The Perceived Benefit of the Disability Grant for Persons Living With HIV in an Informal Settlement Community in the Western Cape, South Africa

2014 ◽  
Vol 25 (6) ◽  
pp. 589-602 ◽  
Author(s):  
Helen Louise Woolgar ◽  
Pat M. Mayers
Keyword(s):  
South Africa ◽  
Informal Settlement ◽  
Western Cape ◽  
Persons Living With Hiv ◽  
Perceived Benefit ◽  
Disability Grant ◽  
Living With Hiv

Training, current practices and resources of a group of South African hospital-based speech-language therapists and audiologists working with patients living with HIV/AIDS

2002 ◽  
Vol 49 (1) ◽  
Author(s):  
Emma Druck ◽  
Eleanor Ross
Keyword(s):  
South African ◽  
Continuing Professional Development ◽  
Position Statement ◽  
Western Cape ◽  
Undergraduate Training ◽  
Persons Living With Hiv ◽  
Kwazulu Natal ◽  
Living With Hiv ◽  
Hiv Aids ◽  
Current Practices

The present study employed across-sectional survey research design to investigate the training, current practices, and resources of a sample of South African hospital-based speech-language therapists and audiologists (SLTs & As) working with persons living with HIV/AIDS. Questionnaires were mailed to 50 SLTs & As working in the major provincial hospitals in Gauteng, KwaZulu Natal, Free State and Western Cape, and responses were obtained from 40 therapists. Data from the questionnaire were analyzed using descriptive statistics. The findings indicated that persons with HIV/AIDS were becoming an increasing part of the caseloads of the SLTs & As who were surveyed. Investigation of participants' training knowledge, skills and confidence in the area of HIV/AIDS suggested that the group of SLTs & As surveyed did not perceive themselves to be adequately equipped to manage persons with HIV/AIDS. These findings highlight the need for improved undergraduate training of SLT & A students in the area of HIV/AIDS; more continuing professional development workshops on HIV/AIDS for qualified practitioners; better access to resources for SLTs & As working in the area; the formulation of a position statement on HIV/AIDS by SASLHA; and further research in this area.

scholarly journals An Afro-Christian ministry to people living with HIV/Aids in South Africa

2005 ◽  
Vol 61 (3) ◽  
Author(s):  
Matsobane J. Manala
Keyword(s):  
South Africa ◽  
World View ◽  
People Living With Hiv ◽  
Raising Awareness ◽  
Aids Pandemic ◽  
Persons Living With Hiv ◽  
Pain And Suffering ◽  
Living With Hiv ◽  
The Church ◽  
Hiv Aids

The HIV/Aids pandemic is cause for great frustration to the developing countries in their attempts to improve the quality of life of their citizens. HIV/Aids in South Africa demands a specific approach to the Christian ministry in which the African world-view is acknowledged. In order for the church to play a relevant and meaningful role in combating the HIV/Aids pandemic, it is necessary that the church should be informed of the existential situation of persons living with HIV/Aids. This information is vital for raising awareness and engendering sensitivity among Christians. In the context of such awareness of and sensitivity to human pain and suffering, the community of the faithful should be moved to heed Christ’s call to show neighbourly love. The possible role of the church in caring for those who are already infected with HIV is defined.

Stigma and disclosure as barriers to regular dental care for people living with HIV/AIDS in Kwazulu-Natal and Western Cape, South Africa

2014 ◽  
Vol 7 (1) ◽  
pp. 49-59 ◽  
Author(s):  
Mervyn Turton ◽  
Sudeshni Naidoo
Keyword(s):  
South Africa ◽  
Health Care ◽  
Oral Health ◽  
Oral Health Care ◽  
People Living With Hiv ◽  
Western Cape ◽  
Content Type ◽  
Stigma And Discrimination ◽  
Health Care Experiences ◽  
Living With Hiv

