Ngcobo Silingene Joyce, Makhado Lufuno, Sehularo Leepile Alfred
College Health Sciences, University of KwaZulu Natal, Durban 4041, South Africa.
Office of the Deputy Dean Research and Postgraduate Studies, Faculty of Health Sciences, University of Venda, Thohoyandou 0950, South Africa.
Nurs Rep. 2023 Oct 27;13(4):1539-1552. doi: 10.3390/nursrep13040129.
Mobile health clinics (MHCs) serve as an alternative HIV care delivery method for the HIV-burdened eThekwini district. This study aimed to describe and profile the HIV care services provided by the MHCs through process evaluation. A descriptive cross-sectional quantitative evaluation study was performed on 137 MHCs using total population sampling. An online data collection method using a validated 50-item researcher-developed instrument was administered to professional nurses who are MHC team leaders, following ethical approval from the local university and departments of health. Descriptive statistics were used to analyze the data. The results described that HIV care services are offered in open spaces (43%), community buildings (37%), solid built buildings called health posts (15%), vehicles (9%), and tents (2%) with no electricity (77%), water (55%), and sanitation (64%). Adults (97%) are the main recipients of HIV care in MHCs (90%) offering antiretroviral therapy (95%). Staff, monitoring, and retaining care challenges were noted, with good linkage (91%) and referral pathways ( = 123.90%). In conclusion, the standardization and prioritization of HIV care with specific contextual practice guidelines are vital.
移动健康诊所（MHCs）是为艾滋病毒负担较重的伊特哈瓦尼地区提供艾滋病毒护理的一种替代方式。本研究旨在通过过程评估来描述和剖析MHCs提供的艾滋病毒护理服务。采用总体抽样法，对137家MHCs进行了描述性横断面定量评估研究。在获得当地大学和卫生部门的伦理批准后，使用经验证的由研究人员开发的包含50个条目的工具，通过在线数据收集方法，对担任MHC团队负责人的专业护士进行了调查。使用描述性统计方法分析数据。结果表明，艾滋病毒护理服务在露天场所（43%）、社区建筑（37%）、称为卫生站的坚固建筑（15%）、车辆（9%）和帐篷（2%）中提供，其中没有电力的场所占77%，没有水的占55%，没有卫生设施的占64%。成年人（97%）是MHCs（90%）中接受艾滋病毒护理的主要人群，这些诊所提供抗逆转录病毒疗法（95%）。研究指出了工作人员、监测和留住患者方面的挑战，同时也有良好的联系（91%）和转诊途径（=123.90）。总之，根据具体的实际情况制定艾滋病毒护理的标准化和优先事项至关重要。
