scholarly journals Completion of the tuberculosis care cascade in a community-based HIV linkage-to-care study in South Africa and Uganda

2018 ◽  
Vol 21 (1) ◽  
pp. e25065 ◽  
Author(s):  
Adrienne E Shapiro ◽  
Alastair van Heerden ◽  
Torin T Schaafsma ◽  
James P Hughes ◽  
Jared M Baeten ◽  
...  
HIV Medicine ◽  
2013 ◽  
Vol 15 (6) ◽  
pp. 367-372 ◽  
Author(s):  
IV Bassett ◽  
S Regan ◽  
P Luthuli ◽  
H Mbonambi ◽  
B Bearnot ◽  
...  

Author(s):  
Nosipho Shangase ◽  
Brian Pence ◽  
Sheri A. Lippman ◽  
Mi-Suk Kang Dufour ◽  
Chodziwadziwa Whiteson Kabudula ◽  
...  

Background We assessed built environment (residential density, landuse mix and aesthetics) and HIV linkage to care (LTC) among 1,681 (18–49 years-old) residents of 15 Mpumalanga villages, South Africa. Methods Multilevel models (linear-binomial) were used for the association between built environment, measured using NEWS for Africa, and LTC from a clinical database of 9 facilities (2015–2018). Additionally, we assessed effect-measure modification by universal test-and-treat policy (UTT). Results We observed, a significant association in the adjusted 3-month probability of LTC for residential density (risk difference (RD)%: 5.6, 95%CI: 1.2–10.1), however, no association for land-use mix (RD%: 2.4, 95%CI: −0.4, 5.2) and aesthetics (RD%: −1.2, 95%CI: −4.5–2.2). Among those diagnosed after UTT, residents of high land-use villages were more likely to link-to-care than those of low land-use villages at 12 months (RD%: 4.6, 95%CI: 1.1–8.1, p < 0.04), however, not at 3 months (RD%: 3.0, 95%CI: −2.1–8.0, p > 0.10). Conclusion Findings suggest, better built environment conditions (adequate infrastructure, proximity to services etc.) help facilitate LTC. Moreover, UTT appears to have a protective effect on LTC.


PLoS ONE ◽  
2016 ◽  
Vol 11 (12) ◽  
pp. e0165614 ◽  
Author(s):  
Jennifer A. Gilbert ◽  
Sheela V. Shenoi ◽  
Anthony P. Moll ◽  
Gerald H. Friedland ◽  
A. David Paltiel ◽  
...  

2017 ◽  
Vol 26 (2) ◽  
pp. 124-140 ◽  
Author(s):  
Tanusha Raniga ◽  
Barbara Simpson ◽  
Ntokozo Mthembu

In contemporary South Africa, partnerships between service providers in government, non-governmental organisations, the private sector and community based organisations have been identified as a means to strengthen communities and the sustainability of social services. However, the unequal power relations that exists between and within these organisations often leads to fragmentation, duplication, and lack of coordination of social services. Using Fowler’s (1998) conceptualisation of authentic partnerships, this qualitative phase of a larger study explored the challenges of building authentic partnerships in Bhambayi, a predominantly informal settlement in KwaZulu-Natal, South Africa. Individual interviews and a focus group held with nine service providers revealed that intraorganisational challenges, cross-boundary and inter-organisational relations as well as political influences were obstacles to the development of authentic partnerships. The article suggests that open communication, clarity of roles and mutual trust between service providers is vital.


Author(s):  
Sejabaledi Agnes Rankoana

Purpose The study explored the impacts of climate change on water resources, and the community-based adaptation practices adopted to ensure water security in a rural community in Limpopo Province, South Africa. Design/methodology/approach The study was conducted in Limpopo Province, South Africa. The participatory approach was used to allow community members to share their challenges of water scarcity, and the measures they have developed to cope with inconsistent water supply. Findings The study results show that the community obtains water for household consumption from the reticulation system supplied by Mutale River and the community borehole. These resources are negatively impacted by drought, change in the frequency and distribution of rainfall, and increased temperature patterns. The water levels in the river and borehole have declined, resulting in unsustainable water supply. The community-based adaptation practices facilitated by the water committee include observance of restrictions and regulations on the water resources use. Others involve securing water from neighbouring resources. Originality/value This type of community-based action in response to climate change could be used as part of rural water management strategies under climate change.


2015 ◽  
Vol 20 (10) ◽  
pp. 1337-1345 ◽  
Author(s):  
Helen Cox ◽  
Lebogang Ramma ◽  
Lynne Wilkinson ◽  
Virginia Azevedo ◽  
Edina Sinanovic

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