scholarly journals Institutional Responses to Drought in a High HIV Prevalence Setting in Rural South Africa

2021 ◽  
Vol 19 (1) ◽  
pp. 434
Author(s):  
Kingsley Orievulu ◽  
Collins Iwuji
Keyword(s):  
Public Health ◽  
South Africa ◽  
Rural Communities ◽  
Negative Impact ◽  
Hiv Prevalence ◽  
Mitigation Measures ◽  
Economic Losses ◽  
People Living With Hiv ◽  
Crop Failure ◽  
Institutional Responses

In 2015, South Africa experienced one of the worst (El Niño-induced) droughts in 35 years. This affected economic activities, individual and community livelihoods and wellbeing especially in rural communities in northern KwaZulu-Natal. Drought’s direct and indirect impacts on public health require urgent institutional responses, especially in South Africa’s stride to eliminate HIV as a public health threat by 2030 in line with the UNAIDS goals. This paper draws on qualitative data from interviews and policy documents to discuss how the devastating effect of the 2015 drought experience in the rural Hlabisa sub-district of uMkhanyakude, a high HIV prevalence area, imposes an imperative for more proactive institutional responses to drought and other climate-related events capable of derailing progress made in South Africa’s HIV/AIDS response. We found that drought had a negative impact on individual and community livelihoods and made it more difficult for people living with HIV to consistently engage with care due to economic losses from deaths of livestock, crop failure, food insecurity, time spent in search of appropriate water sources and forced relocations. It also affected government institutions and their interventions. Interviewed participants’ reflections on drought-related challenges, especially those related to institutional and coordination challenges, showed that although current policy frameworks are robust, their implementation has been stalled due to complex reporting systems, and inadequate interdepartmental collaboration and information sharing. We thus argue that to address the gaps in the institutional responses, there is a need for more inclusive systems of drought-relief implementation, in which government departments, especially at the provincial and district levels, work with national institutions to better share data/information about drought-risks in order to improve preparedness and implementation of effective mitigation measures.

scholarly journals Beyond HIV prevalence: identifying people living with HIV within underserved areas in South Africa

2021 ◽  
Vol 6 (4) ◽  
pp. e004089
Author(s):  
Hana Kim ◽  
Frank Tanser ◽  
Andrew Tomita ◽  
Alain Vandormael ◽  
Diego F Cuadros
Keyword(s):  
South Africa ◽  
High Resolution ◽  
Optimal Allocation ◽  
Healthcare Facility ◽  
Hiv Prevalence ◽  
People Living With Hiv ◽  
Related Services ◽  
Essential Information ◽  
Kwazulu Natal ◽  
Living With Hiv

IntroductionDespite progress towards the Joint United Nations Programme on HIV/AIDS 95-95-95 targets, South Africa is still suffering from one of the largest HIV epidemics globally. In this study, we generated high-resolution HIV prevalence maps and identified people living with HIV (PLHIV) in underserved areas to provide essential information for the optimal allocation of HIV-related services.MethodsThe data come from the South Africa Demographic and Health Survey conducted in 2016 and spatial variables from other published literature. We produced high-resolution maps of HIV prevalence and underserved areas, defined as a greater than 30 min travel time to the nearest healthcare facility. Using these maps and the population density, we mapped PLHIV and the PLHIV within underserved areas for 30, 60 and 120 min thresholds.ResultsThere was substantial geographic variation in HIV prevalence, ranging from 1.4% to 24.2%, with a median of 11.5% for men, and from 2.1% to 48.1%, with a median of 20.6% for women. Gauteng province showed the highest density for both HIV prevalence and PLHIV. 80% of all areas in the country were identified as underserved areas (30 min threshold), which contained more than 16% and 20% of the total men and women living with HIV, respectively. KwaZulu-Natal province had the largest number of PLHIV in underserved areas (30 min threshold) and showed less than one healthcare facility per 1000 PLHIV.ConclusionOur study showed extensive spatial variation of HIV prevalence and significant numbers of PLHIV in underserved areas in South Africa. Moreover, we identified locations where HIV-related services need to be intensified to reach the ~1.5 million PLHIV in underserved areas, particularly in KwaZulu-Natal province, with less than one healthcare facility per 1000 PLHIV.

scholarly journals 1148Determinants of adherence to clinic appointments among Tuberculosis and HIV co-infected individuals, Johannesburg, South Africa

2021 ◽  
Vol 50 (Supplement_1) ◽  
Author(s):  
Ruvimbo Nhandara ◽  
Birhanu Ayele ◽  
Lovelyn Ozougwu ◽  
Lovemore Sigwadhi ◽  
Peter Nyasulu
Keyword(s):  
Public Health ◽  
Drug Resistance ◽  
Treatment Adherence ◽  
Negative Impact ◽  
Public Health Intervention ◽  
Cross Sectional Study ◽  
People Living With Hiv ◽  
Duration Of Treatment ◽  
Cross Sectional ◽  
Poor Treatment

