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Qualitative Identification of HIV Care Engagement Challenges and Preferences for Differentiated Care Service Delivery Models Post-Incarceration in South Africa.

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Title: Qualitative Identification of HIV Care Engagement Challenges and Preferences for Differentiated Care Service Delivery Models Post-Incarceration in South Africa.
Authors: Mqedlana-Ntombela, Nasiphi1,2 (AUTHOR) nntombela@auruminstitute.org, Mabuto, Tonderai1 (AUTHOR), Owczarzak, Jill3 (AUTHOR), Charalambous, Salome1,2 (AUTHOR), Hoffmann, Christopher J.3 (AUTHOR)
Source: Inquiry (00469580). 6/11/2026, Vol. 63, p1-7. 7p.
Subject Terms: *Health services accessibility, *Qualitative research, *Social norms, *Emotions, *Crowds, *Research methodology, Patient compliance, Support groups, Imprisonment, Research funding, Medical care, Interviewing, Sex distribution, HIV infections, Continuum of care, Psychology of HIV-positive persons, Social support, Patient participation, Patients' attitudes
Geographic Terms: South Africa
Abstract: Inadequate access and timely linkage to treatment for people recently released from incarceration is a major barrier to HIV care. Differentiated service delivery models (DSDMs) that do not rely solely on clinic attendance need to be utilized, bringing HIV treatment closer to re-entrants and addressing current challenges with treatment attrition post-release from incarceration. DSDMs have demonstrated potential as alternatives to clinic-based treatment collection. We conducted a qualitative study to explore barriers to HIV care linkage and perceptions on the use of DSDMs for HIV treatment following release. We interviewed individuals, released from incarceration while on HIV treatment in Gauteng, South Africa. Participants had to be people recently released from incarceration, above the age of 18 years, living with HIV and taking Antiretroviral Therapy (ART) at their time of release from incarceration. Our results indicate that there was a high degree of enthusiasm among re-entrants for DSDMs. It is important to generate both qualitative and quantitative evidence to support DSDMs as alternatives service delivery models to clinic-based care among re-entrant populations. Based on the findings of this study, DSDM services can be part of the solution to closing the HIV treatment attrition gap among re-entrants as they transition from the prison environment to community-based care. [ABSTRACT FROM AUTHOR]
Copyright of Inquiry (00469580) is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Qualitative Identification of HIV Care Engagement Challenges and Preferences for Differentiated Care Service Delivery Models Post-Incarceration in South Africa.
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  Data: <searchLink fieldCode="JN" term="%22Inquiry+%2800469580%29%22">Inquiry (00469580)</searchLink>. 6/11/2026, Vol. 63, p1-7. 7p.
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  Data: *<searchLink fieldCode="DE" term="%22Health+services+accessibility%22">Health services accessibility</searchLink><br />*<searchLink fieldCode="DE" term="%22Qualitative+research%22">Qualitative research</searchLink><br />*<searchLink fieldCode="DE" term="%22Social+norms%22">Social norms</searchLink><br />*<searchLink fieldCode="DE" term="%22Emotions%22">Emotions</searchLink><br />*<searchLink fieldCode="DE" term="%22Crowds%22">Crowds</searchLink><br />*<searchLink fieldCode="DE" term="%22Research+methodology%22">Research methodology</searchLink><br /><searchLink fieldCode="DE" term="%22Patient+compliance%22">Patient compliance</searchLink><br /><searchLink fieldCode="DE" term="%22Support+groups%22">Support groups</searchLink><br /><searchLink fieldCode="DE" term="%22Imprisonment%22">Imprisonment</searchLink><br /><searchLink fieldCode="DE" term="%22Research+funding%22">Research funding</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+care%22">Medical care</searchLink><br /><searchLink fieldCode="DE" term="%22Interviewing%22">Interviewing</searchLink><br /><searchLink fieldCode="DE" term="%22Sex+distribution%22">Sex distribution</searchLink><br /><searchLink fieldCode="DE" term="%22HIV+infections%22">HIV infections</searchLink><br /><searchLink fieldCode="DE" term="%22Continuum+of+care%22">Continuum of care</searchLink><br /><searchLink fieldCode="DE" term="%22Psychology+of+HIV-positive+persons%22">Psychology of HIV-positive persons</searchLink><br /><searchLink fieldCode="DE" term="%22Social+support%22">Social support</searchLink><br /><searchLink fieldCode="DE" term="%22Patient+participation%22">Patient participation</searchLink><br /><searchLink fieldCode="DE" term="%22Patients'+attitudes%22">Patients' attitudes</searchLink>
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  Data: <searchLink fieldCode="DE" term="%22South+Africa%22">South Africa</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Inadequate access and timely linkage to treatment for people recently released from incarceration is a major barrier to HIV care. Differentiated service delivery models (DSDMs) that do not rely solely on clinic attendance need to be utilized, bringing HIV treatment closer to re-entrants and addressing current challenges with treatment attrition post-release from incarceration. DSDMs have demonstrated potential as alternatives to clinic-based treatment collection. We conducted a qualitative study to explore barriers to HIV care linkage and perceptions on the use of DSDMs for HIV treatment following release. We interviewed individuals, released from incarceration while on HIV treatment in Gauteng, South Africa. Participants had to be people recently released from incarceration, above the age of 18 years, living with HIV and taking Antiretroviral Therapy (ART) at their time of release from incarceration. Our results indicate that there was a high degree of enthusiasm among re-entrants for DSDMs. It is important to generate both qualitative and quantitative evidence to support DSDMs as alternatives service delivery models to clinic-based care among re-entrant populations. Based on the findings of this study, DSDM services can be part of the solution to closing the HIV treatment attrition gap among re-entrants as they transition from the prison environment to community-based care. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Inquiry (00469580) is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=ehh&AN=194543619
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      – Type: doi
        Value: 10.1177/00469580261421077
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      – Code: eng
        Text: English
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    Subjects:
      – SubjectFull: Health services accessibility
        Type: general
      – SubjectFull: Qualitative research
        Type: general
      – SubjectFull: Social norms
        Type: general
      – SubjectFull: Emotions
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      – SubjectFull: Crowds
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      – SubjectFull: Research methodology
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      – SubjectFull: Patient compliance
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      – SubjectFull: Support groups
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      – SubjectFull: Imprisonment
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      – SubjectFull: Sex distribution
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      – SubjectFull: HIV infections
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      – SubjectFull: South Africa
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      – TitleFull: Qualitative Identification of HIV Care Engagement Challenges and Preferences for Differentiated Care Service Delivery Models Post-Incarceration in South Africa.
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              Text: 6/11/2026
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