Equity in the use of antiretroviral treatment in the public health care system in urban South Africa
SOURCE: Health Policy
OUTPUT TYPE: Journal Article
PUBLICATION YEAR: 2011
TITLE AUTHOR(S): S.Cleary, S.Silal, S.Birch, H.Carrara, V.Pillay-van Wyk, T.Rehle, H.Schneider
KEYWORDS: ANTIRETROVIRAL THERAPY (ART), HIV/AIDS, PUBLIC HEALTH, URBAN COMMUNITIES
DEPARTMENT: Public Health, Societies and Belonging (HSC)
Print: HSRC Library: shelf number 6691
HANDLE: 20.500.11910/3922
URI: http://hdl.handle.net/20.500.11910/3922
OUTPUT TYPE: Journal Article
PUBLICATION YEAR: 2011
TITLE AUTHOR(S): S.Cleary, S.Silal, S.Birch, H.Carrara, V.Pillay-van Wyk, T.Rehle, H.Schneider
KEYWORDS: ANTIRETROVIRAL THERAPY (ART), HIV/AIDS, PUBLIC HEALTH, URBAN COMMUNITIES
DEPARTMENT: Public Health, Societies and Belonging (HSC)
Print: HSRC Library: shelf number 6691
HANDLE: 20.500.11910/3922
URI: http://hdl.handle.net/20.500.11910/3922
If you would like to obtain a copy of this Research Output, please contact Hanlie Baudin at researchoutputs@hsrc.ac.za.
Abstract
Objectives: The scaling up of antiretroviral treatment (ART) for HIV-infected adults requires a sizeable investment of resources in the South African public health care system. It is important that these resources are used productively and in ways that reach those in need, irrespective of social status or personal characteristics. In this study we evaluate whether the distribution of ART services in the public system reflects the distribution of need among adults in the urban population. Methods: Data from a 2008 national survey were used to estimate the distribution of socioeconomic status (SES) and sex in HIV-positive adults in urban areas. These findings were compared to SES and sex distributions in 635 ART users within 6 urban public ART facilities. Results: Close to 40% of those with HIV are in the lowest SES quintile, while 67% are women. The distributions in users of ART are similar to these distributions in HIV-positive people. Conclusions: Patterns of ART use in study settings correspond to patterns of HIV in the urban population at the national level. This suggests that the South African ART programme is on track to ensure equitable delivery of treatment services in urban settings.-
Related Research Outputs:
- HIV risk exposure among young children: a study of 2-9 year olds served by public health facilities in the Free State, South Africa
- An exploratory study of the impact of primary caregiver HIV infection on caregiving and child developmental outcome in the era of Haart: piloting the methodology
- Universal HIV testing of infants at immunization clinics: an acceptable and feasible approach for early infant diagnosis in high HIV prevalence settings
- Use of traditional complementary and alternative medicine for HIV patients in KwaZulu-Natal, South Africa
- HIV risk exposure among South African children in public health facilities
- The phenomenology of bodily care: caregivers' experiences with AIDS patients before antiretroviral therapies in Lesotho
- Traditional complementary and alternative medicine and antiretroviral treatment adherence among HIV patients in KwaZulu-Natal, South Africa
- Rifampin pharmacokinetics in children, with and without human immunodefiency virus infection, hospitalized for the management of severe forms of tuberculosis
- Introduction and overview
- Utilisation of the national antiretroviral therapy guidelines among health care professionals working in Abuja treatment centres, Nigeria
- Only skin deep: limitations of public health understanding of male circumcision in South Africa
- A public health evaluation of the implementation of healthy relationships: results from a pilot study
- Antiretroviral treatment adherence among HIV patients in KwaZulu-Natal, South Africa
- Traditional complementary and alternative medicine and antiretroviral treatment adherence among HIV patients in KwaZulu-Natal, South Africa
- Determinants of adherence to a single-dose nevirapine regimen for the Prevention of Mother-to-Child HIV Transmission in Gert Sibande district in South Africa
- Safer sexual behaviours after 1 year of antiretroviral treatment in KwaZulu-Natal, South Africa: a prospective cohort study
- The who & why of antiretroviral treatment adherence
- A decline in new HIV infections in South Africa: estimating HIV incidence from three national HIV surveys in 2002, 2005 and 2008
- Perceived stigma among patients receiving antiretroviral therapy: a prospective study in KwaZulu-Natal, South Africa
- Factors associated with short-course antiretroviral prophylaxis (dual therapy) adherence for PMTCT in Nkangala district, South Africa