Exploration of facilitators and barriers to the implementation of a guideline to reduce HIV-related stigma and discrimination in the Ethiopian healthcare settings: A descriptive qualitative study.
Garumma Tolu FeyissaMirkuzie WoldieZachary MunnCraig LockwoodPublished in: PloS one (2019)
This study identified that guideline implementation can make use of existing structures and pathways such as MDT meetings, service quality improvement initiatives, one-to-five networks, training and workshops. Teamwork and partnership with stakeholders should be strengthened to strengthen facilitators and tackle barriers related to the implementation of the guideline. Effective implementation of the guideline also requires establishing an implementation structure. Moreover, indicators developed to track the implementation of stigma reduction guideline should be integrated into mentorship, MDT meetings and evaluation programs of the hospital to improve performance and to assist data collection on implementation experiences.
Keyphrases
- quality improvement
- healthcare
- primary care
- mental health
- patient safety
- hiv aids
- emergency department
- public health
- human immunodeficiency virus
- hepatitis c virus
- hiv infected
- mass spectrometry
- hiv testing
- electronic health record
- hiv positive
- social media
- men who have sex with men
- cross sectional
- health information
- data analysis