The use of patient choice in public health interventions for HIV treatment and prevention. A systematic review

Simple item page
dc.contributor.advisorPhillips, Tamsin
dc.contributor.advisorMogoba Pheposadi
dc.contributor.authorKanganga, Desire
dc.date.accessioned2025-02-25T12:25:50Z
dc.date.available2025-02-25T12:25:50Z
dc.date.issued2024
dc.date.updated2025-02-25T12:21:45Z
dc.description.abstractIntroduction: Africa has the highest burden of HIV globally. A growing number of evidencebased HIV intervention are being scaled up to eliminate HIV transmission and minimise morbidity and mortality. We reviewed the published HIV literature to describe interventions in which patients are given a choice in their HIV care, and examine the impact of patient choice on reported health outcomes among studies including a non-choice comparison group. Methods: We searched PubMed and reference lists, from 1 January 2010 to 8 December 2023. Included studies were HIV related interventions where patients were making a choice in some aspect of their care and carried out in Africa. The choice components and related results were described, and grouped by HIV continuum focus area. Measures of association were summarised for studies reporting comparison of health outcomes between choice and non-choice groups. Results: Eleven out of 593 studies were included. Six focused on HIV prevention, four on HIV treatment and one on HIV care and support. Five studies described choices offered in routine care; six were research interventions. Choices provided included product choice, location of services, duration of dispensing and choice treatment support. Limited details were provided on the implementation of the choice intervention in most studies. In two prevention studies comparing a choice and non-choice group, pre-exposure prophylaxis coverage was significantly higher in the choice arm compared to the control. In one HIV treatment study, there was no difference in viral suppression but retention in care was significantly higher in the choice arm compared to the non-choice arm. Conclusions: This review shows that patient choice is being offered in HIV preventative and treatment services and is allowing people to select what they need when needed. More research is required to understand how patient choice can be sustainably implemented in HIV services in high-burden and low-resource settings.
dc.identifier.apacitationKanganga, D. (2024). <i>The use of patient choice in public health interventions for HIV treatment and prevention. A systematic review</i>. (). University of Cape Town ,Faculty of Health Sciences ,Department of Public Health and Family Medicine. Retrieved from http://hdl.handle.net/11427/41008en_ZA
dc.identifier.chicagocitationKanganga, Desire. <i>"The use of patient choice in public health interventions for HIV treatment and prevention. A systematic review."</i> ., University of Cape Town ,Faculty of Health Sciences ,Department of Public Health and Family Medicine, 2024. http://hdl.handle.net/11427/41008en_ZA
dc.identifier.citationKanganga, D. 2024. The use of patient choice in public health interventions for HIV treatment and prevention. A systematic review. . University of Cape Town ,Faculty of Health Sciences ,Department of Public Health and Family Medicine. http://hdl.handle.net/11427/41008en_ZA
dc.identifier.ris TY - Thesis / Dissertation AU - Kanganga, Desire AB - Introduction: Africa has the highest burden of HIV globally. A growing number of evidencebased HIV intervention are being scaled up to eliminate HIV transmission and minimise morbidity and mortality. We reviewed the published HIV literature to describe interventions in which patients are given a choice in their HIV care, and examine the impact of patient choice on reported health outcomes among studies including a non-choice comparison group. Methods: We searched PubMed and reference lists, from 1 January 2010 to 8 December 2023. Included studies were HIV related interventions where patients were making a choice in some aspect of their care and carried out in Africa. The choice components and related results were described, and grouped by HIV continuum focus area. Measures of association were summarised for studies reporting comparison of health outcomes between choice and non-choice groups. Results: Eleven out of 593 studies were included. Six focused on HIV prevention, four on HIV treatment and one on HIV care and support. Five studies described choices offered in routine care; six were research interventions. Choices provided included product choice, location of services, duration of dispensing and choice treatment support. Limited details were provided on the implementation of the choice intervention in most studies. In two prevention studies comparing a choice and non-choice group, pre-exposure prophylaxis coverage was significantly higher in the choice arm compared to the control. In one HIV treatment study, there was no difference in viral suppression but retention in care was significantly higher in the choice arm compared to the non-choice arm. Conclusions: This review shows that patient choice is being offered in HIV preventative and treatment services and is allowing people to select what they need when needed. More research is required to understand how patient choice can be sustainably implemented in HIV services in high-burden and low-resource settings. DA - 2024 DB - OpenUCT DP - University of Cape Town KW - Public Health LK - https://open.uct.ac.za PB - University of Cape Town PY - 2024 T1 - The use of patient choice in public health interventions for HIV treatment and prevention. A systematic review TI - The use of patient choice in public health interventions for HIV treatment and prevention. A systematic review UR - http://hdl.handle.net/11427/41008 ER - en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/41008
dc.identifier.vancouvercitationKanganga D. The use of patient choice in public health interventions for HIV treatment and prevention. A systematic review. []. University of Cape Town ,Faculty of Health Sciences ,Department of Public Health and Family Medicine, 2024 [cited yyyy month dd]. Available from: http://hdl.handle.net/11427/41008en_ZA
dc.language.rfc3066Eng
dc.publisher.departmentDepartment of Public Health and Family Medicine
dc.publisher.facultyFaculty of Health Sciences
dc.publisher.institutionUniversity of Cape Town
dc.subjectPublic Health
dc.titleThe use of patient choice in public health interventions for HIV treatment and prevention. A systematic review
dc.typeThesis / Dissertation
dc.type.qualificationlevelMasters
dc.type.qualificationlevelMPH
Files
Original bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
thesis_hsf_2024_kanganga desire.pdf
Size:
1.67 MB
Format:
Adobe Portable Document Format
Description:
Download
License bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
license.txt
Size:
1.72 KB
Format:
Item-specific license agreed upon to submission
Description:
Download
Collections
Masters