Purpose – The purpose of this paper is to determine the oral health care experiences of people living with HIV in Kwazulu-Natal (KZN) and the Western Cape (WC) and also to identify the role of stigma and discrimination in the oral health care experiences for people living with HIV in KZN and the WC. Design/methodology/approach – This study was a survey among HIV-positive people attending selected Community Health Centres and regional hospitals, HIV clinics in KZN and WC provinces in South Africa. The sample consisted of people living with HIV that were 18 years or older and who had given written, informed consent. A cross-sectional study structure has been employed using a standardized format using a semi-structured interview and an administered questionnaire to collect data. The study classified participants as living in metropolitan or non-metropolitan areas. Findings – Apprehension of loss of confidentiality, stigma and discrimination were the barriers that deterred participants from seeking care. Respondents stated that they feared what the dentist and staff would think of them being HIV positive and feared being discriminated against by the dentist and staff. In some instances there appears to be a difference between policy and practice regarding the oral health care needs of and services rendered to people living with HIV in public health facilities as there are still patients who do not obtain care and for whom the attitudes of the health care provider constitutes the major barrier to accessing that care. Research limitations/implications – The results are specific to KZN and WC and have to be extrapolated with caution to the rest of South Africa. Additionally, this study did not have a control group of HIV-negative people which would have enabled one to determine whether certain barriers were unique to people living with HIV. Practical implications – To make recommendations with respect to addressing the issue of stigma and discrimination in the oral health care experiences for people living with HIV in KZN and the WC as there is a definite need for the government to address the resource needs of rural areas and less developed areas of South Africa. Health care is a much-needed resource in these high prevalence areas and governments must ensure that all their HIV/AIDS projects and policies should have a rural component built into them. Social implications – This study emphasizes the importance of embracing people that are being discriminated and marginalized by society such as people living with HIV to ensure that they feel a franchised member of society who can take the initiative to be in control of their own health and, with the necessary aid from public resources and societal support, join forces to reduce the public health burden and its impact on the socio-economic milieu. Originality/value – To the best of the author's knowledge, there is no other study that has compared differences in the use of oral health care services by people with HIV in South Africa and these results serve as an indication of some the important issues in this regard.

Abstract P327: Inflammation Associates With Lower Myocardial Function Among Antiretroviral-Treated Persons Living With HIV in South Africa

Circulation ◽  
2020 ◽  
Vol 141 (Suppl_1) ◽  
Author(s):  
Tess E Peterson ◽  
Mpiko Ntsekhe ◽  
Scott Shuldiner ◽  
Lye-Yeng Wong ◽  
Julian Wolfson ◽  
...  
Keyword(s):  
South Africa ◽  
Myocardial Function ◽  
Myocardial Dysfunction ◽  
Systolic Dysfunction ◽  
Left Ventricular ◽  
Sub Saharan Africa ◽  
Left Ventricular Ejection ◽  
Ventricular Ejection Fraction ◽  
Persons Living With Hiv ◽  
Living With Hiv

Introduction: HIV-associated inflammation contributes to higher CVD risk among persons living with HIV (PLWH). Heart failure (HF) is a prominent CVD manifestation in sub-Saharan Africa where HIV prevalence is high. Systolic dysfunction is a well-known complication of untreated, advanced HIV disease, but it is unknown if ongoing inflammation contributes to myocardial dysfunction during antiretroviral therapy (ART). We evaluated myocardial function via cardiac magnetic resonance (CMR) and studied associations with inflammatory biomarkers among ART-treated PLWH residing in Khayelitsha township near Cape Town, South Africa. Methods: CMR images were ascertained via a large bore 3T Siemens Skyra MRI scanner using standardized protocols. Biomarkers were measured from stored plasma using immunoassays and were log 2 -transformed for analyses. Linear regression was used to evaluate cross-sectional associations between CMR parameters and biomarker concentrations, adjusted for age, sex, current smoking, and hypertension. Results: Among 133 ART-treated PLWH without known CVD, 64% (85) were female, 99% (132) were Black African, 29% (39) were smokers, 92% (123) had undetectable HIV viral load, mean (SD) age was 50 (9) years, and current and nadir CD4+ count were 535 (270) and 271 (213) cells/μL, respectively. Higher TNFR1, TNF-α, and IFN-γ were associated with lower left ventricular ejection fraction (p=0.03, 0.05, and 0.03, respectively) and systolic global circumferential strain (p=0.01, 0.04, and 0.02) ( Table ). Higher TNFR1 was also associated with lower diastolic strain rate in circumferential (p=0.02), longitudinal (p=0.05), and radial (p=0.01) planes. Conclusion: These data suggest inflammation may contribute to lower myocardial function among ART-treated PLWH prior to development of clinical HF. The magnitude of this effect was modest, but potential long-term effects on myocardial tissue remodeling and subsequent HF risk warrant further investigation among a growing ART-treated population in South Africa.