Abstract Background Tuberculosis (TB) is one of the leading cause of morbidity and mortality among people living with HIV/AIDS. The growing burden of TB/HIV co-infection continues to strain the healthcare system due to association with long duration of treatment. This is a catalyst for poor treatment adherence, which is a major public health challenge due to its propensity to drive drug resistance. This study evaluated the effects of treatment duration on adherence to treatment among TB/HIV co-infected patients. Method This was a cross sectional study that involved 10427 patients’ ≥18 years of age with HIV infection and co-infected with TB. We measure adherence to clinic appointments as ’good’ if ≥ 90% and poor if < 90%. We used multivariate logistic regression to evaluate factors associated with adherence to clinic appointments. Results 1528 patients were co-infected with TB, of these 17.4% of them attained good adherence to clinic appointments. Patients with TB/HIV co-infection who were on treatment for a longer period were less likely to adhere to clinic appointments (AOR: 0.98 95% CI: 0.97, 0.99). This confirms the notion that advanced disease has a negative impact on adherence to clinic attendance for follow up reviews. Conclusions Duration on treatment among TB/HIV co-infected patients is associated with treatment adherence. It is therefore vital to reinforce public health intervention that would enhance sustained treatment adherence and mitigate its impact on development of drug resistance.

scholarly journals Changing Scenario of Health Problems due to HIV Infection

2017 ◽  
pp. 32-38
Author(s):  
Laveena D’Mello ◽  
Govindaraju B. M.
Keyword(s):  
Public Health ◽  
Hiv Infection ◽  
Household Survey ◽  
Health Problems ◽  
Hiv Prevalence ◽  
Public Health Issue ◽  
People Living With Hiv ◽  
Cultural Economic ◽  
Living With Hiv ◽  
Hiv Aids

In Human Immunodeficiency Virus and Acquired Immuno-Deficiency Syndrome (HIV/AIDS) epidemic, today has become not only a public health issue but also one that is seriously affecting the dynamics of the social, cultural, economic and developmental pace of the society. India has a population of 1.2 billion people, around half of whom are adults in the sexually active age group. The first AIDS case in India was detected in 1986 and since then HIV infection has been reported in all states and union territories. Estimated number of people living with HIV/AIDS, 2009 People living with HIV/AIDS is 2.39 million. Adult (15 years or above) HIV prevalence is 0.31%. Previously it was thought that around 5 million people were living with HIV in India - more than in any other country. Better data, including the results of a national household survey conducted in 2005-2006, led to a major revision of the prevalence estimate in July 2007. It is now thought that around 2.39 million people in India are living with HIV. Of these, an estimated 39% are female and 4 % are children. HIV prevalence in India may have declined slightly in recent years, though the epidemic is still growing in some regions and population groups. AIDS the killer diseases of the century is spreading with enormous rapidly and has now emerged as serious socio-economic and public health problems. The aim of the study is to find out changing scenario of Health Problems due to HIV infection. The objectives are to find out the socio-economic background of the respondents and to know the health issues of the positive people. The fifty samples 25 male and 25 female were selected from ART centre of Dakshina Kannada Districts at Karnataka State, India for this study

scholarly journals Knowledge and psychosocial wellbeing of nurses caring for people living with HIV/AIDS (PLWH)

2016 ◽  
Vol 21 ◽  
pp. 1-10 ◽  
Author(s):  
Lufuno Makhado ◽  
Mashudu Davhana-Maselesele
Keyword(s):  
South Africa ◽  
Emotional Exhaustion ◽  
Negative Impact ◽  
Limpopo Province ◽  
People Living With Hiv ◽  
Psychosocial Wellbeing ◽  
Professional Nurses ◽  
Aids Knowledge ◽  
Living With Hiv ◽  
Hiv Aids

The challenges of caring for people living with HIV (PLWH) in a low-resource setting has had a negative impact on the nursing profession, resulting in a shortage of skilled nurses. In response to this shortage and perceived negative impact, we conducted a descriptive, cross-sectional study to describe the level of knowledge and psychosocial wellbeing of nurses caring for PLWH at a regional hospital in Limpopo Province, South Africa. A total of 233 nurses, the majority being female, participated and were stratified into professional nurses (n =108), enrolled nurses (n = 58) and enrolled nursing auxiliaries (n = 66). Data were collected using HIV/AIDS knowledge questionnaire, Maslach Burnout Inventory; AIDS Impact Scale and Beck's Depression Inventory. The total knowledge score obtained by all the participants ranged from 2 to 16, with an average of 12.93 (SD = 1.92) on HIV/AIDS knowledge. Depersonalization (D) (83.7%) and emotional exhaustion (EE) (53.2%) were reported among participating nurses caring for PLWH. Burnout was higher among professional nurses as compared to both enrolled nurses and enrolled nursing auxiliaries. There was a moderate negative significant correlation between HIV knowledge with the nurses' emotional exhaustion (r = 0.592), depression (r = 0.584) and stigma and discrimination (r = 0.637). A moderate to high level of burnout was evident among all levels of nurses. These findings lead to the recommendations for support of nurses caring for PLWH that include structured nursing educational support, organisational support with respect to employee wellness programmes that address depression and work burnout, as well as social support. The provision of these support mechanisms has the potential of creating a positive practice environment for nurses in the Vhembe District of the Limpopo Province in particular, and South Africa in general, and in improved care for PLWH.

