Evidence map›Paper›PMID 41133247›Full record

ArticleBMJ public health2025

Assessing the preparedness of primary healthcare facilities for the implementation of universal test and treat in uThukela District, South Africa: a cross-sectional study.

Eunice Turawa, Wisdom Basera, Mbuzeleni Hlongwa, Thubelihle Mathole, Debbie Bradshaw, Edward Nicol

Abstract read
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Article in BMJ public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

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4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Eunice TurawaBurden of Disease Research Unit, South African Medical Research Council, Cape Town, Western Cape, South Africa.ORCID https://orcid.org/0000-0003-3722-1547
Wisdom BaseraBurden of Disease Research Unit, South African Medical Research Council, Cape Town, Western Cape, South Africa.ORCID https://orcid.org/0000-0002-4006-1858
Mbuzeleni HlongwaPublic Health, Societies and Belonging, Human Sciences Research Council, Pretoria, Guateng, South Africa.
Thubelihle MatholeBurden of Disease Research Unit, South African Medical Research Council, Cape Town, Western Cape, South Africa.ORCID https://orcid.org/0000-0002-6807-9574
Debbie BradshawBurden of Disease Research Unit, South African Medical Research Council, Cape Town, Western Cape, South Africa.ORCID https://orcid.org/0000-0002-3588-2184
Edward NicolBurden of Disease Research Unit, South African Medical Research Council, Cape Town, Western Cape, South Africa.ORCID https://orcid.org/0000-0001-6019-9259

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The availability of HIV guidelines, infrastructure, essential medicines and diagnostic tests for HIV services is a prerequisite to effective universal test-and-treat (UTT) services. However, evidence on public facility readiness for UTT services in rural, high HIV prevalence areas remain limited. This study provides a snapshot of facility readiness for UTT services in selected public health facilities within the uThukela district, KwaZulu-Natal, South Africa. Methods: A cross-sectional survey was conducted at 15 healthcare facilities in the uThukela district, KwaZulu-Natal Province, South Africa. Data were collected from public primary healthcare points, including three mobile clinics, three gateway clinics and nine Outpatient Departments, Community Health Centres and Hospitals (OPD-CHC-H). Questionnaires were programmed into Research Electronic Data Capture. Analysis was performed using STATA Software V.18, and results were summarised in percentages (%) and presented in tables and graph. Results: The study highlights gaps in UTT services in uThukela district, with variability in infrastructure availability across health facility types. Mean readiness was 86% (95% CI: 77.6% to 92.1%) for OPD-CHC-H; 70% (95% CI: 60.0% to 78.7) for gateway clinics and 67% (95% CI: 56.8% to 76.0%) for mobile clinics. Mean availability of indicators for basic amenities was 61% (95% CI: 50.7% to 70.5%); 90.4% (95% CI: 82.3% to 95.0%); and 80.9% (95% CI: 70.8% to 87.3%) in mobile clinics, gateway clinics, and OPD-CHC-H, respectively. HIV test kits, palliative care guidelines and improved water sources was limited across all facility types. Overall, facility readiness was 74% (95% CI: 64.2% to 82.2%), which was deemed satisfactory according to WHO-Service Availability and Readiness Assessment criteria. Conclusions: Persistent shortages in antiretrovirals, HIV test kits, palliative care guidance and logistics/operations hinder care; integrating HIV testing into routine screenings, expanding self-testing and adopting digital and personalised care models can ease burdens and improve outcomesCite Now.

Indexed as

Cross-Sectional StudiesHIVPublic Health

Identifiers

PMID41133247
PMCPMC12542699

What Socratic holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.