Knowing Client Rights and Meeting Their Needs: Provider Knowledge and Attitudes Toward Meeting the Reproductive Needs and Rights of People Living with HIV in South Africa

2017 ◽  
pp. 141-158 ◽  
Author(s):  
Deborah Mindry ◽  
Pranitha Maharaj ◽  
Thabo Letsoalo ◽  
Chantal Munthree ◽  
Tamaryn Crankshaw
Keyword(s):  
South Africa ◽  
People Living With Hiv ◽  
Knowledge And Attitudes ◽  
Provider Knowledge ◽  
Living With Hiv

scholarly journals Examining the relationship between physical and sexual violence and psychosocial health in young people living with HIV in rural South Africa

2020 ◽  
Vol 23 (12) ◽  
Author(s):  
Lindsey M Filiatreau ◽  
Danielle Giovenco ◽  
Rhian Twine ◽  
F Xavier Gómez‐Olivé ◽  
Kathleen Kahn ◽  
...  
Keyword(s):  
South Africa ◽  
Young People ◽  
Sexual Violence ◽  
Psychosocial Health ◽  
People Living With Hiv ◽  
Rural South ◽  
Living With Hiv ◽  
The Relationship ◽  
Rural South Africa

scholarly journals Prevalence and Correlates of Snuff Use, and its Association With Tuberculosis, Among Women Living With HIV in South Africa

2018 ◽  
Vol 21 (8) ◽  
pp. 1087-1092 ◽  
Author(s):  
Jessica L Elf ◽  
Ebrahim Variava ◽  
Sandy Chon ◽  
Limakatso Lebina ◽  
Katlego Motlhaoleng ◽  
...  
Keyword(s):  
South Africa ◽  
Tobacco Use ◽  
Smokeless Tobacco ◽  
People Living With Hiv ◽  
Potential Health ◽  
Adjusted Analysis ◽  
Women Living With Hiv ◽  
Urine Cotinine ◽  
Smokeless Tobacco Use ◽  
Living With Hiv

Abstract Introduction A higher proportion of people living with HIV (PLWH) smoke compared to the general population, but little information exists about the prevalence and correlates of smokeless tobacco use among PLWH. In South Africa, dry powdered tobacco is inhaled nasally as snuff. Methods A cross-sectional survey among PLWH attending three HIV clinics was conducted. Snuff use was assessed via self-report and urine cotinine. Results Given the low (3%) prevalence of snuff use among men, analysis was restricted to n = 606 nonsmoking women living with HIV. Half (n = 298, 49%) were snuff users, the majority of whom (n = 244, 84%) had a positive urine cotinine test. In adjusted analysis, snuff use was negatively associated with higher education (relative risk [RR] 0.55; 95% confidence interval [CI]: 0.39, 0.77) and mobile phone ownership (RR 0.83; 95% CI: 0.71, 0.98), and positively associated with ever having tuberculosis (TB) (RR 1.22; 95% CI: 1.03, 1.45). In adjusted analysis, with current TB as the outcome, snuff use was marginally statistically significantly associated with a twofold increase in odds of a current TB diagnosis (odds ratio [OR] 1.99; 95% CI: 0.98, 4.15). Discussion A high proportion of nonsmoking South African women living with HIV use snuff, which was a risk factor for TB. Additional research is needed to understand the relationship between snuff, TB, and other potential health risks. Implications PLWH have a higher prevalence of smoking than their seronegative peers, but there is a paucity of research on smokeless tobacco use in this population, especially in low-resource settings. TB is the leading cause of death among PLWH, and with improvements to HIV treatment and care, PLWH are at greater risk of tobacco-related diseases. We report an extremely high prevalence of snuff use among women living with HIV in South Africa. Further, in this population snuff use is positively associated with ever having a TB diagnosis, as well as currently having TB.

scholarly journals The essential role of physiotherapists in providing rehabilitation services to people living with HIV in South Africa

2013 ◽  
Vol 69 (1) ◽  
Author(s):  
S. Cobbing ◽  
V. Chetty ◽  
J. Hanass-Hancock ◽  
J. Jelsma ◽  
H. Myezwa ◽  
...  
Keyword(s):  
South Africa ◽  
South African ◽  
Policy Formulation ◽  
People Living With Hiv ◽  
Highly Active ◽  
Hiv Epidemic ◽  
Wide Range ◽  
Living With Hiv ◽  
Education Courses

