{"id":"https://openalex.org/W36085853","doi":null,"title":"Decentralization of antiretroviral treatment in Swaziland: outcome of nurse initiated versus doctor initiated treatment.","display_name":"Decentralization of antiretroviral treatment in Swaziland: outcome of nurse initiated versus doctor initiated treatment.","publication_year":2014,"publication_date":"2014-01-01","ids":{"openalex":"https://openalex.org/W36085853","mag":"36085853"},"language":"en","primary_location":{"id":"pmh:oai:repository.up.ac.za:2263/40715","doi":null,"is_oa":true,"landing_page_url":"http://hdl.handle.net/2263/40715","pdf_url":"https://repository.up.ac.za/bitstreams/bf6cf08c-c53f-4464-ba85-da5c0c2539fb/download","source":{"id":"https://openalex.org/S4306401870","display_name":"UpSpace Institutional Repository (University of Pretoria)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I69552723","host_organization_name":"University of Pretoria","host_organization_lineage":["https://openalex.org/I69552723"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"","raw_type":"Dissertation"},"volume":null,"type":"dissertation","is_traditional":true,"indexed_in":[],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"https://repository.up.ac.za/bitstreams/bf6cf08c-c53f-4464-ba85-da5c0c2539fb/download","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5061035170","display_name":"Sikhathele Mazibuko","orcid":"https://orcid.org/0000-0003-2811-2621","observed_orcids":["https://orcid.org/0000-0003-2811-2621"]},"institutions":[],"countries":[],"is_corresponding":true,"raw_author_name":"Sikhathele Mazibuko","raw_affiliation_strings":[],"raw_orcid":"https://orcid.org/0000-0003-2811-2621","affiliations":[]}],"institutions":[],"countries_distinct_count":0,"institutions_distinct_count":0,"corresponding_author_ids":["https://openalex.org/A5061035170"],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":null,"has_fulltext":true,"cited_by_count":1,"citation_normalized_percentile":null,"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10082","display_name":"HIV/AIDS Research and Interventions","score":0.986299991607666,"subfield":{"id":"https://openalex.org/subfields/2725","display_name":"Infectious Diseases"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10082","display_name":"HIV/AIDS Research and Interventions","score":0.986299991607666,"subfield":{"id":"https://openalex.org/subfields/2725","display_name":"Infectious Diseases"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11816","display_name":"Nursing Roles and Practices","score":0.006599999964237213,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11990","display_name":"Global Health Workforce Issues","score":0.0017999999690800905,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/task-shifting","display_name":"task shifting","score":0.8169999718666077},{"id":"https://openalex.org/keywords/retention-in-care","display_name":"retention in care","score":0.9390000104904175},{"id":"https://openalex.org/keywords/hiv","display_name":"HIV","score":0.6949999928474426},{"id":"https://openalex.org/keywords/eswatini","display_name":"Swaziland","score":0.7799999713897705},{"id":"https://openalex.org/keywords/quality-of-care","display_name":"quality of care","score":0.7509999871253967},{"id":"https://openalex.org/keywords/hemoglobin","display_name":"hemoglobin","score":0.7419999837875366}],"concepts":[{"id":"https://openalex.org/C136810230","wikidata":"https://www.wikidata.org/wiki/Q188961","display_name":"Decentralization","level":2,"score":0.8263257741928101},{"id":"https://openalex.org/C3019165603","wikidata":"https://www.wikidata.org/wiki/Q583050","display_name":"Antiretroviral treatment","level":5,"score":0.6445343494415283},{"id":"https://openalex.org/C148220186","wikidata":"https://www.wikidata.org/wiki/Q7111912","display_name":"Outcome (game theory)","level":2,"score":0.5550567507743835},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.5324633717536926},{"id":"https://openalex.org/C2993143319","wikidata":"https://www.wikidata.org/wiki/Q583050","display_name":"Antiretroviral therapy","level":4,"score":0.5270811915397644},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.4666564166545868},{"id":"https://openalex.org/C3013748606","wikidata":"https://www.wikidata.org/wiki/Q15787","display_name":"Human immunodeficiency virus (HIV)","level":2,"score":0.4020885229110718},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.3395245373249054},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.27777040004730225},{"id":"https://openalex.org/C142462285","wikidata":"https://www.wikidata.org/wiki/Q2528140","display_name":"Viral load","level":3,"score":0.10936230421066284},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.09464073181152344},{"id":"https://openalex.org/C199539241","wikidata":"https://www.wikidata.org/wiki/Q7748","display_name":"Law","level":1,"score":0.0},{"id":"https://openalex.org/C144237770","wikidata":"https://www.wikidata.org/wiki/Q747534","display_name":"Mathematical economics","level":1,"score":0.0}],"mesh":[],"locations_count":2,"locations":[{"id":"pmh:oai:repository.up.ac.za:2263/40715","doi":null,"is_oa":true,"landing_page_url":"http://hdl.handle.net/2263/40715","pdf_url":"https://repository.up.ac.za/bitstreams/bf6cf08c-c53f-4464-ba85-da5c0c2539fb/download","source":{"id":"https://openalex.org/S4306401870","display_name":"UpSpace