Muhimbili University of Health and Allied Sciences, Dar es salaam, Tanzania.
National Institute for Medical Research, Dar es salaam, Tanzania.
J Int Assoc Provid AIDS Care. 2024 Jan-Dec;23:23259582241273385. doi: 10.1177/23259582241273385.
The study explores barriers and suggestions for improving viral load testing (VLT) uptake in Tanzania, revealing that only 58% of patients receive VLT annually, contrary to the Tanzanian National Guidelines toward the 95-95-95 UNAIDS targets. Twelve individual interviews and three patient-focus groups were conducted as part of a qualitative study conducted in six human immunodeficiency virus (HIV) clinics in Dar es Salaam to identify potential suggestions for access enhancement, as well as barriers to VLT uptake. Using King's theory of goal attainment, we found that missing appointments was the primary individual barrier to VLT uptake, along with limited knowledge among individuals living with HIV. Participants also face system-level barriers, such as a lack of integrated care and evening service availability. The study suggests that, despite challenges, there is potential for improvement in the uptake and quality of VLT services in Tanzanian public health facilities through a holistic approach.
本研究探讨了坦桑尼亚提高病毒载量检测（VLT）普及率的障碍和建议，结果显示，只有 58%的患者每年接受 VLT，这与坦桑尼亚国家指南中针对 95-95-95 艾滋病规划署目标的要求相悖。作为在达累斯萨拉姆六家艾滋病毒（HIV）诊所进行的定性研究的一部分，进行了十二次个人访谈和三次患者焦点小组，以确定增强获取途径的潜在建议，以及 VLT 普及率的障碍。我们根据金的目标达成理论发现，错过预约是阻碍 VLT 普及率的主要个人障碍，同时 HIV 感染者的知识有限。参与者还面临着系统层面的障碍，例如缺乏综合护理和夜间服务的提供。该研究表明，尽管存在挑战，但通过整体方法，提高坦桑尼亚公共卫生机构 VLT 服务的普及率和质量仍具有潜力。
