Nurse initiation and maintenance of patients on antiretroviral therapy: Are nurses in primary care clinics initiating ART after attending NIMART training?

  • David Cameron
  • Amor Gerber
  • Melusi Mbatha
  • Judith Mutyabule
  • Helga Swart

Abstract

Objectives. To determine the percentage of nurses initiating new HIVpositive patients on therapy within 2 months of attending the Nurse Initiation and Maintenance of Antiretroviral Therapy (NIMART) course, and to identify possible barriers to nurse initiation. Methods. A brief telephonic interview using a structured questionnaire of a randomly selected sample (126/1 736) of primary care nurses who had attended the NIMART course facilitated by the Foundation for Professional Development (FPD) between October 2010 and 31 March 2011 at primary care clinics in 7 provinces. Outcome measures were the number of nurses initiating ART within 2 months of attending the FPD-facilitated NIMART course. Results. Of the nurses surveyed, 62% (79/126) had started initiating new adult patients on ART, but only 7% (9/126) were initiating ART in children. The main barrier to initiation was allocation to other tasks in the clinic as a result of staff shortages. Conclusions. Despite numerous challenges, many primary care nurses working in the 7 provinces surveyed have taken on the responsibility of sharing the task of initiating HIV-positive patients on ART. The barriers preventing more nurses initiating ART include the shortage of primary care nurses and the lack of sufficient consulting rooms. Expanding clinical mentoring and further training in clinical skills and pharmacology would assist in reaching the target of initiating a further 1.2 million HIV-positve patients on ART by 2012.

S Afr Med J 2012;102:98-100.

Author Biographies

David Cameron
Department of Family Medicine, University of Pretoria; and Foundation for Professional Development, Pretoria
Amor Gerber
Foundation for Professional Development, Pretoria
Melusi Mbatha
University of South Africa, Pretoria
Judith Mutyabule
Foundation for Professional Development, Pretoria
Helga Swart
Foundation for Professional Development, Pretoria
Section
Articles

Journal Identifiers


eISSN: 0256-95749
print ISSN: 2078-5135