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Nurses’ Perceptions Regarding the Antiretroviral Therapy Services at Selected Health Facilities in Lesotho

Received: 3 December 2021    Accepted: 29 December 2021    Published: 15 January 2022
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Abstract

In Lesotho, ART services are provided in primary health care (PHC) facilities which are mostly run by nurses. This study aimed to describe perceptions of nurses regarding the antiretroviral therapy services at PHC facilities across six selected districts in Lesotho. A cross sectional survey was conducted in which convenience sampling was used to select 214 nurses working at PHC facilities across six districts. They completed a structured self-report questionnaire that collected information on their perceptions using a Likert scale with six options (strongly agree, agree, neutral, disagree, strongly disagree, and no answer). The response rate was 92% (n=197) and data were analyzed using SPSS (23). Nurses’ perceptions were positive and the same on whether ARVS and other medications were available; they were qualified and competent to provide ART services; they had adequate resources and equipment to provide ART services; they were satisfied with their jobs and the services they provided; and there was monitoring and evaluating system for the ART services. Nurses’ perceptions significantly differed and were mostly negative on whether they were adequately staffed to provide ART services; their organizational structures allowed for the provision of adequate and efficient services; ART services were accessible; and there was adequate and accurate documentation of the ART services they provided. As nurses are the main health care providers in Lesotho, their perceptions are important in improving service delivery. It is important to standardize ART services across the districts to ensure equitable accessibility in line with service demand.

Published in American Journal of Nursing Science (Volume 11, Issue 1)
DOI 10.11648/j.ajns.20221101.11
Page(s) 1-5
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Antiretroviral Therapy Services, Nurses’ Perceptions, Primary Health Care, Lesotho

References
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[2] Ministry of Health (MoH). 2019. Lesotho Population-Based HIV Impact Assessment. LePHIA 2016-2017 Report.
[3] Government of Lesotho. National HIV and AIDS Strategic Plan (NHASP) 2018/2019. Online. 2011; i–100.
[4] Nyangu I, Nkosi ZZ. Antiretroviral therapy program accessibility across Lesotho districts’ primary health care centers. J Public Heal Dis [Internet]. 2019; 2 (2): 7–7. Available from: https://doi.org/10.31248/JPHD2019.035http://www.integrityresjournals.org/journal/JPHD
[5] Evaluation of Antiretroviral Therapy Program in Primary Health. 2016; (November).
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[7] Tuhadeleni ON, Lukolo LN. The perceptions of patients on antiretroviral therapy (ART) and treatment supporters with regard to their role towards ART adherence, at ART clinics in the intermediate hospital Oshakati, Namibia. Int J Med. 2017; 5 (1): 17.
[8] UNAIDS 2017. Ending Aids Progress Towards the 90-90-90 Targets. Global Aids Update. 2017. 198 p.
[9] Brown LB, Havlir D V., Ayieko J, Mwangwa F, Owaraganise A, Kwarisiima D, et al. High levels of retention in care with streamlined care and universal test and treat in East Africa. AIDS. 2016; 30 (18): 2855–64.
[10] Mavhandu-Mudzusi AH, Sandy PT, Hettema A. Registered nurses’ perceptions regarding nurse-led antiretroviral therapy initiation in Hhohho region, Swaziland. Int Nurs Rev. 2017; 64 (4): 552–60.
[11] Rouleau G, Richard L, Côté J, Gagnon MP, Pelletier J. Nursing Practice to Support People Living with HIV with Antiretroviral Therapy Adherence: A Qualitative Study. J Assoc Nurses AIDS Care. 2019; 30 (4): E20–37.
[12] Zamzam AH, Abdul Wahab AK, Azizan MM, Satapathy SC, Lai KW, Hasikin K. A Systematic Review of Medical Equipment Reliability Assessment in Improving the Quality of Healthcare Services. Front Public Health. 2021; 9. Available from https://doi.org//10.3389/fpubh.2021.753951
[13] Diaz T, Rasanathan K, Maina I, Nsona H, Aung KM, NemserB, O’Neill KP. Framework and Strategy for integrated monitoring and evaluation of child health programmes for responsive programming, accountability, and impact. BMJ. 2018; 362: k2785. Available from: https://doi.org/10.1136/bmj.k2785
[14] Uys LR, Klopper HC. What is the ideal ratio of categories of nurses for the South African public health system? Vol. 109, South African Journal of Science. 2013. doi: 10.1590/sajs.2013/a0015.
[15] Nyangu I, Nkosi ZZ. Experiences of Patients and Registered Nurses regarding the Antiretroviral Therapy Programme. Afr J Nurs Midwifery [Internet]. 2019 Sep 16; 21 (1). Available from: https://upjournals.co.za/index.php/AJNM/article/view/4328
[16] Dassah E, Aldersey H, McColl MA, et al. Factprs Affecting access to Primary Healthcare Services for Persons with Disabilities in Rural Areas: a “ best fit” framework synthesis. Glob Health Res Policy. 2018; 3: 36. Available from: https://doi.org/10.1186/s41256-018-0091-x
[17] Momenipur A, Pennarthur PR. Balancing Documentation and Direct Patient Care Activities: A study of a Mature Electronic Health Record System. Int J Ind Ergon. 2019; 72: 338-346. Available from: https://doi.org/10.1016/j.ergon.2019.06.012
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  • APA Style

