Browsing by Author "Arest Mamo"

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    The Challenges and Prospects of Community based antiretroviral treatment Service: The case of Akaki-kaliti health facilities in Addis Ababa
    (Addis Ababa University, 2024-12-01) Arest Mamo; Zena Berhanu (PhD)
    The research is aimed to assess the Challenges and prospects of community based antiretroviral treatment in Government health facilities at Akaki-Kality Subcity, Addis Ababa. The study used qualitative research method and case study as a research design. Primary source of data has been gathered through twelve in-depth interviews where Participants of the study Stable patients who were enrolled in community based ART service; seven key informants who were ART Nurses and medical director from each health facilities. One FGDs and observation has been conducted. Purposive sampling technique has been used. Thematic data analysis was applied. The finding of the study revealed that community ART service encompasses with an activities like health assessment, education and counseling, adherence support, peer psychosocial support, drug refills and referral linkage. The participant responded that community based ART is cost effective and relived the workload of the provider and saved their time, has decreased frequent visits to the clinic, felt comfort, moreover the group members has been empowered and involved in different saving and credit schemes and also different social support activities; However, challenges mentioned by participants were fear of Stigma and discrimination, luck of trust on quality of the service, the issue of confidentiality and shortage of human resource. The findings of this study will have an implication for further research, policy makers and planners who work on the area. Key words: Community based ART, task shifting, decentralization