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
- end stage renal disease
- affordable care act
- primary care
- hiv testing
- hiv infected
- chronic kidney disease
- newly diagnosed
- public health
- human immunodeficiency virus
- pain management
- ejection fraction
- peritoneal dialysis
- antiretroviral therapy
- prognostic factors
- hepatitis c virus
- hiv aids
- gene expression
- chronic pain
- men who have sex with men
- genome wide