A qualitative exploration of doctors’ and nurses’ experiences on the management of tuberculosis and human immunodeficiency virus co-infection in a tuberculosis-human immunodeficiency virus high burden community in northern KwaZulu-Natal, South Africa

Main Article Content

Mbuso Mabuza *
Constance Shumba
(*) Corresponding Author:
Mbuso Mabuza | mbuso_mabuza@yahoo.co.nz

Abstract

Background: South Africa is faced with a huge challenge of addressing the high burden of tuberculosis-human immune virus (TB-HIV) co-infection, and this challenge is more pronounced in the province of KwaZulu-Natal which has one of the highest burdens of TBHIV co-infection in the world.
Aim: The study explored the experiences of doctors and nurses with regard to the management of tuberculosis and HIV co-infection in a TB-HIV high burden community in northern KwaZulu-Natal, South Africa. The particular focus was to provide insight and to inform policy and programme development for effective management of TB-HIV coinfection in the TB-HIV high burden community of northern KwaZulu-Natal.
Methods: An interpretivist exploratory qualitative approach was employed through individual semi-structured interviews of 16 participants comprising eight doctors and eight nurses, with a total interview time of 8.95 hours. Purposive sampling was used to select the doctors and nurses from the public and private sector of the TB-HIV high burden community of northern KwaZulu-Natal. Thematic analysis was used to analyse the data. Results: Five key themes emerged from this study and these themes were discussed together with the sub-themes based on the various participant responses. The five key themes were practical experience about the management of TB-HIV co-infection; access to information and training on the management of TB-HIV co-infection; challenges and concerns about the management of TB-HIV co-infection; perception about local beliefs; and knowledge of policies and guidelines.
Conclusion: Overall, this study highlights barriers that hamper the effective management of TB-HIV co-infection in northern KwaZulu-Natal. Recommendations of this study point towards an urgent need to scale up the management of TB-HIV co-infection through effective policies, improved capacity and infrastructure, stronger partnerships of all stakeholders, and further research.


Downloads month by month

Downloads

Download data is not yet available.

Article Details

Author Biography

Mbuso Mabuza, Department of Public Health and Policy, University of Liverpool

HIV Prevention and Integration Senior Officer, Hohns Hopkins Uninersity Bloomberg School of Public Health, Centre for Communication Programs, Health Communication Capacity Collaborative (HC3) Swaziland