'Swimming in confusion': a qualitative appraisal of factors affecting uptake and adherence to HAART through South Africa's Public Health System.

 

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dc.contributor.author Mills, Elizabeth
dc.date.accessioned 2016-05-11T11:32:44Z
dc.date.available 2016-05-11T11:32:44Z
dc.date.issued 2008
dc.identifier.citation Mills, E. (2008). Swimming in confusion: a qualitative study of factors affecting uptake and adherence to antiretroviral treatment in South Africa. Centre for Social Science Research, University of Cape Town en_ZA
dc.identifier.uri http://hdl.handle.net/11427/19600
dc.description.abstract In 2007, less than one-third of all HIV-positive South Africans in need of lifeextending highly-active antiretroviral treatment (HAART) are accessing it through the public health system. This ‘treatment gap’ poses a significant challenge to health practitioners and researchers given the complex factors that influence the provision (supply) and uptake (demand) of this public health intervention. This qualitative study, conducted in 2006, set out to explore some of the demand-side factors affecting uptake and adherence to HAART among a cohort of HIV-positive people living in the Western Cape. Two significant and interrelated findings emerged from the research: one, political equivocation influenced the use of lay and untested HIV remedies among the cohort, with lay remedies represented as ‘benign’ compared to the ‘risks’ of using biomedicine like HAART; second, psycho-social and physical factors, like hope, stigma and fear or experience of HAART’s side-effects, affected the respondents’ health seeking behaviour. This preliminary qualitative study suggests that political equivocation and national activism compound, and also obscure, nuanced personal responses to managing illness and securing health. In order for the hard-won HAART roll-out to succeed in reaching 80% of all those in need by 2011, as per the 2007 – 2011 HIV/AIDS and STI National Strategic Plan, researchers and practitioners need to consider and address both supply and demand-side factors inhibiting access and adherence to HAART in South Africa. en_ZA
dc.language eng en_ZA
dc.rights Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0) *
dc.rights.uri http://creativecommons.org/licenses/by-nc-nd/4.0/ en_ZA
dc.source Centre for Social Science Research
dc.source.uri http://www.cssr.uct.ac.za/
dc.subject.other Highly-active antiretroviral treatment (HAART)
dc.subject.other Adherence
dc.subject.other Confusion
dc.title 'Swimming in confusion': a qualitative appraisal of factors affecting uptake and adherence to HAART through South Africa's Public Health System. en_ZA
dc.type Working Paper en_ZA
dc.date.updated 2016-05-11T11:31:27Z
uct.type.publication Research en_ZA
uct.type.resource Research paper en_ZA
dc.publisher.institution University of Cape Town
dc.publisher.faculty Faculty of Humanities en_ZA
dc.publisher.department Centre for Social Science Research(CSSR) en_ZA
uct.type.filetype Text
uct.type.filetype Image
dc.identifier.apacitation Mills, E. (2008). <i>'Swimming in confusion': a qualitative appraisal of factors affecting uptake and adherence to HAART through South Africa's Public Health System</i> University of Cape Town ,Faculty of Humanities ,Centre for Social Science Research(CSSR). Retrieved from http://hdl.handle.net/11427/19600 en_ZA
dc.identifier.chicagocitation Mills, Elizabeth <i>'Swimming in confusion': a qualitative appraisal of factors affecting uptake and adherence to HAART through South Africa's Public Health System.</i> University of Cape Town ,Faculty of Humanities ,Centre for Social Science Research(CSSR), 2008. http://hdl.handle.net/11427/19600 en_ZA
dc.identifier.vancouvercitation Mills E. 'Swimming in confusion': a qualitative appraisal of factors affecting uptake and adherence to HAART through South Africa's Public Health System. 2008 [cited yyyy month dd]. Available from: http://hdl.handle.net/11427/19600 en_ZA
dc.identifier.ris TY - Working Paper AU - Mills, Elizabeth AB - In 2007, less than one-third of all HIV-positive South Africans in need of lifeextending highly-active antiretroviral treatment (HAART) are accessing it through the public health system. This ‘treatment gap’ poses a significant challenge to health practitioners and researchers given the complex factors that influence the provision (supply) and uptake (demand) of this public health intervention. This qualitative study, conducted in 2006, set out to explore some of the demand-side factors affecting uptake and adherence to HAART among a cohort of HIV-positive people living in the Western Cape. Two significant and interrelated findings emerged from the research: one, political equivocation influenced the use of lay and untested HIV remedies among the cohort, with lay remedies represented as ‘benign’ compared to the ‘risks’ of using biomedicine like HAART; second, psycho-social and physical factors, like hope, stigma and fear or experience of HAART’s side-effects, affected the respondents’ health seeking behaviour. This preliminary qualitative study suggests that political equivocation and national activism compound, and also obscure, nuanced personal responses to managing illness and securing health. In order for the hard-won HAART roll-out to succeed in reaching 80% of all those in need by 2011, as per the 2007 – 2011 HIV/AIDS and STI National Strategic Plan, researchers and practitioners need to consider and address both supply and demand-side factors inhibiting access and adherence to HAART in South Africa. DA - 2008 DB - OpenUCT DP - University of Cape Town J1 - Centre for Social Science Research LK - https://open.uct.ac.za PB - University of Cape Town PY - 2008 T1 - 'Swimming in confusion': a qualitative appraisal of factors affecting uptake and adherence to HAART through South Africa's Public Health System TI - 'Swimming in confusion': a qualitative appraisal of factors affecting uptake and adherence to HAART through South Africa's Public Health System UR - http://hdl.handle.net/11427/19600 ER - en_ZA


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