The Impact of Antiretroviral Stockout on Primary Health Care Nurses in the Ethekwini and Ilembe Districts, Kwazulu Natal

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Abstract Background Nurses face challenges of antiretroviral therapy (ART) stock out when rolling out, leading to drug resistance, poor compliance and decreased viral suppression. Poor viral suppression leads to higher morbidity and mortality rates, hence a need to strengthen supply chain principles in order to achieve equal distribution of resources amongst clinics. Nurses also need to have relevant guidelines available to prevent treatment failure. The study aimed to describe the impact of ART stockouts on primary health nurses rolling out ART in clinics in KwaZulu Natal. Method The study followed a qualitative approach, using a descriptive phenomenographic design. Two primary healthcare clinics in Ilembe and Ethekwini districts were selected for the study. The population comprised of 8 purposively selected participants. In-depth interviews and focus groups were conducted. Data collection and analysis followed Yates, Partridge and Bruce steps (Table 1). Ethics and trustworthiness were maintained. Results The singular theme of inconsistent availability of treatment including; means used to curb treatment stockout and supply change management issue emerged. Conclusions An adequate supply of ART through an efficient supply chain management strategy, ongoing training in primary health care and nurse initiated management of antiretroviral therapy and the availability of treatment guidelines should be enforced.

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