Models of care for anti-retroviral treatment delivery
– Marisa Wilke is on the far right in the front row in the photo.
With her thesis MODELS OF CARE FOR ANTIRETROVIRAL TREATMENT DELIVERY: A FAITH-BASED ORGANISATION’S RESPONSE, Marisa Wilke compared four models of care for HIV-positive patients. The Southern African Catholic Bishops’ Conference managed twenty antiretroviral treatment clinics in South African communities lacking in health-care services, where the need is great but resources limited. With this contribution, she demonstrated that nurse-driven de-centralised service can most effectively and appropriately address the chronic nature of HIV and strengthen the health-care system through a paradigm shift to a chronic care model. Based on the findings, a chronic care model with seven elements was adapted for South Africa: (1) an integrated, decentralised chronic care system based within a primary health setting; (2) partnerships with Non-Governmental Organisations; (3) an effective information management system; (4) patients and their families; (5) self-management support to patients; (6) provider decision support and (7) delivery system redesign. Implications for the nursing profession include adoption of focus and training, as well as the recognition of the nursing practitioner/specialist role in South Africa.
(Copyright: University of the Free State).