Exploring experiences of HIV care to optimize patient-centred care in Conakry, Guinea: a qualitative study
IntroductionStudies on the organisation of care and the power dynamic between providers and patients with HIV in sub-Saharan Africa are rare. This study aims to describe the patient-provider relationship and explore the challenges to optimal and patient-centred care for HIV patients.MethodsThis was...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2024-04-01
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| Series: | Frontiers in Reproductive Health |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/frph.2024.1134404/full |
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| author | Delphin Kolié Delphin Kolié Etienne Guillard Abdoulaye Sow Hawa Manet Hawa Manet Bienvenu Salim Camara Bienvenu Salim Camara Théophile Bigirimana Mamane Harouna Alexandre Delamou Alexandre Delamou |
| author_facet | Delphin Kolié Delphin Kolié Etienne Guillard Abdoulaye Sow Hawa Manet Hawa Manet Bienvenu Salim Camara Bienvenu Salim Camara Théophile Bigirimana Mamane Harouna Alexandre Delamou Alexandre Delamou |
| author_sort | Delphin Kolié |
| collection | DOAJ |
| description | IntroductionStudies on the organisation of care and the power dynamic between providers and patients with HIV in sub-Saharan Africa are rare. This study aims to describe the patient-provider relationship and explore the challenges to optimal and patient-centred care for HIV patients.MethodsThis was a qualitative exploratory descriptive study using in-depth individual interviews and focus group discussions. In total, 17 individual interviews and 5 focus group discussions were conducted. This was conducted in four urban health facilities in Conakry, the capital of Guinea. Three group of participants were included in this study namely patients with HIV; health providers including facilities and services managers; and psychosocial counsellors. Psychosocial counsellors provide emotional and psychosocial support to HIV patients. Their role in the organization care in Guinea is new and they contribute to strengthening adherence of patients with HIV to ARV treatment.ResultsPatients with HIV, health providers, and psychosocial counsellors have a positive perception of the patient-provider relationship. This relationship was characterized essentially by maintaining confidentiality of HIV status disclosure, caring attitudes towards patients (being available, adjusting locations for accessing ART, based on patients’ preferences), and participating in HIV patient’s social life. However, scolding and miscommunication about the interpretation of viral load tests were reported. The shortage of human resources, low salaries of health staff, poor infrastructure, and the financial burden borne by patients with HIV impede the implementation of optimal patient-centred care.ConclusionIntegrating psychosocial counsellors in HIV care organization, improving access to ARV, infrastructure, increasing human resources, and removing the financial burden for HIV patients are needed to optimal patient-centred care in Guinea. |
| first_indexed | 2024-04-24T11:55:42Z |
| format | Article |
| id | doaj.art-9f04681584c14f3e959209145ab18034 |
| institution | Directory Open Access Journal |
| issn | 2673-3153 |
| language | English |
| last_indexed | 2024-04-24T11:55:42Z |
| publishDate | 2024-04-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Reproductive Health |
| spelling | doaj.art-9f04681584c14f3e959209145ab180342024-04-09T04:37:02ZengFrontiers Media S.A.Frontiers in Reproductive Health2673-31532024-04-01610.3389/frph.2024.11344041134404Exploring experiences of HIV care to optimize patient-centred care in Conakry, Guinea: a qualitative studyDelphin Kolié0Delphin Kolié1Etienne Guillard2Abdoulaye Sow3Hawa Manet4Hawa Manet5Bienvenu Salim Camara6Bienvenu Salim Camara7Théophile Bigirimana8Mamane Harouna9Alexandre Delamou10Alexandre Delamou11Ministry of Health and Public Hygiene, Centre National de Formation et de Recherche en Santé Rurale de Maferinyah, Forécariah, GuineaAfrican Centre of Excellence for the Prevention and Control of Communicable Diseases, Gamal Abdel Nasser University of Conakry, Conakry, GuineaSolthis, Paris, FranceFraternité Médicale Guinée, Conakry, GuinéeMinistry of Health and Public Hygiene, Centre