The potential promise and pitfalls of point-of-care viral load monitoring to expedite HIV treatment decision-making in rural Uganda: a qualitative study
Anticipated implementation challenges, primarily clustering around resource requirements, did not diminish enthusiasm for PoC VLM monitoring among rural Ugandan clinicians and peer health workers, who perceived PoC platforms as potential solutions to existing inefficiencies within the centralized VLM ecosystem. Prioritizing PoC VLM rollout in facilities with available resources for optimal implementation (e.g., adequate physical and fiscal infrastructure, capacity to manage high specimen volumes) could help overcome anticipated barriers to decentralizing viral load monitoring.
Authors
- Neema Nakyanjo (ORCID: https://orcid.org/0000-0002-1908-7957)
- Joseph G. Rosen (ORCID: https://orcid.org/0000-0003-4991-4033)
- Thomas C. Quinn (ORCID: https://orcid.org/0000-0002-0404-1315)
- Caitlin Elizabeth Kennedy (ORCID: https://orcid.org/0000-0001-6820-063X)
- Ronald Moses Galiwango (ORCID: https://orcid.org/0000-0003-3702-5722)
- William Ddaaki (ORCID: https://orcid.org/0000-0002-2395-7003)
- Anh Van Vo (ORCID: https://orcid.org/0000-0002-9575-6147)
- M. Kate Grabowski (ORCID: https://orcid.org/0000-0002-4451-3436)
- Joseph Kagaayi (ORCID: https://orcid.org/0000-0003-4101-3038)
- Gertrude Nakigozi (ORCID: https://orcid.org/0000-0001-6193-2790)
- Larry W. Chang (ORCID: https://orcid.org/0000-0001-7985-4567)
- Steven J. Reynolds (ORCID: https://orcid.org/0000-0002-5403-2759)
- Tongying Zhao
- Fred Nalugoda
- Godfrey Kigozi (ORCID: https://orcid.org/0009-0008-9142-6870)
Institutions
- National Institutes of Health (US)
- Johns Hopkins University (US)
- Johns Hopkins Medicine (US)
- Rakai Health Sciences Program (UG)
- National Institute of Allergy and Infectious Diseases (US)
Publication Details
- Journal
- BMC Health Services Research
- Published
- 2024-10-22
- DOI
- https://doi.org/10.1186/s12913-024-11747-w
- Citations
- 2
- Primary Topic
- HIV/AIDS Research and Interventions
- Type
- article
- Field-Weighted Citation Impact
- 0.78
Funders
- Johns Hopkins University
- National Institutes of Health
- Center for AIDS Research, University of Washington
- Center for AIDS Research, Johns Hopkins University
- National Institute of Mental Health
- National Institute of Allergy and Infectious Diseases
- NHLBI Division of Intramural Research