What is it about?

Researchers conducted a study to assess the readiness of primary healthcare providers (PHCP) for integrating antiretroviral therapy (ART) services in Lira District. A cross-sectional survey was employed, collecting quantitative data through an interviewer-administered questionnaire. The majority of respondents (75.2%) reported being ready for ART service integration. Factors associated with readiness included awareness of integration and duration at the current facility. Qualitative data revealed a positive view of integration as a good strategy that should be implemented immediately. The study concluded that integrating ART services at departmental levels could lead to improved patient outcomes and reduced stigma, but concerns about increased workload among healthcare providers and insufficient human resource capacity were raised. The study recommended training and capacity building for PHC providers, as well as assessing the acceptability of the ART-integrated model of care.

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Why is it important?

The study is important because it assesses the readiness of primary healthcare providers (PHCP) for the integration of Antiretroviral Therapy (ART) services at the departmental level in resource-limited settings. This information can help policymakers make informed decisions about implementing changes in HIV care that can improve patient outcomes and the overall health system. Key Takeaways: 1. A high proportion of PHC providers reported being ready for the integration of ART services into departmental levels. 2. Integrating ART services may improve ART therapy outcomes, reduce stigma and discrimination, and increase patient satisfaction. 3. Concerns about increased workload and insufficient human resource capacity should be addressed through training, capacity building, and potentially, integrating healthcare at all levels. 4. Future studies should explore the acceptability of the ART-integrated model of care, conduct cluster randomized controlled trials, and assess cost-effectiveness, quality of care, and long-term impact on health outcomes.

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This page is a summary of: Determinants of primary healthcare providers’ readiness for integration of ART services at departmental levels: A case study of Lira City and District, Uganda, PLOS One, October 2023, PLOS,
DOI: 10.1371/journal.pone.0292545.
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