    Isabel Nyangu, Zerish Zethu Nkosi. (2022). Nurses’ Perceptions Regarding the Antiretroviral Therapy Services at Selected Health Facilities in Lesotho. American Journal of Nursing Science, 11(1), 1-5. https://doi.org/10.11648/j.ajns.20221101.11

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    ACS Style

    Isabel Nyangu; Zerish Zethu Nkosi. Nurses’ Perceptions Regarding the Antiretroviral Therapy Services at Selected Health Facilities in Lesotho. Am. J. Nurs. Sci. 2022, 11(1), 1-5. doi: 10.11648/j.ajns.20221101.11

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    AMA Style

    Isabel Nyangu, Zerish Zethu Nkosi. Nurses’ Perceptions Regarding the Antiretroviral Therapy Services at Selected Health Facilities in Lesotho. Am J Nurs Sci. 2022;11(1):1-5. doi: 10.11648/j.ajns.20221101.11

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  • @article{10.11648/j.ajns.20221101.11,
      author = {Isabel Nyangu and Zerish Zethu Nkosi},
      title = {Nurses’ Perceptions Regarding the Antiretroviral Therapy Services at Selected Health Facilities in Lesotho},
      journal = {American Journal of Nursing Science},
      volume = {11},
      number = {1},
      pages = {1-5},
      doi = {10.11648/j.ajns.20221101.11},
      url = {https://doi.org/10.11648/j.ajns.20221101.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajns.20221101.11},
      abstract = {In Lesotho, ART services are provided in primary health care (PHC) facilities which are mostly run by nurses. This study aimed to describe perceptions of nurses regarding the antiretroviral therapy services at PHC facilities across six selected districts in Lesotho. A cross sectional survey was conducted in which convenience sampling was used to select 214 nurses working at PHC facilities across six districts. They completed a structured self-report questionnaire that collected information on their perceptions using a Likert scale with six options (strongly agree, agree, neutral, disagree, strongly disagree, and no answer). The response rate was 92% (n=197) and data were analyzed using SPSS (23). Nurses’ perceptions were positive and the same on whether ARVS and other medications were available; they were qualified and competent to provide ART services; they had adequate resources and equipment to provide ART services; they were satisfied with their jobs and the services they provided; and there was monitoring and evaluating system for the ART services. Nurses’ perceptions significantly differed and were mostly negative on whether they were adequately staffed to provide ART services; their organizational structures allowed for the provision of adequate and efficient services; ART services were accessible; and there was adequate and accurate documentation of the ART services they provided. As nurses are the main health care providers in Lesotho, their perceptions are important in improving service delivery. It is important to standardize ART services across the districts to ensure equitable accessibility in line with service demand.},
     year = {2022}
    }
    

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    AU  - Isabel Nyangu
    AU  - Zerish Zethu Nkosi
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    T2  - American Journal of Nursing Science
    JF  - American Journal of Nursing Science
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    AB  - In Lesotho, ART services are provided in primary health care (PHC) facilities which are mostly run by nurses. This study aimed to describe perceptions of nurses regarding the antiretroviral therapy services at PHC facilities across six selected districts in Lesotho. A cross sectional survey was conducted in which convenience sampling was used to select 214 nurses working at PHC facilities across six districts. They completed a structured self-report questionnaire that collected information on their perceptions using a Likert scale with six options (strongly agree, agree, neutral, disagree, strongly disagree, and no answer). The response rate was 92% (n=197) and data were analyzed using SPSS (23). Nurses’ perceptions were positive and the same on whether ARVS and other medications were available; they were qualified and competent to provide ART services; they had adequate resources and equipment to provide ART services; they were satisfied with their jobs and the services they provided; and there was monitoring and evaluating system for the ART services. Nurses’ perceptions significantly differed and were mostly negative on whether they were adequately staffed to provide ART services; their organizational structures allowed for the provision of adequate and efficient services; ART services were accessible; and there was adequate and accurate documentation of the ART services they provided. As nurses are the main health care providers in Lesotho, their perceptions are important in improving service delivery. It is important to standardize ART services across the districts to ensure equitable accessibility in line with service demand.
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Author Information
  • Department of Nursing, Faculty of Health Sciences, National University of Lesotho, Roma, Lesotho

  • Department of Nursing, Faculty of Health Sciences, National University of Lesotho, Roma, Lesotho

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