Journal ArticleDOI
Gender and Access to Antiretroviral Treatment in South Africa
TLDR
It seems that gendered norms that make it difficult for men to admit weakness and seek medical attention are the main probable cause for the low proportions of men accessing HAART.Abstract:
This paper explores the gender dimensions of access to highly active antiretroviral therapy (HAART) in South Africa. It shows that women are more vulnerable to HIV infection than men, but that women access HAART in disproportionately large numbers. Regression analysis on data from the South African Demographic and Health Survey suggests that men in general access health services less readily than women. This ‘masculinity factor’ accounts for most of the difference between men and women when it comes to accessing HAART. Although men were more likely to favor traditional medicine than women, this was not a statistically significant factor, and it appears that visiting a traditional healer is complementary to, rather than a substitute for, accessing HAART. In short, it seems that gendered norms that make it difficult for men to admit weakness and seek medical attention are the main probable cause for the low proportions of men accessing HAART.read more
Citations
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Journal ArticleDOI
HIV Infection and AIDS in Sub-Saharan Africa: Current Status, Challenges and Opportunities.
TL;DR: The epidemiology of HIV infection in sub-Saharan Africa, key drivers of the continued high incidence, mortality rates and priorities for altering current epidemic trajectory in the region are reviewed.
Journal ArticleDOI
Health in South Africa: changes and challenges since 2009
Bongani M. Mayosi,Joy E Lawn,Ashley van Niekerk,Ashley van Niekerk,Debbie Bradshaw,Salim S. Abdool Karim,Salim S. Abdool Karim,Hoosen M. Coovadia,Hoosen M. Coovadia +8 more
TL;DR: Transformation of the health system into a national institution that is based on equity and merit and is built on an effective human-resources system could still place South Africa on track to achieve Millennium Development Goals 4, 5, and 6 and would enhance the lives of its citizens.
Journal ArticleDOI
Life Expectancies of South African Adults Starting Antiretroviral Treatment: Collaborative Analysis of Cohort Studies
Leigh F. Johnson,Joël Mossong,Rob E. Dorrington,Michael Schomaker,Christopher J. Hoffmann,Olivia Keiser,Matthew P. Fox,Matthew P. Fox,Robin Wood,Hans Prozesky,Janet Giddy,Daniela Garone,Morna Cornell,Matthias Egger,Andrew Boulle +14 more
TL;DR: The life expectancies of HIV positive South African adults who are taking antiretroviral therapy are estimated by using information from 6 programmes between 2001 and 2010.
Journal ArticleDOI
HIV treatment as prevention: Systematic comparison of mathematical models of the potential impact of antiretroviral therapy on HIV incidence in South Africa
Jeffrey W. Eaton,Leigh F. Johnson,Joshua A. Salomon,Till Bärnighausen,Till Bärnighausen,Eran Bendavid,Anna Bershteyn,David E. Bloom,Valentina Cambiano,Christophe Fraser,Jan A. C. Hontelez,Salal Humair,Salal Humair,Daniel J. Klein,Elisa F Long,Andrew N. Phillips,Carel Pretorius,John Stover,Edward Allen Wenger,Brian G. Williams,Timothy B. Hallett +20 more
TL;DR: In this article, the authors compared the predictions of several mathematical models simulating the same ART intervention programmes to determine the extent to which models agree about the epidemiological impact of expanded ART.
Journal ArticleDOI
Effects of vaccination on invasive pneumococcal disease in South Africa.
Anne von Gottberg,Linda de Gouveia,Stefano Tempia,Vanessa Quan,Susan Meiring,Claire von Mollendorf,Shabir A. Madhi,Elizabeth R. Zell,Jennifer R. Verani,Katherine L. O'Brien,Cynthia G. Whitney,Keith P. Klugman,Cheryl Cohen +12 more
TL;DR: Rates of invasive pneumococcal disease among children in South Africa fell substantially by 2012, and reductions in the rates of disease caused by PCV7 serotypes among both children and adults most likely reflect the direct and indirect effects of vaccination.
References
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Journal ArticleDOI
Constructions of masculinity and their influence on men's well-being: a theory of gender and health.
TL;DR: How factors such as ethnicity, economic status, educational level, sexual orientation and social context influence the kind of masculinity that men construct and contribute to differential health risks among men in the United States is explored.
Journal ArticleDOI
Gender-based violence, relationship power, and risk of HIV infection in women attending antenatal clinics in South Africa
Kristin Dunkle,Rachel Jewkes,Heather C. Brown,Glenda E. Gray,James A. McIntryre,Siobán D. Harlow +5 more
TL;DR: Women with violent or controlling male partners are at increased risk of HIV infection and it is postulate that abusive men are more likely to have HIV and impose risky sexual practices on partners.
Book
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Journal ArticleDOI
Outcomes after two years of providing antiretroviral treatment in Khayelitsha South Africa.
David Coetzee,Katherine Hildebrand,Andrew Boulle,Gary Maartens,Francoise Louis,Veliswa Labatala,Hermann Reuter,Nonthutuzelo Ntwana,Eric Goemaere +8 more
TL;DR: ART can be provided in resource-limited settings with good patient retention and clinical outcomes and with responsible implementation, ART is a key component of a comprehensive response to the epidemic in those communities most affected by HIV.
Journal ArticleDOI
Community-based approaches to HIV treatment in resource-poor settings.
Paul Farmer,Fernet Leandre,Joia S. Mukherjee,Marie Sidonise Claude,Patrice Nevil,Mary C. Smith-Fawzi,Serena P. Koenig,Arachu Castro,Mercedes C. Becerra,Jeffrey D. Sachs,Amir Attaran,Jim Yong Kim +11 more
TL;DR: It is shown that it is possible to carry out an HIV treatment programme in a poor community in rural Haiti, and it is suggested that directly-observed therapy of chronic infectious disease with multidrug regimens can be highly effective in settings of great privation as long as there is sustained commitment to uninterrupted care that is free to the patient.
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