Using nominal group technique to identify and prioritize barriers to decentralizing HIV care to primary health centers in Lima, Peru
While the Peruvian Ministry of Health has prioritized HIV care decentralization, achieving this goal remains challenging. Identified barriers require a range of implementation strategies to achieve decentralization goals, such as process improvement strategies to address stigma and logistical barriers to transferring patients, while educational meetings, including tele-mentoring or expert feedback, may address a lack of confidence in provider expertise at PHCs. Deployment of hub-and-spoke treatment models could enhance communication between experts at SHCs and PHCs and ensure that patient continuity of care is achieved.
Authors
- Karin Sosa Barbarán
- Carlos Benites (ORCID: https://orcid.org/0000-0001-5113-9561)
- Kelika Anne Konda (ORCID: https://orcid.org/0000-0003-2836-0174)
- Benjamin M. Nikitin (ORCID: https://orcid.org/0000-0002-7670-3357)
- Karla T. Tafur Quintanilla
- Frederick L. Altice (ORCID: https://orcid.org/0000-0002-7860-693X)
- Matthew Ponticiello (ORCID: https://orcid.org/0000-0002-8684-7047)
- Lynn M. Madden (ORCID: https://orcid.org/0000-0002-9981-3938)
- Jorge Sánchez (ORCID: https://orcid.org/0000-0001-6020-8266)
- David Oliveros (ORCID: https://orcid.org/0009-0008-2054-6605)
- Juan José Montenegro-Idrogo
Institutions
- University of Southern California (US)
- National University of San Marcos (PE)
- Yale University (US)
- APT Foundation (US)
- Ministry of Health (PE)
Publication Details
- Journal
- BMC Health Services Research
- Published
- 2025-03-29
- DOI
- https://doi.org/10.1186/s12913-025-12618-8
- Citations
- 2
- Primary Topic
- Delphi Technique in Research
- Type
- article
- Field-Weighted Citation Impact
- 8.40
Funders
- National Institute of Allergy and Infectious Diseases