Informal Settlement Characteristics in a Rural Land Restitution Case: Elandskloof, South Africa

2000 ◽  
Vol 5 (2) ◽  
pp. 95-103
Author(s):  
Michael Barry ◽  
David Mayson
Keyword(s):  
South Africa ◽  
Land Tenure ◽  
Informal Settlement ◽  
Informal Settlements ◽  
Western Cape ◽  
Land Resources ◽  
Rural Land ◽  
Western Cape Province ◽  
Land Administration ◽  
Land Restitution

Research in informal settlements in South Africa has shown that conflict is inherent between groups within a settlement and between the broader community and the land administration authorities. In general, groups and sub-groups continually form, reform and dissolve within informal settlements. Moreover, the internal rules that a community creates relating to land tenure tend to be manipulated by sub-groups as they compete for land, resources and power. Internal rules are not static but are subject to continual change. Similar characteristics were observed in Elandskloof, a rural land restitution case in the Western Cape province of South Africa.

scholarly journals Prevalence and Predictors of Diabetes Mellitus Among Persons Living With HIV (PLWH)

2020 ◽  
Author(s):  
DAVID MOHAMMED UMAR ◽  
PANJASARAM NAIDOO
Keyword(s):  
Diabetes Mellitus ◽  
South Africa ◽  
Health Care ◽  
Blood Sugar ◽  
Health Care Facilities ◽  
Older Age ◽  
Persons Living With Hiv ◽  
Kwazulu Natal ◽  
Care Facilities ◽  
Living With Hiv

Abstract Background: Diabetes mellitus is a chronic non-infectious medical condition which is evident by raised levels of glucose in the blood, because the body cannot produce any or enough of the hormone insulin or use insulin effectively. Diabetes, if not well managed leads to complications such as neuropathy, retinopathy, nephropathy which can be fatal. Some of the factors that predisposes to diabetes include older age, higher body mass index, heredity and hypertension. With the availability of HAART for the managing HIV/AIDS infection, life span of persons living with HIV (PLWH) has increased significantly. With increased longevity, the aging population of PLWH also face chronic diseases such as diabetes in addition to HIV. The burden of both HIV and diabetes is high in South Africa, particularly in KwaZulu-Natal. Nevertheless, the prevalence of diabetes among PLWH in KwaZulu-Natal and its predictors is not well understood. Therefore, this study was conducted to determine the prevalence, predictors of diabetes and the outcome of managing diabetes among PLWH.Methods: The study was conducted in four public health care facilities in KwaZulu-Natal after ethical approval and informed consent were obtained. A pretested questionnaire and hospital patient charts were used to collect data. SPSS version was used to analyze the data using descriptive statistics and logistic regression. Results: The prevalence of diabetes among PLWH was 9%. This was higher than the prevalence of diabetes of 5.4% among the general population in South Africa. Just over 47% of those who had diabetes, had uncontrolled blood sugar, with a mean fasting blood sugar (FBS) of 11.7 mmol/L. The predictors of diabetes among PLWH were, male gender and older age. Male PLWH had 65% less chances of having diabetes and those who were between the ages of 18 and 48 years were 88% less probable to have diabetes compared to those who were older than 48 years.Conclusion: Public sector health care facilities in KwaZulu-Natal need to do much more to manage diabetes in PLWH in order to prevent diabetic complications and possible negative impact on the outcome of HIV management.

scholarly journals Myocardial Fibrosis among ART-treated Persons Living with HIV in South Africa

2020 ◽  
Author(s):  
S R Shuldiner ◽  
L Y Wong ◽  
T E Peterson ◽  
J Wolfson ◽  
S Jermy ◽  
...  
Keyword(s):  
Heart Failure ◽  
South Africa ◽  
Myocardial Fibrosis ◽  
Sub Saharan Africa ◽  
Absolute Difference ◽  
Central Feature ◽  
Hiv Status ◽  
Persons Living With Hiv ◽  
Living With Hiv ◽  
Cmr Imaging

Abstract Background Heart failure is a prominent cardiovascular disease manifestation sub-Sarahan Africa. Myocardial fibrosis is a central feature of heart failure that we aimed to characterize among persons living with HIV (PWH) in South Africa (SA). Methods Cardiovascular magnetic resonance (CMR) imaging was performed among PWH with viral suppression and uninfected controls, both free of known CVD. Plasma levels of N-terminal pro B-type natriuretic peptide (NT-proBNP) were measured. Comparisons by HIV status were made using linear and logistic regression, adjusted for age, sex, and hypertension. Findings 134 PWH and 95 uninfected completed CMR imaging; age was 50 and 49 years, with 63% and 67% female, respectively. Compared to controls, PWH had greater myocardial fibrosis by extracellular volume fraction (ECV; absolute difference 1.2%; 95%CI 0.1-2.3). In subgroup analyses, the effect of HIV status on ECV was more prominent among women. Women (vs controls) were also more likely to have elevated NT-proBNP levels (>125 pg/mL; OR 2.4; 95%CI: 1.0-6.0). Among all PWH, an elevated NT-proBNP levels was associated with higher ECV (3.4% higher; 95%CI: 1.3-5.5). Interpretation HIV disease may contribute to myocardial fibrosis, with an effect more prominent among women. Research is needed to understand heart failure risk among PWH within sub-Saharan Africa.

Sign in / Sign up

Export Citation Format

Share Document