Understanding implementation barriers in the national scale-up of differentiated ART delivery in Uganda.

ABSTRACT:

Background

Although Differentiated Service Delivery (DSD) for anti-retroviral therapy (ART) has been rolled-out nationally in several countries since World Health Organization (WHO)'s landmark 2016 guidelines, there is little research evaluating post-implementation outcomes. The objective of this study was to explore patients' and HIV service managers' perspectives on barriers to implementation of Differentiated ART service delivery in Uganda.

Methods

We employed a qualitative descriptive design involving 124 participants. Between April and June 2019 we conducted 76 qualitative interviews with national-level HIV program managers (n = 18), District Health Team leaders (n = 24), representatives of PEPFAR implementing organizations (11), ART clinic in-charges (23) in six purpos

SUBMITTER: Zakumumpa H 

PROVIDER: S-EPMC7077133 | biostudies-literature | 2020 Mar

REPOSITORIES: biostudies-literature