Primary health care providers’ views on managing substance use among people living with HIV
Background: The growing culture of substance use among people living with human immunodeficiency virus (PLWH) is a serious threat to the human immunodeficiency virus (HIV) pandemic. As the gatekeepers of comprehensive care, primary care providers are responsible for screening, assessing, and managin...
| Main Authors: | , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
AOSIS
2023-08-01
|
| Series: | African Journal of Primary Health Care & Family Medicine |
| Subjects: | |
| Online Access: | https://phcfm.org/index.php/phcfm/article/view/3984 |
| _version_ | 1797729097145647104 |
|---|---|
| author | Ramprakash Kaswa Marietjie de Villiers |
| author_facet | Ramprakash Kaswa Marietjie de Villiers |
| author_sort | Ramprakash Kaswa |
| collection | DOAJ |
| description | Background: The growing culture of substance use among people living with human immunodeficiency virus (PLWH) is a serious threat to the human immunodeficiency virus (HIV) pandemic. As the gatekeepers of comprehensive care, primary care providers are responsible for screening, assessing, and managing individuals who use substances.
Aim: This study aimed to evaluate primary care providers’ views and approaches to substance use management among PLWH who attend primary care services in Mthatha.
Setting: This study was conducted at Ngangelizwe and Mbekweni Community Health Centres (CHCs) in the Eastern Cape province’s King Sabata Dalindyebo (KSD) sub-district municipality.
Methods: This qualitative phenomenological study involved the views of primary care providers. This study included 32 primary health care (PHC) providers. All participants were female except one male with a mean age of 48.6 years (range 27–64 years). Semi-structured interviews were conducted until saturation of the theme was reached. Then, the data from the transcribed interview were analysed with a thematic framework.
Results: Substance use among PLWH was reported to be associated with poor clinical outcomes and disruption of antiretroviral therapy (ART) adherence. The significant barriers reported for substance use management in PHC settings were a lack of resources, skilled providers and poor community participation.
Conclusion: Substance use management programmes are not commonly offered in PHC because of the lack of human and infrastructural resources, the lack of skilled providers and poor community engagement.
Contribution: This study provides a context-specific PHC providers’ approach to substance use management. |
| first_indexed | 2024-03-12T11:24:05Z |
| format | Article |
| id | doaj.art-57be2654c5344753a164c4387d43a585 |
| institution | Directory Open Access Journal |
| issn | 2071-2928 2071-2936 |
| language | English |
| last_indexed | 2024-03-12T11:24:05Z |
| publishDate | 2023-08-01 |
| publisher | AOSIS |
| record_format | Article |
| series | African Journal of Primary Health Care & Family Medicine |
| spelling | doaj.art-57be2654c5344753a164c4387d43a5852023-09-01T12:21:34ZengAOSISAfrican Journal of Primary Health Care & Family Medicine2071-29282071-29362023-08-01151e1e1110.4102/phcfm.v15i1.39841058Primary health care providers’ views on managing substance use among people living with HIVRamprakash Kaswa0Marietjie de Villiers1Department of Family Medicine and Rural Health, Faculty of Health Sciences, Walter Sisulu University, Mthatha, South Africa; and Division of Family Medicine and Primary Care, Faculty of Health Sciences, Stellenbosch University, Cape TownDivision of Family Medicine and Primary Care, Faculty of Health Sciences, Stellenbosch University, Cape TownBackground: The growing culture of substance use among people living with human immunodeficiency virus (PLWH) is a serious threat to the human immunodeficiency virus (HIV) pandemic. As the gatekeepers of comprehensive care, primary care providers are responsible for screening, assessing, and managing individuals who use substances. Aim: This study aimed to evaluate primary care providers’ views and approaches to substance use management among PLWH who attend primary care services in Mthatha. Setting: This study was conducted at Ngangelizwe and Mbekweni Community Health Centres (CHCs) in the Eastern Cape province’s King Sabata Dalindyebo (KSD) sub-district municipality. Methods: This qualitative phenomenological study involved the views of primary care providers. This study included 32 primary health care (PHC) providers. All participants were female except one male with a mean age of 48.6 years (range 27–64 years). Semi-structured interviews were conducted until saturation of the theme was reached. Then, the data from the transcribed interview were analysed with a thematic framework. Results: Substance use among PLWH was reported to be associated with poor clinical outcomes and disruption of antiretroviral therapy (ART) adherence. The significant barriers reported for substance use management in PHC settings were a lack of resources, skilled providers and poor community participation. Conclusion: Substance use management programmes are not commonly offered in PHC because of the lack of human and infrastructural resources, the lack of skilled providers and poor community engagement. Contribution: This study provides a context-specific PHC providers’ approach to substance use management.https://phcfm.org/index.php/phcfm/article/view/3984primary health care workershivchcplwhadherencesubstance use. |
| spellingShingle | Ramprakash Kaswa Marietjie de Villiers Primary health care providers’ views on managing substance use among people living with HIV African Journal of Primary Health Care & Family Medicine primary health care workers hiv chc plwh adherence substance use. |
| title | Primary health care providers’ views on managing substance use among people living with HIV |
| title_full | Primary health care providers’ views on managing substance use among people living with HIV |
| title_fullStr | Primary health care providers’ views on managing substance use among people living with HIV |
| title_full_unstemmed | Primary health care providers’ views on managing substance use among people living with HIV |
| title_short | Primary health care providers’ views on managing substance use among people living with HIV |
| title_sort | primary health care providers views on managing substance use among people living with hiv |
| topic | primary health care workers hiv chc plwh adherence substance use. |
| url | https://phcfm.org/index.php/phcfm/article/view/3984 |
| work_keys_str_mv | AT ramprakashkaswa primaryhealthcareprovidersviewsonmanagingsubstanceuseamongpeoplelivingwithhiv AT marietjiedevilliers primaryhealthcareprovidersviewsonmanagingsubstanceuseamongpeoplelivingwithhiv |