National de Formation et de Recherche en Santé Rurale de Maferinyah, Forécariah, GuineaAfrican Centre of Excellence for the Prevention and Control of Communicable Diseases, Gamal Abdel Nasser University of Conakry, Conakry, GuineaMinistry of Health and Public Hygiene, Centre National de Formation et de Recherche en Santé Rurale de Maferinyah, Forécariah, GuineaAfrican Centre of Excellence for the Prevention and Control of Communicable Diseases, Gamal Abdel Nasser University of Conakry, Conakry, GuineaSolthis, Conakry, GuineaSolthis, Conakry, GuineaMinistry of Health and Public Hygiene, Centre National de Formation et de Recherche en Santé Rurale de Maferinyah, Forécariah, GuineaAfrican Centre of Excellence for the Prevention and Control of Communicable Diseases, Gamal Abdel Nasser University of Conakry, Conakry, GuineaIntroductionStudies on the organisation of care and the power dynamic between providers and patients with HIV in sub-Saharan Africa are rare. This study aims to describe the patient-provider relationship and explore the challenges to optimal and patient-centred care for HIV patients.MethodsThis was a qualitative exploratory descriptive study using in-depth individual interviews and focus group discussions. In total, 17 individual interviews and 5 focus group discussions were conducted. This was conducted in four urban health facilities in Conakry, the capital of Guinea. Three group of participants were included in this study namely patients with HIV; health providers including facilities and services managers; and psychosocial counsellors. Psychosocial counsellors provide emotional and psychosocial support to HIV patients. Their role in the organization care in Guinea is new and they contribute to strengthening adherence of patients with HIV to ARV treatment.ResultsPatients with HIV, health providers, and psychosocial counsellors have a positive perception of the patient-provider relationship. This relationship was characterized essentially by maintaining confidentiality of HIV status disclosure, caring attitudes towards patients (being available, adjusting locations for accessing ART, based on patients’ preferences), and participating in HIV patient’s social life. However, scolding and miscommunication about the interpretation of viral load tests were reported. The shortage of human resources, low salaries of health staff, poor infrastructure, and the financial burden borne by patients with HIV impede the implementation of optimal patient-centred care.ConclusionIntegrating psychosocial counsellors in HIV care organization, improving access to ARV, infrastructure, increasing human resources, and removing the financial burden for HIV patients are needed to optimal patient-centred care in Guinea.https://www.frontiersin.org/articles/10.3389/frph.2024.1134404/fullHIV carepatient-provider relationshipqualitative researchpsychosocial supportGuinea |
| spellingShingle | Delphin Kolié Delphin Kolié Etienne Guillard Abdoulaye Sow Hawa Manet Hawa Manet Bienvenu Salim Camara Bienvenu Salim Camara Théophile Bigirimana Mamane Harouna Alexandre Delamou Alexandre Delamou Exploring experiences of HIV care to optimize patient-centred care in Conakry, Guinea: a qualitative study Frontiers in Reproductive Health HIV care patient-provider relationship qualitative research psychosocial support Guinea |
| title | Exploring experiences of HIV care to optimize patient-centred care in Conakry, Guinea: a qualitative study |
| title_full | Exploring experiences of HIV care to optimize patient-centred care in Conakry, Guinea: a qualitative study |
| title_fullStr | Exploring experiences of HIV care to optimize patient-centred care in Conakry, Guinea: a qualitative study |
| title_full_unstemmed | Exploring experiences of HIV care to optimize patient-centred care in Conakry, Guinea: a qualitative study |
| title_short | Exploring experiences of HIV care to optimize patient-centred care in Conakry, Guinea: a qualitative study |
| title_sort | exploring experiences of hiv care to optimize patient centred care in conakry guinea a qualitative study |
| topic | HIV care patient-provider relationship qualitative research psychosocial support Guinea |
| url | https://www.frontiersin.org/articles/10.3389/frph.2024.1134404/full |
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