Healthcare Providers’ Perspectives and Role in Improving Patient Engagement in HIV Treatment and Care in Almaty, Kazakhstan

The HIV epidemic continues to grow in Eastern Europe and Central Asia. At the same time, there are major gaps in engagement in HIV treatment and care among people living with HIV (PLHIV) in the region, including Kazakhstan. Healthcare providers may have the potential to improve patients’ initiation...

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Autores principales:	Elizabeth J. King, Ainur Zh. Kussainova, Jangul Erlon-Baurjan, Zhamilya S. Nugmanova
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	Kazakhstan HIV/AIDS HIV treatment healthcare providers patient-provider communication qualitative research methods Medicine R
Acceso en línea:	https://doaj.org/article/a535dc3e57384506b62080229c84aa5e
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spelling	oai:doaj.org-article:a535dc3e57384506b62080229c84aa5e2021-11-25T17:51:25ZHealthcare Providers’ Perspectives and Role in Improving Patient Engagement in HIV Treatment and Care in Almaty, Kazakhstan10.3390/ijerph1822121381660-46011661-7827https://doaj.org/article/a535dc3e57384506b62080229c84aa5e2021-11-01T00:00:00Zhttps://www.mdpi.com/1660-4601/18/22/12138https://doaj.org/toc/1661-7827https://doaj.org/toc/1660-4601The HIV epidemic continues to grow in Eastern Europe and Central Asia. At the same time, there are major gaps in engagement in HIV treatment and care among people living with HIV (PLHIV) in the region, including Kazakhstan. Healthcare providers may have the potential to improve patients’ initiation of and adherence to HIV treatment; however, their perspectives and experiences are often overlooked in the research from Kazakhstan. The purpose of our study was to gain an in-depth understanding of how providers perceive the factors influencing PLHIV’s engagement in HIV treatment and care and to identify opportunities for expanding the role that providers can have in improving patient initiation and adherence to treatment in Kazakhstan. Through purposive sampling, we conducted in-depth interviews with 14 healthcare providers at the City AIDS Center in Almaty. We used team-based coding and thematic analysis in order to analyze the data. Quotes from providers were translated from Kazakh and Russian to English to illustrate the themes. Our results show that providers currently view their role as the need to break down myths around ART medications, and to educate and motivate patients to accept their diagnosis and learn to live with HIV. The need to address stigma and social isolation among PLHIV, the risk of overworked providers, and the need to improve patient-provider communication strategies are areas to consider for further interventions. Patient-provider communication interventions are needed in Kazakhstan in order to help meet the country’s 90-90-90 HIV targets.Elizabeth J. KingAinur Zh. KussainovaJangul Erlon-BaurjanZhamilya S. NugmanovaMDPI AGarticleKazakhstanHIV/AIDSHIV treatmenthealthcare providerspatient-provider communicationqualitative research methodsMedicineRENInternational Journal of Environmental Research and Public Health, Vol 18, Iss 12138, p 12138 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Kazakhstan HIV/AIDS HIV treatment healthcare providers patient-provider communication qualitative research methods Medicine R
spellingShingle	Kazakhstan HIV/AIDS HIV treatment healthcare providers patient-provider communication qualitative research methods Medicine R Elizabeth J. King Ainur Zh. Kussainova Jangul Erlon-Baurjan Zhamilya S. Nugmanova Healthcare Providers’ Perspectives and Role in Improving Patient Engagement in HIV Treatment and Care in Almaty, Kazakhstan
description	The HIV epidemic continues to grow in Eastern Europe and Central Asia. At the same time, there are major gaps in engagement in HIV treatment and care among people living with HIV (PLHIV) in the region, including Kazakhstan. Healthcare providers may have the potential to improve patients’ initiation of and adherence to HIV treatment; however, their perspectives and experiences are often overlooked in the research from Kazakhstan. The purpose of our study was to gain an in-depth understanding of how providers perceive the factors influencing PLHIV’s engagement in HIV treatment and care and to identify opportunities for expanding the role that providers can have in improving patient initiation and adherence to treatment in Kazakhstan. Through purposive sampling, we conducted in-depth interviews with 14 healthcare providers at the City AIDS Center in Almaty. We used team-based coding and thematic analysis in order to analyze the data. Quotes from providers were translated from Kazakh and Russian to English to illustrate the themes. Our results show that providers currently view their role as the need to break down myths around ART medications, and to educate and motivate patients to accept their diagnosis and learn to live with HIV. The need to address stigma and social isolation among PLHIV, the risk of overworked providers, and the need to improve patient-provider communication strategies are areas to consider for further interventions. Patient-provider communication interventions are needed in Kazakhstan in order to help meet the country’s 90-90-90 HIV targets.
format	article
author	Elizabeth J. King Ainur Zh. Kussainova Jangul Erlon-Baurjan Zhamilya S. Nugmanova
author_facet	Elizabeth J. King Ainur Zh. Kussainova Jangul Erlon-Baurjan Zhamilya S. Nugmanova
author_sort	Elizabeth J. King
title	Healthcare Providers’ Perspectives and Role in Improving Patient Engagement in HIV Treatment and Care in Almaty, Kazakhstan
title_short	Healthcare Providers’ Perspectives and Role in Improving Patient Engagement in HIV Treatment and Care in Almaty, Kazakhstan
title_full	Healthcare Providers’ Perspectives and Role in Improving Patient Engagement in HIV Treatment and Care in Almaty, Kazakhstan
title_fullStr	Healthcare Providers’ Perspectives and Role in Improving Patient Engagement in HIV Treatment and Care in Almaty, Kazakhstan
title_full_unstemmed	Healthcare Providers’ Perspectives and Role in Improving Patient Engagement in HIV Treatment and Care in Almaty, Kazakhstan
title_sort	healthcare providers’ perspectives and role in improving patient engagement in hiv treatment and care in almaty, kazakhstan
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/a535dc3e57384506b62080229c84aa5e
work_keys_str_mv	AT elizabethjking healthcareprovidersperspectivesandroleinimprovingpatientengagementinhivtreatmentandcareinalmatykazakhstan AT ainurzhkussainova healthcareprovidersperspectivesandroleinimprovingpatientengagementinhivtreatmentandcareinalmatykazakhstan AT jangulerlonbaurjan healthcareprovidersperspectivesandroleinimprovingpatientengagementinhivtreatmentandcareinalmatykazakhstan AT zhamilyasnugmanova healthcareprovidersperspectivesandroleinimprovingpatientengagementinhivtreatmentandcareinalmatykazakhstan
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Healthcare Providers’ Perspectives and Role in Improving Patient Engagement in HIV Treatment and Care in Almaty, Kazakhstan

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