Nurses’ Knowledge of Tuberculosis, HIV, and Integrated HIV/TB Care Policies in Rural Western Cape, South Africa

HIV and tuberculosis (TB) co-infection remain the leading causes of mortality in many developing countries. Several policies for their prevention and management exist; however, progress to meet the World Health Organization's indicators is slow. As nurses in rural areas are the main health care...

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Bibliographic Details
Published in:	The Journal of the Association of Nurses in AIDS Care Vol. 29; no. 6; pp. 876 - 886
Main Authors:	Phetlhu, Deliwe Rene, Bimerew, Million, Marie-Modeste, Regis R., Naidoo, Mogasweri, Igumbor, Jude
Format:	Journal Article
Language:	English
Published:	United States Elsevier Inc 01-11-2018
Subjects:	Adult Attitude of Health Personnel Coinfection - diagnosis Coinfection - therapy Delivery of Health Care, Integrated - organization & administration Female Guideline Adherence Guidelines as Topic Health Knowledge, Attitudes, Practice health policies Health Policy HIV HIV Infections - diagnosis HIV Infections - therapy Humans knowledge Male Nurses - psychology Primary Health Care rural South Africa tuberculosis Tuberculosis, Multidrug-Resistant - diagnosis Tuberculosis, Multidrug-Resistant - therapy South Africa South Africa HIV health policies rural tuberculosis knowledge
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Summary:	HIV and tuberculosis (TB) co-infection remain the leading causes of mortality in many developing countries. Several policies for their prevention and management exist; however, progress to meet the World Health Organization's indicators is slow. As nurses in rural areas are the main health care professionals responsible for the implementation of policies, questions arose about nursing knowledge regarding TB and HIV policies. A concurrent mixed method research approach was used to investigate this issue in a rural area of the Western Cape in South Africa. After a two-step sampling process, data were collected through 44 questionnaires and 12 interviews. We used descriptive and inferential statistics as well as content analysis methods. We found that most of the nurses had insufficient knowledge on certain aspects of policy guidelines that included medications, intensive case findings, and management of multidrug-resistant TB. It is recommended that training be intensified to improve implementation of policies.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	1055-3290 1552-6917
DOI:	10.1016/j.jana.2018.05.008