Ten years of nurse-initiated antiretroviral treatment in South Africa: A narrative review of enablers and barriers

摘要: Background: The roll out of nurse-initiated and managed antiretroviral treatment (NIMART) was implemented in 2010 by the National Department Health (NDoH) South Africa response to large numbers persons living with HIV who needed treatment. To enable access requires shifting task from doctors nurses, which had its own challenges, barriers enablers. Objectives: aim this narrative is review content on implementation NIMART over period 2010–2020, a focus enablers implementation. Method: A comprehensive search databases, namely, PubMed, Google Scholar Cumulative Index Nursing Allied Literature (CINAHL), yielded qualitative, quantitative mixed-method studies that addressed various topics NIMART. Inclusion exclusion criteria were set 38 publications met inclusion for review. Results: Training, mentorship, tailored tuberculosis (TB) guidelines, integration services monitoring support have enabled This resulted increased knowledge confidence nurses initiate patients (ART) decreased time initiation loads referral facilities. Barriers such as non-standardised training, inadequate mentoring, human resource constraints, health system lack empowerment, challenges legislation, policy guidelines still hinder Conclusion: Identifying will assist policymakers implementing structured programme improve access, well training mentoring professional enhance their competence confidence.