Institutional Repository (University of Pretoria)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I69552723","host_organization_name":"University of Pretoria","host_organization_lineage":["https://openalex.org/I69552723"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"","raw_type":"Dissertation"},{"id":"mag:36085853","doi":null,"is_oa":false,"landing_page_url":"https://repository.up.ac.za/bitstream/2263/40715/1/Mazibuko_Decentralization_2014.pdf","pdf_url":null,"source":null,"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":null}],"best_oa_location":{"id":"pmh:oai:repository.up.ac.za:2263/40715","doi":null,"is_oa":true,"landing_page_url":"http://hdl.handle.net/2263/40715","pdf_url":"https://repository.up.ac.za/bitstreams/bf6cf08c-c53f-4464-ba85-da5c0c2539fb/download","source":{"id":"https://openalex.org/S4306401870","display_name":"UpSpace Institutional Repository (University of Pretoria)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I69552723","host_organization_name":"University of Pretoria","host_organization_lineage":["https://openalex.org/I69552723"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"","raw_type":"Dissertation"},"sustainable_development_goals":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":1.0}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W36085853.pdf","grobid_xml":"https://content.openalex.org/works/W36085853.grobid-xml"},"referenced_works_count":20,"referenced_works":["https://openalex.org/W1813166872","https://openalex.org/W1830398314","https://openalex.org/W1981374026","https://openalex.org/W1983096343","https://openalex.org/W2000981400","https://openalex.org/W2006464238","https://openalex.org/W2006523621","https://openalex.org/W2027424828","https://openalex.org/W2097979812","https://openalex.org/W2101293311","https://openalex.org/W2112464708","https://openalex.org/W2120185482","https://openalex.org/W2128478603","https://openalex.org/W2133166320","https://openalex.org/W2133652309","https://openalex.org/W2139894829","https://openalex.org/W2146992704","https://openalex.org/W2154118520","https://openalex.org/W2165664560","https://openalex.org/W2169980588"],"related_works":["https://openalex.org/W2626667000","https://openalex.org/W7046054862","https://openalex.org/W2149677642","https://openalex.org/W2040693766","https://openalex.org/W2034702633","https://openalex.org/W2088448160","https://openalex.org/W2128478603","https://openalex.org/W2070672276","https://openalex.org/W7099763456","https://openalex.org/W1965713344"],"abstract_inverted_index":{"Introduction:":[0],"Decentralization":[1],"of":[2,37,39,64,77,93,140,161,196,227],"antiretroviral":[3,241],"therapy":[4,242],"(ART)":[5],"services":[6],"faces":[7],"decreasing":[8],"quality":[9,38],"when":[10],"increasing":[11],"ART":[12,70,217,223,228],"coverage.":[13],"This":[14,42,213],"study":[15],"compares":[16],"nurse":[17,237],"initiated":[18,238,247],"and":[19,75,84,91,115,120,135,164,239,248],"managed":[20,24,240,249],"patients":[21,25,67],"to":[22,56,208,216,232,245],"doctor":[23,246],"under":[26],"these":[27],"circumstances,":[28],"using":[29,97],"retention":[30,110,170,180,186,197],"in":[31,109,143,171,181,194,198],"care":[32,144,199],"as":[33,220,236],"a":[34,158],"crude":[35],"measure":[36],"care.":[40,182],"\\nMethods:":[41],"was":[43,54,100,104,124,176,206],"an":[44],"observational":[45],"retrospective":[46],"cohort":[47],"study.":[48],"A":[49],"simple":[50],"data":[51,60],"abstraction":[52],"tool":[53],"used":[55],"collect":[57],"baseline":[58],"patient":[59],"from":[61,230],"medical":[62],"records":[63],"HIV":[65],"positive":[66],"(N=871)":[68],"initiating":[69],"at":[71,118],"Mbabane":[72],"Government":[73],"Hospital":[74],"four":[76],"its":[78],"outreach":[79],"clinics,":[80],"between":[81,112,147,188],"1st":[82],"January":[83],"30th":[85],"June":[86],"2011.":[87],"Descriptive":[88],"summary":[89],"statistics":[90],"comparison":[92],"the":[94,113,138,148,189,200,204],"two":[95,149,190],"cohorts":[96,117,191],"multivariate":[98],"analysis":[99],"done.":[101],"\\nResults":[102],"There":[103],"no":[105],"statistically":[106],"significant":[107],"difference":[108],"rates":[111,187],"doctors":[114,231],"nurses":[116,205,233],"69.1%":[119],"70.9%,":[121],"respectively":[122],"(P":[123],"0.56).":[125],"After":[126],"adjusting":[127],"for":[128],"sex,":[129],"haemoglobin,":[130],"CD4":[131],"cell":[132],"count,":[133],"weight":[134,165],"WHO":[136],"stage,":[137],"odds":[139],"being":[141],"retained":[142],"were":[145,166],"similar":[146,185],"groups,":[150],"adjusted":[151],"OR:":[152],"1.11(95%":[153],"CI:":[154],"0.72,":[155],"1.69),":[156],"with":[157,169,179],"p":[159],"value":[160],"0.64.":[162],"Haemoglobin":[163],"positively":[167],"associated":[168,178],"care,":[172],"while":[173],"male":[174],"sex":[175],"negatively":[177],"\\nDiscussion:":[183],"The":[184],"suggest":[192],"that":[193,209],"terms":[195],"service":[201],"provided":[202,210],"by":[203,211],"comparable":[207,244],"doctors.":[212],"is":[214,234,243],"important":[215],"program":[218],"managers":[219],"they":[221],"scale-up":[222],"decentralization.":[224],"\\nConclusion:":[225],"Task-shifting":[226],"initiation":[229],"feasible":[235],"treatment.":[250]},"counts_by_year":[{"year":2016,"cited_by_count":1}],"updated_date":"2026-09-26T08:19:03.415552","created_date":"2016-06-24T00:00:00"}