Abstract:
BACKGROUND: Globally, the burden of tuberculosis or human immunodeficiency virus (TB/HIV) is at 24% and this
alarming rate compelled the World Health Organization (WHO) to declare the African region as a critical workforce
shortage area. To facilitate adherence to treatment guidelines, WHO recommended a strategy of task shifting for
countries with high health workforce shortages. The strategy aimed at the redistribution of health care tasks to
available workers. The study aimed to determine the factors facilitating nurse-initiated management of antiretroviral
therapy (NIMART) trained nurses’ adherence to TB/HIV treatment guidelines.
METHODS: The study employed an exploratory-descriptive design. The study was conducted in Ugu and Ngaka
Modiri Molema Districts of KwaZulu-Natal (KZN) and North West (NW) Provinces of South Africa. The population
comprised of 24 participants who were purposively selected. The in-depth focus group discussions were conducted
and ATLAS T.I. was used for data analysis following the basic steps of notice-collect-think (NCT) analysis.
Trustworthiness and adherence to ethics were ensured.
RESULTS: The singular theme of factors facilitating NIMART trained nurses’ adherence to treatment guidelines which
included positive attitudinal needs and positive behavioural change emerged from raw data.
CONCLUSION: Continuous training, support supervision, and improved relationships with colleagues need to be
enhanced to enable NIMART trained nurses to adhere to treatment guidelines.
