دورية أكاديمية
Clients' and providers' perspectives in informing a digital health intervention to improve linkage to care after Index HIV self-testing in Hai and Moshi Districts, Tanzania.
| العنوان: | Clients' and providers' perspectives in informing a digital health intervention to improve linkage to care after Index HIV self-testing in Hai and Moshi Districts, Tanzania. |
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| المؤلفون: | Mhando F; Johannesburg Business School, University of Johannesburg, Johannesburg, South Africa. frank.mhando@gmail.com., Mushy SE; Department of Community Health Nursing, School of Nursing, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania., Nyankomo M; Johannesburg Business School, University of Johannesburg, Johannesburg, South Africa., Haraka F; Elizabeth Glaser Pediatric AIDS Foundation, Dar es Salaam, Tanzania., Maokola W; Ministry of Health, Dodoma, Tanzania., Masunga Z; Ministry of Health, Dodoma, Tanzania., Machalo T; Elizabeth Glaser Pediatric AIDS Foundation, Dar es Salaam, Tanzania., Nnko C; Elizabeth Glaser Pediatric AIDS Foundation, Dar es Salaam, Tanzania., Gill MM; Elizabeth Glaser Pediatric AIDS Foundation, Washington, DC, USA., Kimambo S; Elizabeth Glaser Pediatric AIDS Foundation, Dar es Salaam, Tanzania., Janson S; Milken Institute School of Public Health, The George Washington University, Washington, DC, USA., Toussaint S; University of Maryland, College Park, MD, USA., Bourgeau MJ; Empire State College, Staten Island, NY, USA., Kopeka M; Milken Institute School of Public Health, The George Washington University, Washington, DC, USA., Teri I; Elizabeth Glaser Pediatric AIDS Foundation, Washington, DC, USA., Hall C; Milken Institute School of Public Health, The George Washington University, Washington, DC, USA., Ni Z; Yale University School of Nursing, New Haven, CT, USA.; Center for Interdisciplinary Research on AIDS, Yale University, New Haven, CT, USA., Hatcher G; Milken Institute School of Public Health, The George Washington University, Washington, DC, USA., Mabusi MS; Kilimanjaro Christian Medical University, Moshi, Tanzania., Conserve DF; Milken Institute School of Public Health, The George Washington University, Washington, DC, USA. |
| المصدر: | BMC health services research [BMC Health Serv Res] 2024 Sep 17; Vol. 24 (1), pp. 1084. Date of Electronic Publication: 2024 Sep 17. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: BioMed Central Country of Publication: England NLM ID: 101088677 Publication Model: Electronic Cited Medium: Internet ISSN: 1472-6963 (Electronic) Linking ISSN: 14726963 NLM ISO Abbreviation: BMC Health Serv Res Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: London : BioMed Central, [2001- |
| مواضيع طبية MeSH: | HIV Infections*/diagnosis , HIV Infections*/therapy , Qualitative Research* , Self-Testing*, Humans ; Female ; Tanzania ; Male ; Adult ; Middle Aged ; Attitude of Health Personnel ; Young Adult ; Interviews as Topic ; Telemedicine ; Health Personnel/psychology ; Adolescent ; Digital Health |
| مستخلص: | Background: Digital health interventions have the potential to improve linkage to care after HIV self-testing (HIVST). This study aimed to understand clients' and providers' perceptions of benefits, and barriers of a digital health intervention designed to improve linkage to care after HIV self-testing in Tanzania. Methods: This exploratory qualitative research study was conducted in Hai and Moshi, districts in Kilimanjaro region, Tanzania. Four health facilities were selected based on their involvement in an HIVST pilot program implemented by Elizabeth Glassier Pediatric AIDS Foundation (EGPAF) Tanzania through the USAID funded program. The study included female index clients and their partners, and healthcare providers at the healthcare facilities. We used a semi-structured interview guide with open-ended questions for data collection. Data collection was conducted from 16th January 2023 to 3rd February 2023. Thematic analysis of the qualitative data was conducted, guided by the Health Belief Model (HBM), and results were developed in collaboration with the community partners. Results: A total of 42 participants were included in the study, comprising 9 male clients, 17 female index clients, and 16 health care workers (HCWs) (4 male and 12 female) who were involved in delivering HIVST services. The study's findings revealed mixed feelings about the use of a digital health intervention. Majority of participants perceived digital health as a valuable intervention for enhancing linkage to care, improved health outcomes, improved communication with healthcare workers, and increased privacy. Therefore, they supported scale-up of a digital health intervention. Participants also expressed that the potential benefits of a digital health intervention include the convenience of accessing healthcare services from the comfort of their homes or any location. However, a few participants expressed concerns about potential risks associated with sending health-related text messages. They feared that recipients might not be in a safe space, leading to stigma and avoidance of engagement. A few female participants expressed concerns about confidentiality breaches, particularly regarding shared phones with family or friends. Fear of being judged or misunderstood by others could deter them from reading or acting upon these messages. Most participants recommended tailored strategies that prioritize confidentiality and trust. Recognizing these psychological aspects is vital for customizing digital health interventions to effectively address participants' concerns. Conclusions: Digital health interventions may improve the linkage of HIV self-testers to care. Recommendations include personalized and culturally relevant communication and technical accessibility to make interventions effective and inclusive. This study provides valuable insights for designing patient-centered interventions for HIV care and treatment. (© 2024. The Author(s).) |
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| معلومات مُعتمدة: | R00 MH110343 United States MH NIMH NIH HHS; T37 MD001448 United States MD NIMHD NIH HHS; R00MH110343 United States MH NIMH NIH HHS; T37-MD001448 Minority Health International Research Training |
| فهرسة مساهمة: | Keywords: Digital health; Digital health intervention; HIV self-testing (HIVST); Linkage to HIV care |
| تواريخ الأحداث: | Date Created: 20240917 Date Completed: 20240918 Latest Revision: 20240921 |
| رمز التحديث: | 20240921 |
| مُعرف محوري في PubMed: | PMC11409602 |
| DOI: | 10.1186/s12913-024-11466-2 |
| PMID: | 39289724 |
| قاعدة البيانات: | MEDLINE |
Find this article in full text from Springer Verlag. 
Full Text Finder | تدمد: | 1472-6963 |
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| DOI: | 10.1186/s12913-024-11466-2 |