Despite increased access to highly active anti-retroviral therapy (HAART) in South Africa, there remains a high risk of people living with HIV (PLHIV) developing a wide range of disabilities. Physiotherapists are trained to rehabilitate individuals with the disabilities related to HIV. Not only can South African physiotherapists play a significant role in improving the lives of PLHIV, but by responding proactively to the HIV epidemic they can reinforce the relevance and value of the profession in this country at a time when many newly qualified therapists are unable to secure employment. This paper offers recommendations that may help to fuel this response. These ideas include enhancing HIV curricula at a tertiary level, designing and attending continuing education courses on HIV and researching Southern African rehabilitation interventions for HIV at all levels of practice. furthermore, it is vital that physiotherapists are at the forefront of directing multi-disciplinary responses to the rehabilitation of PLHIV in order to influence stakeholders who are responsible for health policy formulation. it is hoped that this paper stimulates discussion and further ideas amongst physiotherapists and other health professionals in order to improve the quality and access to care available to PLHIV in South Africa.

Motivating people living with HIV to initiate antiretroviral treatment outside national guidelines in three clinics in the HPTN 071 (PopART) trial, South Africa

2021 ◽  
Vol 20 (1) ◽  
pp. 32-41
Author(s):  
Constance Mubekapi-Musadaidzwa ◽  
Dillon Wademan ◽  
Neshaan Peton ◽  
Portia Hendricks ◽  
Gabriela Carolus ◽  
...  
Keyword(s):  
South Africa ◽  
Antiretroviral Treatment ◽  
People Living With Hiv ◽  
National Guidelines ◽  
Living With Hiv

Educating the Heart: Fostering Hope Through Theatre in the AIDS Crisis in South Africa

2017 ◽  
Author(s):  
Meghan Ward
Keyword(s):  
South Africa ◽  
International Development ◽  
Healing Process ◽  
Development Theory ◽  
People Living With Hiv ◽  
Aids Crisis ◽  
Theatrical Representation ◽  
Living With Hiv ◽  
International Development Studies ◽  
Hiv Aids

With approximately 5.3 million people living with HIV/AIDS, South Africa has the highest HIV­ prevalence rate in the world. HIV tends to strike the most vulnerable people in society, and is often associated with high risk behaviours, which inevitably leads to stigmatization. Through an integration of theatre and development theory, I propose to investigate the potential of using theatre as a community event that raises awareness of collective issues and that offers new hope to people living with HIV. I suggest that theatre can educate the heart and put a human face on HIV/AIDS, thus catalyzing a healing process at the community level. By targeting township youth, those who are currently driving the virus, an interactive theatre style, such as participatory methodology, can effectively move beyond didactic education. In participatory theatre, the target group is incorporated into the theatrical representation of their circumstances through the performance of personal testimonies associated with HIV. Here, the power of theatre lies in its ability to produce individual reactions in the audience, which ultimately result in a collective experience and elevated consciousness through the discussion that ensues. The community is thus empowered to engage in a new ap proach to HIV/AIDS. Can such a performance prevent further infections by exposing the consequences and realities of living with AIDS? While a test­case would be ideal in the affirmation of these ideas, I hope to bring a new approach to community theatre through a combination of theories from both theatre and international development studies.

‘What will it take’: addressing alcohol use among people living with HIV in South Africa

2019 ◽  
Vol 30 (11) ◽  
pp. 1049-1054 ◽  
Author(s):  
K Sorsdahl ◽  
NK Morojele ◽  
CD Parry ◽  
CT Kekwaletswe ◽  
N Kitleli ◽  
...  
Keyword(s):  
South Africa ◽  
Alcohol Use ◽  
Brief Intervention ◽  
Hiv Treatment ◽  
Hiv And Aids ◽  
Hiv Care ◽  
People Living With Hiv ◽  
Screening And Brief Intervention ◽  
Treatment Services ◽  
Living With Hiv

Given that hazardous and harmful alcohol use has been identified as a significant barrier to adherence to antiretroviral therapy (ART) in South Africa, alcohol reduction interventions delivered within HIV treatment services are being investigated. Prior to designing and implementing an alcohol-focused screening and brief intervention (SBI), we explored patients’ perceptions of alcohol as a barrier to HIV treatment, the acceptability of providing SBIs for alcohol use within the context of HIV services and identifying potential barriers to patient uptake of this SBI. Four focus groups were conducted with 23 participants recruited from three HIV treatment sites in Tshwane, South Africa. Specific themes that emerged included: (1) barriers to ART adherence, (2) available services to address problematic alcohol use and (3) barriers and facilitators to delivering a brief intervention to address alcohol use within HIV care. Although all participants in the present study unanimously agreed that there was a great need for SBIs to address alcohol use among people living with HIV and AIDS, our study identified several areas that should be considered prior to implementing such a programme.

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