Understanding health systems challenges in providing Advanced HIV Disease (AHD) care in a hub and spoke model: a qualitative analysis to improve AHD care program in Malawi.
Thulani MaphosaLise Denoeud-NdamLester KapandaSarah KhatibLloyd ChilikutaliEddington MatiyaBoswell MunthaliRosalia DambeBrown ChiwandiraBilaal WilsonRose NyirendaLaywell NyirendaBongani ChikwapuloOwen Madeira MusopoleAppolinaire TiamLeila KatirayiPublished in: BMC health services research (2024)
These findings highlight the importance of offering comprehensive AHD services. The enhanced AHD program addressed weaknesses in service delivery through decentralization and provided services through a hub-and-spoke model, improved supply availability, and strengthened linkage to care. Additionally, addressing the recommendations of service providers and patients is essential to improve the health and survival of patients with AHD.
Keyphrases
- healthcare
- quality improvement
- mental health
- palliative care
- affordable care act
- end stage renal disease
- primary care
- chronic kidney disease
- newly diagnosed
- hiv testing
- ejection fraction
- prognostic factors
- peritoneal dialysis
- gene expression
- hiv positive
- men who have sex with men
- pain management
- hepatitis c virus
- health insurance
- climate change
- dna methylation
- risk assessment
- patient reported