Public Health 2023, 20, 5977. https://doi.org/10.3390/ ijerph20115977
Relation: International Journal of Enviromental Research and Public Health 20 vol 11 1 13 2023 https://doi.org/10.3390/ijerph20115977

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