BACKGROUND KidzAlive is a child-centred intervention aimed at improving the quality of HIV care for children in South Africa. Through this intervention, 10 child-friendly spaces were created in 10 primary healthcare centres (PHCs) in KwaZulu-Natal to enhance child-centred HIV care. However, the user-provider experiences of these child-friendly spaces in these facilities have not been explored. This paper addresses this gap. METHODS We conducted qualitative interviews with children (n = 30), their primary caregivers (PCGs) (n = 30), and KidzAlive trained healthcare workers (HCWs) (n = 20) using and providing child-friendly spaces, respectively. Data were generated, using a semi-structured interview guide printed in both English and IsiZulu. The interviews were audio-recorded transcribed and translated to English by a research team member competent in both languages. Data were imported to NVivo 10 for thematic analysis. The COREQ checklist was used to ensure that the study adheres to quality standards for reporting qualitative research. RESULTS Child-friendly spaces contributed to the centredness of care for children in PHCs. This was evidenced by the increased involvement and participation of children, increased PCGs' participation in the care of their children and a positive transformation of the PHC to a therapeutic environment for children. Several barriers impeding the success of child-friendly spaces were reported including space challenges; clashing health facility priorities; inadequate management support; inadequate training on how to maximise the child-friendly spaces and lastly the inappropriateness of existing child-friendly spaces for much older children. CONCLUSION Child-friendly spaces promote HIV positive children's right to participation and agency in accessing care. However, more rigorous quantitative evaluation is required to determine their impact on children's HIV-related health outcomes.

中文翻译：

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在南非夸祖鲁-纳塔尔省实施KidzAlive驱动的儿童友好空间的用户提供者体验。

背景技术KidzAlive是一种以儿童为中心的干预措施，旨在提高南非儿童的HIV护理质量。通过这种干预，在夸祖鲁-纳塔尔省的10个初级保健中心（PHC）中创建了10个儿童友善场所，以加强以儿童为中心的艾滋病毒保健。但是，尚未探索这些设施中这些儿童友好空间的用户提供者体验。本文解决了这一差距。方法我们分别对使用儿童友好空间并提供儿童友好空间的儿童（n = 30），其主要照顾者（PCG）（n = 30）和KidzAlive培训的医护人员（HCW）（n = 20）进行了定性访谈。数据是使用以英语和IsiZulu印刷的半结构化访谈指南生成的。采访由录音专家录制，并以两种语言翻译成英语。将数据导入NVivo 10进行主题分析。使用COREQ清单来确保该研究符合报告定性研究的质量标准。结果对儿童友善的空间有助于在初级保健中心集中照顾儿童。儿童参与和参与的增加，PCG对儿童照料的参与增加以及PHC向儿童治疗环境的积极转变都证明了这一点。据报告，阻碍儿童友好型空间成功的一些障碍包括空间挑战；卫生机构的优先事项相冲突；管理支持不足；关于如何最大程度地扩大对儿童友善的空间的培训不足，最后，对于年龄较大的儿童，现有的对儿童友善的空间不合适。结论对儿童友善的空间促进了艾滋病毒阳性儿童的参与权和参与权。但是，需要更严格的定量评估来确定其对儿童与HIV相关的健康结果的影响。