A Literature Review on Recommendations to Improve Utilisation of the CCMDD Programme in Sekhukhune District PHC Facilities
Sekopa Ragosebo Portia （ University of South Africa, Department of Health Studies, Pretoria, South Africa ）
Netangaheni Thinavhuyo Robert （ University of South Africa, Department of Health Studies, Pretoria, South Africa ）
https://doi.org/10.37155/3060-8708-0203-2Abstract
Background: An unpredicted growth of patients requiring access to long-term therapies has been experienced over the past decades in South Africa which put strains on existing resources. Public health facilities are overcrowded due to the high volume of patients with chronic conditions are relying on free services for collection of their medications. The National Department of Health has introduced Central Chronic Medicines Dispensing and Distribution programme in 2014, to provide chronic patients with alternative ways to collect their medications.
Aim: To describe recommendations for the utilisation of the CCMDD programme in Sekhukhune primary healthcare facilities.
Methods: An integrated literature review was conducted and PICO framework was adopted as searching strategy to extract studies. Studies were extracted from databases such as CINAHL, Academic Search Ultimate, PubMed, Google, and WHO websites. Data was analysed thematically as documented by Whittemore & Knafl.
Findings: Ten studies that include six qualitative studies and four guidelines were extracted. Three themes that support recommendations for the utilisation of the CCMDD programme were formed during data analysis. These themes include training healthcare workers on DSD models, provision of information and health education on DSD models, and tracing of clients.
Conclusions: The utilisation of the CCMDD programme could be improve through staff training, provision of information and health education and tracing of clients.
Contribution: The findings of this study would contribute to the development of guidelines to improve CCMDD programme which would add to effective utilisation of the programme within Sekhukhune District PHC facilities.
Keywords
Literature review; Recommendations; Utilisation; Central; Chronic; Medicines; Dispensing; DistributionFull Text
PDFReferences
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[5].Chaudhry, L.A., Mamzami, M., Aldin, S. & Pazdirek, J. 2012. Clinical consequences of non-compliance with directly observed therapy short course (DOTS): Story of a recurrent defaulter. International Journal of Mycobacteriology, 1(1): 99–103. Available at: https://www.sciencedirect.com [Accessed 12 June 2025].
[6].Chimukuche, R.S., Wringe, A., Songo, J., Hassan, F., Luwanda, L., Kalua, T., Moshabela, M., Renju, J. & Seeley. 2020. Investigating the implementation of differentiated HIV services and implications for pregnant women: A mixed methods multi-country study. Available at: https://doi.org/10.1080/17441692.2020.1795221 [Accessed 12 May 2025].
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[19].Muthelo, L., Nemagumoni, T., Mothiba, T.M., Phukubje, A.T. & Mabila, L.N. 2020. Experiences of Professional Nurses Regarding the Implementation of a Central Chronic Medicine Dispensing and Distribution Program at Primary Health Care Facilities in South Africa. The Open Public Health Journal, 13(1). Available at: https://benthamopen.com/FULLTEXT/TOPHJ-13-477/ [Accessed 29 January 2023].
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[21].Page, M.J., McKenzie, J.E., Bossuyt, P.M., Boutron, I., Hoffmann, T.C., Mulrow, C.D., Shamseer, L., Tetzlaff, J.M., Aki, E.A., Brennan, S.E., Chou, R., Glanville, J., Grimshaw, J.M., Hrobjartsson, A., Lalu, M.M., Li, T., Loder, E.W., Mayo-Wilson, E., MacDonald, S., McGuinness, L.A., Steward, L.A., Thomas, J., Tricco, A.C., Welch, V.A., Whitting, P. & Moher, D. 2021. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. [Online]. Available at: https://pumed.ncib.nim.nih.gov [Accessed 3 September 2024].
[22].Pascoe, S.J.S., Scott, N.A., Fong, R.M., Murphy, J., Huber, A.N., Moolla, A., Phokojoe, M., Goergens, M., Rosen, S., Wilson, D., Pillay, Y., Fox, M.P. & Fraser-Hurt, N. 2020. “Patients are not the same” – A qualitative content analysis of provider, patient and implementer perspectives on differentiated service delivery models for HIV treatment in South Africa. Journal of International AIDS Society, 23(6): 1–19. Available at: https://doi.10.1002/jia2.25544 [Accessed 28 August 2024].
[23].Republic of Zambia Ministry of Health. 2022. Zambia differentiated service delivery (DSD) framework 2022–2026. [Online]. Available at: https://www.differentiatedservicedelivery.org Accessed 12 July
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[29].Wilkinson, L. & Grimsrud, A., 2024. Enabling effective differentiated service delivery transitions for people on antiretroviral treatment. [Online] Available at: https://www.ncbi.nlm.nih.gov [Accessed 28 August 2024].
[30].Wogayehu, B., Adinew, A. & Asfaw, M., 2020. Knowledge of dispensed medications and their determinants among patients attending outpatient pharmacy at Chencha Primary Level Hospital, Southwest Ethiopia. Integrated Pharmacy Research and Practice, pp.161–173. [Online] Available at: https://doi.org/10.2147/IPRP.S274406 [Accessed 28 January 2024].
[31].World Health Organisation, 2021. Consolidated guidelines on HIV prevention, testing, treatment, service delivery and monitoring: Recommendations for a public health approach. [Online] Available at: https://www.who.int [Accessed 29 May 2024].
[32].World Health Organisation, 2021. Updated recommendations on service delivery for the treatment and care of people living with HIV. [Online] Available at: https://www.who.int [Accessed 26 February 2023].
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