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 Prevalence and correlates of prescription drug diversion and misuse among people living with HIV in the eThekwini district, KwaZulu-Natal, South Africa

PLoS ONE ◽  
2020 ◽  
Vol 15 (12) ◽  
pp. e0243718
Author(s):  
Buyisile Chibi ◽  
Nonhlanhla Yende-Zuma ◽  
Tivani P. Mashamba-Thompson
Keyword(s):  
South Africa ◽  
Prescription Drug ◽  
Prescription Medication ◽  
Drug Misuse ◽  
People Living With Hiv ◽  
Prescription Drug Misuse ◽  
The Past ◽  
Drug Diversion ◽  
Kwazulu Natal ◽  
Living With Hiv

Background Prescription drug diversion, and misuse has increased over the past decade and is notably in high-income-countries and significantly contributes to the opioid epidemic. People living with HIV (PLWH) are particularly vulnerable to prescription drug diversion, and misuse as most experience chronic pain, mental health problems and HIV-related illnesses. The researchers investigated the prevalence and correlates of prescription drug diversion, and misuse among PLWH in the eThekwini district, KwaZulu-Natal. Methods A cross-sectional study was conducted among 392 PLWH, conveniently recruited from the public healthcare facilities located in rural, semi-urban and urban areas of the eThekwini district. Participants answered questions about their background, prescription medications, substance use, and prescription drug diversion, and misuse. Descriptive analysis was performed to estimate the prevalence of prescription drug diversion, and misuse. Multivariable logistic regression was used to identify predictors of prescription drug diversion, and misuse. Findings Overall, 13% of the participants reported lifetime prescription drug diversion. The most common type of diversion was using prescription medication not prescribed by a healthcare provider (11%), followed by sharing of prescription medication (9%) and buying prescription medication without a medical script (5%). Twenty-three per cent of the participants reported prescription drug misuse in the past 90 days, with using prescription medication without a healthcare providers’ guidance (9%) and not following the scheduled time periods (8%) being the most common reported types of misuse. Self-medicating was identified as a risk factor for prescription drug misuse. There was no association between ART adherence and prescription drug diversion, and misuse. Conclusion The study findings contribute to improving the limited data available on prescription drug diversion, and misuse among PLWH in South Africa. The prevalence underscores a need for urgent interventions when prescribing medications with potential risks. Addressing the risk of self-medicating is imperative for HIV care outcomes and to avert death.

Counsellor-delivered HIV risk reduction intervention addresses safer sex barriers of people living with HIV in KwaZulu-Natal, South Africa

2011 ◽  
Vol 26 (12) ◽  
pp. 1623-1641 ◽  
Author(s):  
Deborah H. Cornman ◽  
Sarah Christie ◽  
Lindsay M. Shepherd ◽  
Susan MacDonald ◽  
K. Rivet Amico ◽  
...  
Keyword(s):  
South Africa ◽  
Risk Reduction ◽  
Hiv Risk ◽  
Safer Sex ◽  
People Living With Hiv ◽  
Hiv Risk Reduction ◽  
Kwazulu Natal ◽  
Risk Reduction Intervention ◽  
Living With Hiv

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.

scholarly journals Knowledge and Perceptions of People Living With HIV Regarding The HIV Services That Are Offered By The Community Health Workers in KwaZulu-Natal, South Africa

2021 ◽  
Author(s):  
Gugulethu Eve Khumalo ◽  
Bontle Segobe ◽  
Elizabeth Lutge ◽  
Tivani P Mashamba-Thompson
Keyword(s):  
South Africa ◽  
Community Health ◽  
Community Health Workers ◽  
Health Workers ◽  
P Value ◽  
People Living With Hiv ◽  
Positive Perception ◽  
Hiv Services ◽  
Kwazulu Natal ◽  
Living With Hiv

Abstract Background: KwaZulu-Natal (KZN) is the province with the highest HIV prevalence in South Africa (SA). Community Health Workers (CHWs) are key to delivery of HIV services at community level. Evidence on knowledge and perceptions of people living with HIV (PLWH) regarding the HIV services that are offered by the CHWs is limited. Therefore, this study seeks to determine knowledge and perceptions of PLWH regarding the HIV services that are offered by the CHWs in KZN.Methods: The study design was a quantitative survey using an administrator-administered questionnaire. A total of 303 PLWH from 3 selected KZN clinics were interviewed to determine their knowledge and perceptions of HIV services offered by the CHWs. Statistical Package for Social Sciences (SPSS) version 27 was used to describe the population and testing for associations between variables. The significant level was set at a p value ≤ 0.05 and at 95% confidence internal.Results: Among the 303 PLWH surveyed, 24 (8%), knew about the HIV services offered by the CHWs and of the 89 (29%) participants that were visited by CHWs, 73 (82%) had a positive perception about these services. Participants who were visited by a CHW were more likely (OR=1.57, 95% CI: 0.57-4.35) to know about the HIV services. Knowledge of HIV services was significantly associated with the positive perception of the HIV services (p<0.05). Knowledge and perception of the HIV services was not associated with age, gender, level of education or duration of visiting the clinic.Conclusion: The majority of PLWH in KZN have poor knowledge of HIV services offered by the CHWs and most of them have never been visited by a CHW in their homes. Those that were visited by CHWs were more likely to have positive perceptions regarding their HIV services. The findings of the study should trigger the scaling up of HIV community targeted initiatives that are delivered by CHWs in order to curb the HIV epidemic in the province.

Modelling and estimation of HIV prevalence and number of people living with HIV in India, 2010–2011

2016 ◽  
Vol 27 (14) ◽  
pp. 1257-1266 ◽  
Author(s):  
Yujwal Raj ◽  
Damodar Sahu ◽  
Arvind Pandey ◽  
S Venkatesh ◽  
DCS Reddy ◽  
...  
Keyword(s):  
Hiv Prevalence ◽  
People Living With Hiv ◽  
Living With Hiv
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