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dc.contributor.authorKolawole, Grace O.en_US
dc.contributor.authorGilbert, Hannah N.en_US
dc.contributor.authorDadem, Nancin Y.en_US
dc.contributor.authorGenberg, Becky L.en_US
dc.contributor.authorAgaba, Patricia A.en_US
dc.contributor.authorOkonkwo, Prosperen_US
dc.contributor.authorAgbaji, Oche O.en_US
dc.contributor.authorWare, Norma C.en_US
dc.date.accessioned2017-04-06T03:18:54Z
dc.date.issued2017en_US
dc.identifier.citationKolawole, Grace O., Hannah N. Gilbert, Nancin Y. Dadem, Becky L. Genberg, Patricia A. Agaba, Prosper Okonkwo, Oche O. Agbaji, and Norma C. Ware. 2017. “Patient Experiences of Decentralized HIV Treatment and Care in Plateau State, North Central Nigeria: A Qualitative Study.” AIDS Research and Treatment 2017 (1): 2838059. doi:10.1155/2017/2838059. http://dx.doi.org/10.1155/2017/2838059.en
dc.identifier.issnen
dc.identifier.urihttp://nrs.harvard.edu/urn-3:HUL.InstRepos:32072002
dc.description.abstractBackground. Decentralization of care and treatment for HIV infection in Africa makes services available in local health facilities. Decentralization has been associated with improved retention and comparable or superior treatment outcomes, but patient experiences are not well understood. Methods. We conducted a qualitative study of patient experiences in decentralized HIV care in Plateau State, north central Nigeria. Five decentralized care sites in the Plateau State Decentralization Initiative were purposefully selected. Ninety-three patients and 16 providers at these sites participated in individual interviews and focus groups. Data collection activities were audio-recorded and transcribed. Transcripts were inductively content analyzed to derive descriptive categories representing patient experiences of decentralized care. Results. Patient participants in this study experienced the transition to decentralized care as a series of “trade-offs.” Advantages cited included saving time and money on travel to clinic visits, avoiding dangers on the road, and the “family-like atmosphere” found in some decentralized clinics. Disadvantages were loss of access to ancillary services, reduced opportunities for interaction with providers, and increased risk of disclosure. Participants preferred decentralized services overall. Conclusion. Difficulty and cost of travel remain a fundamental barrier to accessing HIV care outside urban centers, suggesting increased availability of community-based services will be enthusiastically received.en
dc.language.isoen_USen
dc.publisherHindawi Publishing Corporationen
dc.relation.isversionofdoi:10.1155/2017/2838059en
dc.relation.hasversionhttp://www.ncbi.nlm.nih.gov/pmc/articles/PMC5346378/pdf/en
dash.licenseLAAen_US
dc.titlePatient Experiences of Decentralized HIV Treatment and Care in Plateau State, North Central Nigeria: A Qualitative Studyen
dc.typeJournal Articleen_US
dc.description.versionVersion of Recorden
dc.relation.journalAIDS Research and Treatmenten
dash.depositing.authorGilbert, Hannah N.en_US
dc.date.available2017-04-06T03:18:54Z
dc.identifier.doi10.1155/2017/2838059*
dash.contributor.affiliatedGenberg, Becky L.
dash.contributor.affiliatedGilbert, Hannah
dash.contributor.affiliatedWare, Norma


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