Lived experiences and expectations of people living with HIV and co-morbid diabetes regarding primary care services in Harare, Zimbabwe
Abstract Background People living with Human Immunodeficiency Virus (HIV) and comorbid type 2 diabetes mellitus (T2DM) require integrated and patient-centered care. However, primary healthcare systems have been slow to address the needs of patients with multi-morbidities. Understanding patients’ liv...
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| Language: | English |
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BMC
2025-06-01
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| Series: | BMC Health Services Research |
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| Online Access: | https://doi.org/10.1186/s12913-025-12949-6 |
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| author | Rumbidzai Chireshe Tawanda Manyangadze Keshena Naidoo |
| author_facet | Rumbidzai Chireshe Tawanda Manyangadze Keshena Naidoo |
| author_sort | Rumbidzai Chireshe |
| collection | DOAJ |
| description | Abstract Background People living with Human Immunodeficiency Virus (HIV) and comorbid type 2 diabetes mellitus (T2DM) require integrated and patient-centered care. However, primary healthcare systems have been slow to address the needs of patients with multi-morbidities. Understanding patients’ lived experiences and expectations is vital for designing responsive service-delivery models. Methods A cross-sectional, descriptive, qualitative study was conducted at primary healthcare facilities in Harare, Zimbabwe. Semi-structured interviews were conducted with 20 adults diagnosed with both HIV infection and T2DM. The data were transcribed, translated (where necessary), and analyzed using thematic analysis. Results Four overarching themes emerged: (1) fragmented versus integrated care (2), time and out-of-pocket expenses (3), healthcare provider attitudes and behaviours, and (4) unmet needs and expectations. Participants reported challenges, such as multiple appointments, financial burdens, lack of confidentiality, and limited counselling. Positive experiences included culturally competent care and integrated service delivery, where available. Conclusion Primary care services should be restructured to provide integrated, holistic, and patient-centered care for individuals with HIV and T2DM comorbidities. Health provider training, infrastructure development, and access to medication are key to improving the outcomes. |
| format | Article |
| id | doaj-art-e61bbdfdad144ff29a4bb1410fc43414 |
| institution | DOAJ |
| issn | 1472-6963 |
| language | English |
| publishDate | 2025-06-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Health Services Research |
| spelling | doaj-art-e61bbdfdad144ff29a4bb1410fc434142025-08-20T03:20:06ZengBMCBMC Health Services Research1472-69632025-06-012511810.1186/s12913-025-12949-6Lived experiences and expectations of people living with HIV and co-morbid diabetes regarding primary care services in Harare, ZimbabweRumbidzai Chireshe0Tawanda Manyangadze1Keshena Naidoo2Discipline of Public Health Medicine, College of Health Sciences, University of KwaZulu-NatalDiscipline of Public Health Medicine, College of Health Sciences, University of KwaZulu-NatalDepartment of Family Medicine, School of Nursing and Public Health, University of KwaZulu-NatalAbstract Background People living with Human Immunodeficiency Virus (HIV) and comorbid type 2 diabetes mellitus (T2DM) require integrated and patient-centered care. However, primary healthcare systems have been slow to address the needs of patients with multi-morbidities. Understanding patients’ lived experiences and expectations is vital for designing responsive service-delivery models. Methods A cross-sectional, descriptive, qualitative study was conducted at primary healthcare facilities in Harare, Zimbabwe. Semi-structured interviews were conducted with 20 adults diagnosed with both HIV infection and T2DM. The data were transcribed, translated (where necessary), and analyzed using thematic analysis. Results Four overarching themes emerged: (1) fragmented versus integrated care (2), time and out-of-pocket expenses (3), healthcare provider attitudes and behaviours, and (4) unmet needs and expectations. Participants reported challenges, such as multiple appointments, financial burdens, lack of confidentiality, and limited counselling. Positive experiences included culturally competent care and integrated service delivery, where available. Conclusion Primary care services should be restructured to provide integrated, holistic, and patient-centered care for individuals with HIV and T2DM comorbidities. Health provider training, infrastructure development, and access to medication are key to improving the outcomes.https://doi.org/10.1186/s12913-025-12949-6Primary healthcareHIVType 2 diabetes mellitusPatient expectationsIntegrated careZimbabwe |
| spellingShingle | Rumbidzai Chireshe Tawanda Manyangadze Keshena Naidoo Lived experiences and expectations of people living with HIV and co-morbid diabetes regarding primary care services in Harare, Zimbabwe BMC Health Services Research Primary healthcare HIV Type 2 diabetes mellitus Patient expectations Integrated care Zimbabwe |
| title | Lived experiences and expectations of people living with HIV and co-morbid diabetes regarding primary care services in Harare, Zimbabwe |
| title_full | Lived experiences and expectations of people living with HIV and co-morbid diabetes regarding primary care services in Harare, Zimbabwe |
| title_fullStr | Lived experiences and expectations of people living with HIV and co-morbid diabetes regarding primary care services in Harare, Zimbabwe |
| title_full_unstemmed | Lived experiences and expectations of people living with HIV and co-morbid diabetes regarding primary care services in Harare, Zimbabwe |
| title_short | Lived experiences and expectations of people living with HIV and co-morbid diabetes regarding primary care services in Harare, Zimbabwe |
| title_sort | lived experiences and expectations of people living with hiv and co morbid diabetes regarding primary care services in harare zimbabwe |
| topic | Primary healthcare HIV Type 2 diabetes mellitus Patient expectations Integrated care Zimbabwe |
| url | https://doi.org/10.1186/s12913-025-12949-6 |
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