Factors affecting men's movement through the HIV cascade in the public health services in Cape Town: Perspectives and experiences of health care providers

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dc.contributor.advisorColvin, Christopher Jen_ZA
dc.contributor.advisorSchmidt, Bey-Marriéen_ZA
dc.contributor.authorMadzima, Rutendoen_ZA
dc.date.accessioned2017-09-23T06:37:05Z
dc.date.available2017-09-23T06:37:05Z
dc.date.issued2017en_ZA
dc.description.abstractThe Human Immunodeficiency (HIV) epidemic in South Africa is disproportionately distributed by gender. Although women lead in the number of infections they are at an advantage when it comes to seeking and receiving care. Men's poor health seeking behaviour finds them seeking care late, testing at lower rates, defaulting from treatment and eventually having worse health outcomes. More men than women fail to enter and stay in the HIV cascade of care. The HIV cascade is a metaphor used to describe the steps that include HIV testing, initiation of antiretroviral therapy (ART), adherence, viral suppression and good health outcomes. As health care providers (HCPs) are the ones who interact directly with men in the health system their view of the factors that hinder men's movement through the HIV cascade are valuable to better understanding how men interact with the care system. In this research semi-structured interviews were held with eleven HCPs working with HIV positive patients (6 women, 5 men) across 2 health facilities and 1 non-governmental organisation (NGO) within the Klipfontein sub-district. Health care workers were found to share some of the more commonly held notions regarding the barriers men face in HIV care. However, their experiences offer some challenging ideas and the health systems appears to be realising the need to tailor HIV services to the needs of men. The experiences and perspectives of HCPs should be further explored and the findings used to influence health policies and clinical practice.en_ZA
dc.identifier.apacitationMadzima, R. (2017). <i>Factors affecting men's movement through the HIV cascade in the public health services in Cape Town: Perspectives and experiences of health care providers</i>. (Thesis). University of Cape Town ,Faculty of Health Sciences ,Department of Public Health and Family Medicine. Retrieved from http://hdl.handle.net/11427/25353en_ZA
dc.identifier.chicagocitationMadzima, Rutendo. <i>"Factors affecting men's movement through the HIV cascade in the public health services in Cape Town: Perspectives and experiences of health care providers."</i> Thesis., University of Cape Town ,Faculty of Health Sciences ,Department of Public Health and Family Medicine, 2017. http://hdl.handle.net/11427/25353en_ZA
dc.identifier.citationMadzima, R. 2017. Factors affecting men's movement through the HIV cascade in the public health services in Cape Town: Perspectives and experiences of health care providers. University of Cape Town.en_ZA
dc.identifier.ris TY - Thesis / Dissertation AU - Madzima, Rutendo AB - The Human Immunodeficiency (HIV) epidemic in South Africa is disproportionately distributed by gender. Although women lead in the number of infections they are at an advantage when it comes to seeking and receiving care. Men's poor health seeking behaviour finds them seeking care late, testing at lower rates, defaulting from treatment and eventually having worse health outcomes. More men than women fail to enter and stay in the HIV cascade of care. The HIV cascade is a metaphor used to describe the steps that include HIV testing, initiation of antiretroviral therapy (ART), adherence, viral suppression and good health outcomes. As health care providers (HCPs) are the ones who interact directly with men in the health system their view of the factors that hinder men's movement through the HIV cascade are valuable to better understanding how men interact with the care system. In this research semi-structured interviews were held with eleven HCPs working with HIV positive patients (6 women, 5 men) across 2 health facilities and 1 non-governmental organisation (NGO) within the Klipfontein sub-district. Health care workers were found to share some of the more commonly held notions regarding the barriers men face in HIV care. However, their experiences offer some challenging ideas and the health systems appears to be realising the need to tailor HIV services to the needs of men. The experiences and perspectives of HCPs should be further explored and the findings used to influence health policies and clinical practice. DA - 2017 DB - OpenUCT DP - University of Cape Town LK - https://open.uct.ac.za PB - University of Cape Town PY - 2017 T1 - Factors affecting men's movement through the HIV cascade in the public health services in Cape Town: Perspectives and experiences of health care providers TI - Factors affecting men's movement through the HIV cascade in the public health services in Cape Town: Perspectives and experiences of health care providers UR - http://hdl.handle.net/11427/25353 ER - en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/25353
dc.identifier.vancouvercitationMadzima R. Factors affecting men's movement through the HIV cascade in the public health services in Cape Town: Perspectives and experiences of health care providers. [Thesis]. University of Cape Town ,Faculty of Health Sciences ,Department of Public Health and Family Medicine, 2017 [cited yyyy month dd]. Available from: http://hdl.handle.net/11427/25353en_ZA
dc.language.isoengen_ZA
dc.publisher.departmentDepartment of Public Health and Family Medicineen_ZA
dc.publisher.facultyFaculty of Health Sciencesen_ZA
dc.publisher.institutionUniversity of Cape Town
dc.subject.otherPublic Healthen_ZA
dc.titleFactors affecting men's movement through the HIV cascade in the public health services in Cape Town: Perspectives and experiences of health care providersen_ZA
dc.typeMaster Thesis
dc.type.qualificationlevelMasters
dc.type.qualificationnameMPHen_ZA
uct.type.filetypeText
uct.type.filetypeImage
uct.type.publicationResearchen_ZA
uct.type.resourceThesisen_ZA
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