Knowledge and acceptability of HAART among TB patients in Durban, South Africa

Gebrekristos, Hirut T.; Lurie, Mark N.; Mthethwa, Nkosinathi; Karim, Quarraisha Abdool

doi:10.1080/09540120412331336661

Cited by 10 publications

(12 citation statements)

References 11 publications

(8 reference statements)

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“…In this comparison, having sufficient ART knowledge was defined as having a score of 50% and higher in Kabarole sample. Another study in tuberculosis patients from South Africa revealed a much lower (Gebrekristos et al, 2005). This comparison is naturally limited, taking into account that different score assessment tools were used, but nevertheless gives a magnitude of the difference in the scores.…”

Section: Discussionmentioning

confidence: 91%

Public knowledge and attitudes toward HIV/AIDS and antiretroviral therapy in Kabarole district, western Uganda

et al. 2008

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A study on knowledge about HIV/AIDS and antiretroviral therapy (ART) was conducted in the general population of a rural district in western Uganda. Three hundred seventy-two participants were selected by random cluster sampling and interviewed with an interview-administered questionnaire. Data were analyzed quantitatively with descriptive, univariate and linear multivariate statistical analysis with the knowledge score about ART as the dependent variable. The results indicate that the mean knowledge was 7.7 in a scale from 0 to 13. Predictor for better ART knowledge was a higher educational status of the participants. Older participants over 50 years were less ART knowledgeable. Only 19% of the participants have been tested for HIV. The conclusions are that the ART knowledge in this population is remarkably high which is reaffirming and important for achieving a high adherence to ART. Of concern is the low proportion of persons tested for HIV in this general population. Kabarole district seems to be receptive and capable for intensifying HIV testing which is a precondition for the ART roll-out.

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Section: Discussionmentioning

confidence: 91%

Public knowledge and attitudes toward HIV/AIDS and antiretroviral therapy in Kabarole district, western Uganda

et al. 2008

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“…A WHO report on the global access to anti-retroviral therapy [55] speculated that the relative over-representation of women in ART programmes could be because women are better integrated into community networks, and thus have better health-care information and are better able to access public health facilities than are men, especially where these women access PMTCT programmes. Closely related, recent studies suggest that antenatal clinics are often the first point of entry into HIV/AIDS prevention, care and treatment [56,57]. Nattrass (2008) hypothesised that South African men with AIDS-related illnesses are less likely to access ART than their female counterparts because masculine norms encourage them to deny weakness and to avoid seeking treatment for any ailment for as long as possible [54].…”

Section: Discussionmentioning

confidence: 99%

Who is accessing public-sector anti-retroviral treatment in the Free State, South Africa? An exploratory study of the first three years of programme implementation

et al. 2010

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BackgroundAlthough South Africa has the largest public-sector anti-retroviral treatment (ART) programme in the world, anti-retroviral coverage in adults was only 40.2% in 2008. However, longitudinal studies of who is accessing the South African public-sector ART programme are scarce. This study therefore had one main research question: who is accessing public-sector ART in the Free State Province, South Africa? The study aimed to extend the current literature by investigating, in a quantitative manner and using a longitudinal study design, the participants enrolled in the public-sector ART programme in the period 2004-2006 in the Free State Province of South Africa.MethodsDifferences in the demographic (age, sex, population group and marital status) socio-economic (education, income, neo-material indicators), geographic (travel costs, relocation for ART), and medical characteristics (CD4, viral load, time since first diagnosis, treatment status) among 912 patients enrolled in the Free State public-sector ART programme between 2004 and 2006 were assessed with one-way analysis of variance, Bonferroni post-hoc analysis, and cross tabulations with the chi square test.ResultsThe patients accessing treatment tended to be female (71.1%) and unemployed (83.4%). However, although relatively poor, those most likely to access ART services were not the most impoverished patients. The proportion of female patients increased (P < 0.05) and their socio-economic situation improved between 2004 and 2006 (P < 0.05). The increasing mean transport cost (P < 0.05) to visit the facility is worrying, because this cost is an important barrier to ART uptake and adherence. Encouragingly, the study results revealed that the interval between the first HIV-positive diagnosis and ART initiation decreased steadily over time (P < 0.05). This was also reflected in the increasing baseline CD4 cell count at ART initiation (P < 0.05).ConclusionsOur analysis showed significant changes in the demographic, socio-economic, geographic, and medical characteristics of the patients during the first three years of the programme. Knowledge of the characteristics of these patients can assist policy makers in developing measures to retain them in care. The information reported here can also be usefully applied to target patient groups that are currently not reached in the implementation of the ART programme.

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“…Yet, as few as 5 Á57.4% of TB patients get tested for HIV. It is estimated that fewer than 10% are aware of their current serostatus (Gebrekristos et al, 2005;Grimwade et al, 2005;WHO, 2002b;WHO/UNAIDS, 2003).…”

Section: Settingmentioning

confidence: 98%

HIV testing and disclosure: a qualitative analysis of TB patients in South Africa

2007

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In South Africa, more than 60% of TB patients have HIV co-infection. Voluntary counseling and testing (VCT) is critical to effective HIV prevention, and TB facilities are optimal venues for delivery of these services. This study employed qualitative research methods to explore the decision-making processes for HIV testing and serostatus disclosure by 21 patients hospitalized with multi/extensively-drug resistant TB (M/XDR-TB) in Durban, KwaZulu Natal. Data collected from in-depth interviews characterized 3 broad themes: HIV testing history, experiences and perceptions of stigma and disclosure, and the relationship between TB and HIV/AIDS. Fear of AIDS-related stigma, the singular stress of TB infection, the absence of partner's consent, asymptomatic or incurable disease, and uncertainty about subsequent eligibility for antiretroviral treatment while still receiving TB treatment were identified as potential barriers to the uptake of VCT. HIV serostatus disclosure was impeded by the felt stigma of a 'discreditable' infection, manifested by social rejection and discrimination. The public disclosure of TB illness helped relieve some co-infected patients' overall burden of stigma through a process of 'covering'. HIV prevention [corrected] measures such as VCTare likely to be more effective within TB facilities if greater sensitivity is paid to TB patients' specific social issues and perceptions. These patients are not only at greater risk for HIV co-infection but also for experiencing the double stigma of TB and HIV/AIDS.

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Knowledge and acceptability of HAART among TB patients in Durban, South Africa

Cited by 10 publications

References 11 publications

Public knowledge and attitudes toward HIV/AIDS and antiretroviral therapy in Kabarole district, western Uganda

Public knowledge and attitudes toward HIV/AIDS and antiretroviral therapy in Kabarole district, western Uganda

Who is accessing public-sector anti-retroviral treatment in the Free State, South Africa? An exploratory study of the first three years of programme implementation

HIV testing and disclosure: a qualitative analysis of TB patients in South Africa

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