Patterns and implications of medical pluralism among HIV/AIDS patients in rural South Africa.

AIDS and Behavior
M MoshabelaM Lurie

Abstract

In some societies, medical pluralism has been demonstrated to delay access to care. We identified sources of health care, and explored utilization patterns and triggers of care-seeking behavior among HIV/AIDS patients in rural South Africa. A longitudinal qualitative study consisting of in-depth interviews was conducted. We purposively sampled thirty-two adult HIV clinic attendees. A high degree of medical pluralism occurred among participants before initiation of antiretroviral treatment (ART). After ART initiation, participants predominantly used the HIV/ART clinic, and utilization of private and traditional facilities decreased. Patterns included both concurrent and sequential pathways to public, private and traditional health sectors. HIV diagnosis and treatment were delayed despite early contact with health systems. Therefore, use of multiple health care modalities before ART initiation can lead to delayed HIV testing and ART initiation. Integrated-care has the potential to mitigate the impact of medical pluralism on access to HIV-related services over the longer term.

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Citations

Feb 1, 2013·Global Health Action·Francesc Xavier Gómez-OlivéStephen Tollman
Apr 22, 2014·The Journal of the Association of Nurses in AIDS Care : JANAC·Claire Penn, Jennifer Watermeyer
Apr 30, 2015·Journal of Immigrant and Minority Health·Bilikisu Reni Elewonibi, Rhonda BeLue
Jun 2, 2016·The Onderstepoort Journal of Veterinary Research·Nada Abu SamraPeter N Thompson
Aug 31, 2018·Health & Social Care in the Community·Jennifer Watermeyer, Claire Penn
Apr 20, 2019·Tropical Medicine & International Health : TM & IH·Jessica PriceAnthony Harnden
Sep 1, 2017·BMC Complementary and Alternative Medicine·Carolyn M AudetRyan G Wagner
Sep 16, 2015·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Natsayi ChimbindiTill Bärnighausen
Jan 16, 2019·BMC Health Services Research·Elizeus RutebemberwaRaymond Tweheyo
Mar 28, 2021·AIDS and Behavior·Clare BarringtonKim M Blankenship
Apr 28, 2021·SAHARA J : Journal of Social Aspects of HIV/AIDS Research Alliance·Radhika SundararajanSandra Manuel

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