On assessment of Rospotrebnadzor surveillance and control activities efficiency and effectiveness aimed at preserving the health of workers

2021 ◽  
Vol 61 (12) ◽  
pp. 807-814
Author(s):  
Dmitry A. Kiryanov ◽  
Mihail Yu. Tsinker ◽  
Marat R. Kamaltdinov ◽  
Vladimir M. Chigvintsev
Keyword(s):  
Public Health ◽  
Environmental Quality ◽  
Russian Federation ◽  
Negative Impact ◽  
Regional Distribution ◽  
National Development ◽  
Economic Losses ◽  
Efficiency And Effectiveness ◽  
The Russian Federation ◽  
And Control

In order to achieve the national development purposes of the Russian Federation for the protection and improvement of public health as declared in the strategic documents, under conditions of limited budgetary resources it is relevant to improve the efficiency and effectiveness of public administration, including that of organizations carrying out control and supervision functions. The aim of the study was to develop methods for assessing the efficiency and effectiveness of Rospotrebnadzor control and supervision activities and the interpretation of the assessment results, as well as to test the proposed approaches in the analysis of the regional distribution of efficiency and effectiveness indicators in the Russian Federation Regions. Using methods of mathematical statistics, the cause-effect relationships between medical and demographic indicators, environmental quality indicators and Rospotrebnadzor activities in the triple system "Rospotrebnadzor activities - environmental quality - public health" were established and parameterized. The actual and prevented health and demographic (morbidity and mortality) economic losses associated with the negative impact of environmental factors have been assessed as a result of control and supervision activities. The calculation of indicative indicators of effectiveness and efficiency of control and supervision activities of Rospotrebnadzor in the Russian Federation Regions and the Russian Federation in general, has been carried out. The analysis of the regional distribution of the indicator of the effectiveness of the control and supervision activities of Rospotrebnadzor is performed. Using the method of k-means cluster analysis, typology of the Russian Federation Regions was carried out according to a set of indicators characterizing the performance of Rospotrebnadzor, the level of macroeconomic development of the region and the amount of funds allocated for control and surveillance activities to ensure sanitary and epidemiological welfare in the Russian Federation Regions. The results obtained from the analysis of the regional distribution of indicative indicators and the typology of the Russian Federation Regions (compared with the national average) can be used as a reference point for the Russian Federation Regions when assessing management reserves and developing programmes of measures to reduce risks to public health.

scholarly journals Seroprevalensi Bovine Cysticercosis pada Sapi Bali di Nusa Tenggara Barat, Indonesia (SEROPREVALENCE OF BOVINE CYSTICERCOSIS AT BALI CATTLE IN WEST NUSA TENGGARA, INDONESIA)

2018 ◽  
Vol 19 (2) ◽  
pp. 161
Author(s):  
Nyoman Sadra Dharmawan ◽  
I Made Damriyasa ◽  
I Gede Mahardika
Keyword(s):  
Public Health ◽  
Negative Impact ◽  
Economic Loss ◽  
Economic Losses ◽  
Parasitic Disease ◽  
Serum Samples ◽  
Elisa Kit ◽  
Bovine Cysticercosis ◽  
Antigen Elisa ◽  
Bali Cattle

Bovine cysticercosis is one of the animal and public health problems throughout the world. Besides this disease has a negative impact on public health, also causing economic losses for farmers due to heavy infected carcasses should be rejected. Until now the availability of data related to this parasitic disease, especially in the Nusa Tenggara region is very limited.The purpose of this study was to obtain information on the prevalence and distribution of bovine cysticercosis on bali cattle in West Nusa Tenggara, Indonesia. The study was conducted by examining of bali cattle sera obtained from the farmer by ELISA (Bio-X Diagnostics’s Cysticercosis Antigen ELISA Kit). The results of ELISA examination of 92 serum samples with cut off 0.295, shows that there are 4 positive sera (4.35%). Three positive sera are originated from Lombok and one positive sera from Sumbawa. These results indicate that Lombok Island and Sumbawa Island in West Nusa Tenggara are not free from bovine cysticercosis. Since C. bovis infection is zoonotic, studies of risk factors are necessary, as well as the availability of information about the estimated burden of disease and the economic loss of the disease. It is recommended that veterinarians be more accurate when conducting post mortum examination, especially on the cattle which comes from a positive area.

