Task shifting of antiretroviral treatment from doctors to primary-care nurses in South Africa (STRETCH): a pragmatic, parallel, cluster-randomised trial

Lara Fairall; Max Bachmann; Carl Lombard; Venessa Timmerman; Kerry Uebel; Merrick Zwarenstein; Andrew Boulle; Daniella Georgeu; Christopher J Colvin; Simon Lewin; Gill Faris; Ruth Cornick; Beverly Draper; Mvula Tshabalala; Eduan Kotze; Cloete van Vuuren; Dewald Steyn; Ronald Chapman; Eric Bateman

doi:10.1016/S0140-6736(12)60730-2

Task shifting of antiretroviral treatment from doctors to primary-care nurses in South Africa (STRETCH): a pragmatic, parallel, cluster-randomised trial

Lara Fairall
, Max Bachmann
, Carl Lombard
, Venessa Timmerman
, Kerry Uebel
, Merrick Zwarenstein
, Andrew Boulle
, Daniella Georgeu
, Christopher J Colvin
, Simon Lewin
, Gill Faris
, Ruth Cornick
, Beverly Draper
, Mvula Tshabalala
, Eduan Kotze
, Cloete van Vuuren
, Dewald Steyn
, Ronald Chapman
, Eric Bateman

Research output: Contribution to journal › Article › peer-review

244 Citations (Scopus)

Abstract

Robust evidence of the effectiveness of task shifting of antiretroviral therapy (ART) from doctors to other health workers is scarce. We aimed to assess the effects on mortality, viral suppression, and other health outcomes and quality indicators of the Streamlining Tasks and Roles to Expand Treatment and Care for HIV (STRETCH) programme, which provides educational outreach training of nurses to initiate and represcribe ART, and to decentralise care.

Original language	English
Pages (from-to)	889-898
Number of pages	9
Journal	Lancet
Volume	380
Issue number	9845
DOIs	https://doi.org/10.1016/S0140-6736(12)60730-2
Publication status	Published - 8 Sept 2012

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

SDG 3 Good Health and Well-being

Keywords

Anti-HIV Agents
Humans
Primary Health Care
CD4 Lymphocyte Count
Viral Load
HIV Infections
Adult
Primary Care Nursing
Treatment Outcome
Delivery of Health Care
Middle Aged
South Africa
Drug Prescriptions
Female
Male

Access to Document

10.1016/S0140-6736(12)60730-2

Cite this

Fairall, L., Bachmann, M., Lombard, C., Timmerman, V., Uebel, K., Zwarenstein, M., Boulle, A., Georgeu, D., Colvin, C. J., Lewin, S., Faris, G., Cornick, R., Draper, B., Tshabalala, M., Kotze, E., van Vuuren, C., Steyn, D., Chapman, R., & Bateman, E. (2012). Task shifting of antiretroviral treatment from doctors to primary-care nurses in South Africa (STRETCH): a pragmatic, parallel, cluster-randomised trial. Lancet, 380(9845), 889-898. https://doi.org/10.1016/S0140-6736(12)60730-2

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abstract = "Robust evidence of the effectiveness of task shifting of antiretroviral therapy (ART) from doctors to other health workers is scarce. We aimed to assess the effects on mortality, viral suppression, and other health outcomes and quality indicators of the Streamlining Tasks and Roles to Expand Treatment and Care for HIV (STRETCH) programme, which provides educational outreach training of nurses to initiate and represcribe ART, and to decentralise care.",

keywords = "Anti-HIV Agents, Humans, Primary Health Care, CD4 Lymphocyte Count, Viral Load, HIV Infections, Adult, Primary Care Nursing, Treatment Outcome, Delivery of Health Care, Middle Aged, South Africa, Drug Prescriptions, Female, Male",

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Fairall, L, Bachmann, M, Lombard, C, Timmerman, V, Uebel, K, Zwarenstein, M, Boulle, A, Georgeu, D, Colvin, CJ, Lewin, S, Faris, G, Cornick, R, Draper, B, Tshabalala, M, Kotze, E, van Vuuren, C, Steyn, D, Chapman, R & Bateman, E 2012, 'Task shifting of antiretroviral treatment from doctors to primary-care nurses in South Africa (STRETCH): a pragmatic, parallel, cluster-randomised trial', Lancet, vol. 380, no. 9845, pp. 889-898. https://doi.org/10.1016/S0140-6736(12)60730-2

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AU - Bachmann, Max

AU - Lombard, Carl

AU - Timmerman, Venessa

AU - Uebel, Kerry

AU - Zwarenstein, Merrick

AU - Boulle, Andrew

AU - Georgeu, Daniella

AU - Colvin, Christopher J

AU - Lewin, Simon

AU - Faris, Gill

AU - Cornick, Ruth

AU - Draper, Beverly

AU - Tshabalala, Mvula

AU - Kotze, Eduan

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KW - Delivery of Health Care

KW - Middle Aged

KW - South Africa

KW - Drug Prescriptions

KW - Female

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