Water and AIDS: Problems Associated with the Home-based Care of AIDS Patients in a Rural Area of Northern KwaZulu-Natal, South Africa

2020 ◽  
pp. 173-188
Author(s):  
Anne Hutchings ◽  
Gina Buijs
Keyword(s):  
South Africa ◽  
Rural Area ◽  
Aids Patients ◽  
Home Based ◽  
Kwazulu Natal ◽  
Home Based Care

scholarly journals Linkage to primary care after home-based blood pressure screening in rural KwaZulu-Natal, South Africa: a population-based cohort study

BMJ Open ◽  
2018 ◽  
Vol 8 (12) ◽  
pp. e023369 ◽  
Author(s):  
Mark J Siedner ◽  
Kathy Baisley ◽  
Joanna Orne-Gliemann ◽  
Deenan Pillay ◽  
Olivier Koole ◽  
...  
Keyword(s):  
South Africa ◽  
Blood Pressure ◽  
Linkage To Care ◽  
Sampling Weights ◽  
Rural South ◽  
Home Based ◽  
Kwazulu Natal ◽  
Blood Pressure Screening ◽  
The Impact ◽  
Rural South Africa

ObjectivesThe expanding burden of non-communicable diseases (NCDs) globally will require novel public health strategies. Community-based screening has been promoted to augment efficiency of diagnostic services, but few data are available on the downstream impact of such programmes. We sought to assess the impact of a home-based blood pressure screening programme on linkage to hypertension care in rural South Africa.SettingWe conducted home-based blood pressure screening withinin a population cohort in rural KwaZulu-Natal, using the WHO Stepwise Approach to Surveillance (STEPS) protocol.ParticipantsIndividuals meeting criteria for raised blood pressure (≥140 systolic or ≥90 diastolic averaged over two readings) were referred to local health clinics and included in this analysis. We defined linkage to care based on self-report of presentation to clinic for hypertension during the next 2 years of cohort observation. We estimated the population proportion of successful linkage to care with inverse probability sampling weights, and fit multivariable logistic regression models to identify predictors of linkage following a positive hypertension screen.ResultsOf 11 694 individuals screened, 14.6% (n=1706) were newly diagnosed with elevated pressure. 26.9% (95% CI 24.5% to 29.4%) of those sought hypertension care in the following 2 years, and 38.1% (95% CI 35.6% to 40.7%) did so within 5 years. Women (adjusted OR (aOR) 2.41, 95% CI 1.68 to 3.45), those of older age (aOR 11.49, 95% CI 5.87 to 22.46, for 45–59 years vs <30) and those unemployed (aOR 1.71, 95% CI 1.10 to 2.65) were more likely to have linked to care.ConclusionsLinkage to care after home-based identification of elevated blood pressure was rare in rural South Africa, particularly among younger individuals, men and the employed. Improved understanding of barriers and facilitators to NCD care is needed to enhance the effectiveness of blood pressure screening in the region.

scholarly journals Progress towards the UNAIDS 90–90-90 goals by age and gender in a rural area of KwaZulu-Natal, South Africa: a household-based community cross-sectional survey

2018 ◽  
Vol 18 (1) ◽  
Author(s):  
Helena Huerga ◽  
Gilles Van Cutsem ◽  
Jihane Ben Farhat ◽  
Adrian Puren ◽  
Malika Bouhenia ◽  
...  
Keyword(s):  
South Africa ◽  
Rural Area ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Age And Gender ◽  
Kwazulu Natal ◽  
And Gender

scholarly journals Stigma, burden, social support, and willingness to care among caregivers of PLWHA in home-based care in South Africa

AIDS Care ◽  
2011 ◽  
Vol 23 (7) ◽  
pp. 839-845 ◽  
Author(s):  
Dinesh Singh ◽  
Stephenie R. Chaudoir ◽  
Maria C. Escobar ◽  
Seth Kalichman
Keyword(s):  
Social Support ◽  
South Africa ◽  
Home Based ◽  
Home Based Care
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