Social exposure to an antiretroviral treatment programme in rural KwaZulu-Natal

• Verfasst von: Bor, Jacob [VerfasserIn]
• Verfasst von: Bärnighausen, Till [VerfasserIn]
• Verfasst von: Newell, Colin [VerfasserIn]
• Verfasst von: Tanser, Frank [VerfasserIn]
• Verfasst von: Newell, Marie-Louise [VerfasserIn]
• Titel: Social exposure to an antiretroviral treatment programme in rural KwaZulu-Natal
• Verf.angabe: Jacob Bor, Till Bärnighausen, Colin Newell, Frank Tanser and Marie-Louise Newell
• E-Jahr: 2011
• Jahr: 26 May 2011
• Umfang: 7 S.
• Fussnoten: Gesehen am 29.09.2017
• Titel Quelle: Enthalten in: Tropical medicine & international health
• Ort Quelle: Oxford [u.a.] : Wiley-Blackwell, 1996
• Jahr Quelle: 2011
• Band/Heft Quelle: 16(2011), 8, Seite 988-994
• ISSN Quelle: 1365-3156
• DOI: doi:10.1111/j.1365-3156.2011.02795.x
• Datenträger: Online-Ressource
• Sprache: eng
• Sach-SW: Afrique du sud
• Sach-SW: AIDS
• Sach-SW: antiretroviral therapy
• Sach-SW: démographie
• Sach-SW: demography
• Sach-SW: economics
• Sach-SW: économie
• Sach-SW: sida
• Sach-SW: South Africa
• Sach-SW: surveillance
• Sach-SW: thérapie antirétrovirale
• K10plus-PPN: 1563917572

Abstract

Objective: To investigate the prevalence of social exposure to a large, government-run ART programme in rural South Africa. Method  Clinical data on 6681 patients were matched with demographic data on a nearly complete cohort of 102 359 people residing in the programme catchment area. We calculated the proportion of residents in the demographic surveillance area that were members of a household, or resided in a compound where someone had initiated ART or received pre-ART care. Results  By January 2010, 3% of the population had initiated ART. However, 25% of the population shared household membership or resided in a compound with someone who had initiated ART; 40% shared household or living arrangements with people who had either initiated ART or were enrolled in pre-ART care. Conclusion  Such high rates of social exposure suggest that ART programmes in HIV endemic areas are likely to have significant population-level effects on social norms and economic welfare. These results also point to the opportunity to reach large numbers of people with health and social services through existing ART programmes