scholarly journals Exploring the potential causes of HIV prevalence among young women in South Africa: a critical literature review

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Karin Zakeyo ◽  
Mathew Nyashanu
Keyword(s):  
South Africa ◽  
Young Women ◽  
Hiv Infections ◽  
Hiv Prevalence ◽  
Sub Saharan Africa ◽  
People Living With Hiv ◽  
Content Type ◽  
Sub Saharan ◽  
Living With Hiv ◽  
The Impact

Purpose The purpose of this study is to explore the potential causes of HIV prevalence among young women in South Africa. Human immunodeficiency virus (HIV) is one of the leading causes of death in sub-Saharan Africa. South Africa (SA) has the largest HIV pandemic in the world with approximately 7.2 million people living with HIV as of 2017. There is a disproportionate incidence of HIV between women and men, particularly affecting young women 15–24 years of age. This paper reviewed 10 articles on the impact of HIV in SA among young women. Design/methodology/approach A total of 10 articles on HIV in SA were selected for review using academic databases including Library One Search Pro, Google Scholar, the British Medical Journal and Elsevier. The search generated 11,095 articles, which were narrowed down to 10 by the criteria of being specific to gender and age and publication period. Findings Five themes were identified from the findings as to the potential causes of HIV prevalence among young women these included age-disparate relationships, social factors and sexual behaviour. Impact of HIV on communities and individuals, gender and patriarchy including poverty and social isolation. Originality/value The paper shows the impact of inequalities between men and women leading to HIV infection among young women. It also shows some gaps that require further research with regards to HIV infections among young women.

Examining the entry of Walmart into South Africa: A stakeholder management perspective

2019 ◽  
Vol 38 (2) ◽  
pp. 78-89
Author(s):  
Tembinkosi Bonakele ◽  
Dave Beaty ◽  
Fathima Rasool ◽  
Drikus Kriek
Keyword(s):  
South Africa ◽  
Trade Unions ◽  
Negative Impact ◽  
Stakeholder Management ◽  
Sources Of Information ◽  
Key Stakeholders ◽  
Management Perspective ◽  
Labour Standards ◽  
History Of ◽  
Primary Focus

The recent entry of the US multinational Walmart into South Africa has proved to be a source of controversy. Key stakeholders in South Africa objected to the merger and attempted to block it unless certain conditions were met. The aim of this study was to examine the controversy and the conditions surrounding the merger. The research employed a qualitative archival analysis to examine publicly available sources of information with regard to the merger. The findings revealed key stakeholders’ concerns that Walmart’s entry would lead to an increase in imports which would displace local producers, increase unemployment, marginalise trade unions and lower labour standards unless certain conditions were met. The results also revealed problems relating to the firm’s primary focus on “business” while neglecting “public interest” issues, naively relying on their “local retailer” to manage key stakeholders, and assuming that their perceived controversial reputation regarding treatment of trade unions and their views about unemployment as well as the controversies surrounding their history of entry into other global markets would not have the major negative impact it did on stakeholders in South Africa.

Proposal for Improving Records Management Practices of Traditional Institutions in Ga Molepo, South Africa

Mousaion ◽  
10.25159/2054 ◽  
2017 ◽  
Vol 35 (1) ◽  
pp. 46-67
Author(s):  
Mahlaga Johannes Molepo ◽  
Linda M. Cloete
Keyword(s):  
South Africa ◽  
Rural Communities ◽  
Management Practices ◽  
Records Management ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Record Keeping ◽  
Local Municipalities ◽  
Management Procedures ◽  
Traditional Institutions

The way in which an institution treats its records is crucial for its survival in a rapidly changing society. The purpose of the study was to investigate the records management practices and challenges faced by traditional institutions of leadership and governance in Ga Molepo, Limpopo, South Africa. The researcher employed a cross-sectional survey in order to quantitatively examine the challenges faced by members of traditional councils. A researcher administered questionnaire was used as a data collection tool to study a stratified sample of 35 members from an estimated population of 350. The findings revealed patterns and trends of non-compliance with records management standards and guidelines. Although there were sporadic cases of record keeping, a greater number of respondents revealed that traditional institutions lack the facilities, equipment, education and trained/skilled personnel to apply correct records management procedures in their daily administration of their traditional communities. The main value of the study is to create awareness of records management as one of the neglected areas in traditional institutions – which are by current legislative arrangement, the closest form of leadership and governance for rural communities in light of their relationship with local municipalities and the Department of Cooperative Governance and Traditional Affairs.

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