scholarly journals Outcomes from a multimodal, at‐scale community‐based HIV counselling and testing programme in twelve high HIV burden districts in South Africa

2021 ◽  
Vol 24 (3) ◽  
Author(s):  
Andrew Medina‐Marino ◽  
Joseph Daniels ◽  
Dana Bezuidenhout ◽  
Remco Peters ◽  
Thato Farirai ◽  
...  
Keyword(s):  
South Africa ◽  
Community Based ◽  
Testing Programme ◽  
Hiv Counselling And Testing

A community-based HIV counselling and testing programme found a decreasing proportion of new HIV testers in South Africa

2020 ◽  
Vol 19 (1) ◽  
pp. 34-39
Author(s):  
Simukai Shamu ◽  
Thato Farirai ◽  
Jean Slabbert ◽  
Geoffrey Guloba ◽  
Nomea Masihleho ◽  
...  
Keyword(s):  
South Africa ◽  
Community Based ◽  
Testing Programme ◽  
Hiv Counselling And Testing

CHALLENGES TO BUILDING AUTHENTIC PARTNERSHIPS: LESSONS FROM BHAMBAYI, KWAZULU-NATAL, SOUTH AFRICA

2017 ◽  
Vol 26 (2) ◽  
pp. 124-140 ◽  
Author(s):  
Tanusha Raniga ◽  
Barbara Simpson ◽  
Ntokozo Mthembu
Keyword(s):  
South Africa ◽  
Social Services ◽  
Service Providers ◽  
Informal Settlement ◽  
Mutual Trust ◽  
Open Communication ◽  
Community Based ◽  
Individual Interviews ◽  
Kwazulu Natal ◽  
Qualitative Phase

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.

Climate change impacts on water resources in a rural community in Limpopo province, South Africa: a community-based adaptation to water insecurity

2020 ◽  
Vol 12 (5) ◽  
pp. 587-598
Author(s):  
Sejabaledi Agnes Rankoana
Keyword(s):  
Climate Change ◽  
South Africa ◽  
Water Resources ◽  
Water Supply ◽  
Rural Community ◽  
Limpopo Province ◽  
Community Based ◽  
Content Type ◽  
Adaptation Practices ◽  
Community Based Adaptation

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.

scholarly journals Cost per patient of treatment for rifampicin‐resistant tuberculosis in a community‐based programme in Khayelitsha, South Africa

2015 ◽  
Vol 20 (10) ◽  
pp. 1337-1345 ◽  
Author(s):  
Helen Cox ◽  
Lebogang Ramma ◽  
Lynne Wilkinson ◽  
Virginia Azevedo ◽  
Edina Sinanovic
Keyword(s):  
South Africa ◽  
Community Based ◽  
Resistant Tuberculosis

scholarly journals Exploring the feasibility and acceptability of integrating screening for gender-based violence into HIV counselling and testing for adolescent girls and young women in Tanzania and South Africa

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Manuela Colombini ◽  
◽  
Fiona Scorgie ◽  
Anne Stangl ◽  
Sheila Harvey ◽  
...  
Keyword(s):  
South Africa ◽  
Hiv Prevention ◽  
Young Women ◽  
Hiv Risk ◽  
Clinical Staff ◽  
Gender Based Violence ◽  
Process Data ◽  
Hiv Counselling And Testing ◽  
Gender Based ◽  
Study Participants

Abstract Background Gender-based violence (GBV) undermines HIV prevention and treatment cascades, particularly among women who report partner violence. Screening for violence during HIV testing, and prior to offering pre-exposure prophylaxis (PrEP) to HIV uninfected women, provides an opportunity to identify those at heightened HIV risk and greater potential for non-adherence or early discontinuation of PrEP. The paper describes our experience with offering integrated GBV screening and referral as part of HIV counselling and testing. This component was implemented within EMPOWER, a demonstration project offering combination HIV prevention, including daily oral PrEP, to young women in South Africa and Tanzania. Methods Between February 2017 and March 2018, a process evaluation was conducted to explore views, experiences and practices of stakeholders (study participants and study clinical staff) during implementation of the GBV screening component. This article assesses the feasibility and acceptability of the approach from multiple stakeholder perspectives, drawing on counselling session observations (n = 10), in-depth interviews with participants aged 16–24 (n = 39) and clinical staff (n = 13), and notes from debriefings with counsellors. Study process data were also collected (e.g. number of women screened and referred). Following a thematic inductive approach, qualitative data were analysed using qualitative software (NVivo 11). Results Findings show that 31% of young women screened positive for GBV and only 10% requested referrals. Overall, study participants accessing PrEP were amenable to being asked about violence during HIV risk assessment, as this offered the opportunity to find emotional relief and seek help, although a few found this traumatic. In both sites, the sensitive and empathetic approach of the staff helped mitigate distress of GBV disclosure. In general, the delivery of GBV screening in HCT proved to be feasible, provided that the basic principles of confidentiality, staff empathy, and absence of judgment were observed. However, uptake of linkage to further care remained low in both sites. Conclusion Most stakeholders found GBV screening acceptable and feasible. Key principles that should be in place for young women to be asked safely about GBV during HIV counselling and testing included respect for confidentiality, a youth-friendly and non-judgmental environment, and a functioning referral network.

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