Measuring willingness-to-pay for water and sanitation by people living with HIV and AIDs in South Africa

2016 ◽  
Vol 6 (1) ◽  
pp. 161-169 ◽  
Author(s):  
Ephias M. Makaudze
Keyword(s):  
South Africa ◽  
Willingness To Pay ◽  
Rural Areas ◽  
Urban Slums ◽  
Hiv And Aids ◽  
People Living With Hiv ◽  
Water And Sanitation ◽  
Sanitation Services ◽  
Living With Hiv ◽  
Slum Settlements

The ill-provision of water and sanitation services poses the greatest risk to people living with HIV and AIDS in South Africa – a majority of whom reside in slum settlements. People living with HIV and AIDS (PLWHA) die after succumbing to opportunistic infections, especially water-borne diseases (e.g., diarrhoea, cholera). This study was based on 485 individuals with HIV and AIDs drawn from three types of settlements (rural, peri-urban and urban slums) and sampled from three selected provincial districts of Khayelitsha (Western Cape), Ukhahlamba (Eastern Cape) and Groblersdal (Limpopo). The results show PLWHA having higher willingness-to-pay (WTP) for sanitation at ZAR448.40/month compared to water (ZAR428.60). Those living in urban slum settlements show the highest WTP for sanitation (ZAR552.70), followed by the ones in rural areas (ZAR500.24). The results underscore important implications: PLWHA face greater sanitation challenges relative to water; those in slum settlements endure the worst sanitation insecurity compared to counterparts living in other settlement types; higher WTP for sanitation implies that PLWHA will derive greater benefits from improvements in sanitation services relative to water. To conclude, it is imperative for municipal authorities to prioritize the provision of sanitation facilities to PLWHA especially in urban slums as part of the ‘pro-poor service delivery’ campaigns.

Water and sanitation policies for improving health in South Africa: overcoming the institutional legacy of apartheid

Water Policy ◽  
2005 ◽  
Vol 7 (6) ◽  
pp. 627-642 ◽  
Author(s):  
Edina Sinanovic ◽  
Sandi Mbatsha ◽  
Stephen Gundry ◽  
Jim Wright ◽  
Clas Rehnberg
Keyword(s):  
South Africa ◽  
Rural Areas ◽  
Integrated Approach ◽  
The South ◽  
Financing System ◽  
Water And Sanitation ◽  
Sanitation Services ◽  
Sanitation And Hygiene ◽  
Access To Water ◽  
New Policies

The burden of water-related disease is closely related to both the socio-economic situation and public health issues like access to clean water, sanitation and hygiene services. Poverty eradication, through improved access to water and sanitation, is the South African government's major priority. This is partly achieved through subsidising the cost of water and sanitation provision to the poor in rural areas. Whilst the new policies have made a remarkable impact on improved access to water and sanitation services, a general problem since the new approach in 1994 has been the lack of integration of policies for water and sanitation and health. This paper analyses the policies concerning rural water supply and sanitation in South Africa. It considers the structure of institutions, the division of responsibilities and legislated and financial capacity of the South Africa's water sector. A more integrated approach for the policies aiming at water access, sanitation and health is needed. In addition, as the local government's capacity to implement different programmes is limited, a review of the financing system is necessary.

‘What will it take’: addressing alcohol use among people living with HIV in South Africa

2019 ◽  
Vol 30 (11) ◽  
pp. 1049-1054 ◽  
Author(s):  
K Sorsdahl ◽  
NK Morojele ◽  
CD Parry ◽  
CT Kekwaletswe ◽  
N Kitleli ◽  
...  
Keyword(s):  
South Africa ◽  
Alcohol Use ◽  
Brief Intervention ◽  
Hiv Treatment ◽  
Hiv And Aids ◽  
Hiv Care ◽  
People Living With Hiv ◽  
Screening And Brief Intervention ◽  
Treatment Services ◽  
Living With Hiv

Given that hazardous and harmful alcohol use has been identified as a significant barrier to adherence to antiretroviral therapy (ART) in South Africa, alcohol reduction interventions delivered within HIV treatment services are being investigated. Prior to designing and implementing an alcohol-focused screening and brief intervention (SBI), we explored patients’ perceptions of alcohol as a barrier to HIV treatment, the acceptability of providing SBIs for alcohol use within the context of HIV services and identifying potential barriers to patient uptake of this SBI. Four focus groups were conducted with 23 participants recruited from three HIV treatment sites in Tshwane, South Africa. Specific themes that emerged included: (1) barriers to ART adherence, (2) available services to address problematic alcohol use and (3) barriers and facilitators to delivering a brief intervention to address alcohol use within HIV care. Although all participants in the present study unanimously agreed that there was a great need for SBIs to address alcohol use among people living with HIV and AIDS, our study identified several areas that should be considered prior to implementing such a programme.

Support Group Needs for People Living with HIV and AIDS (PLWHA) in Communities around Durban, South Africa

2010 ◽  
Vol 20 (1) ◽  
pp. 117-121 ◽  
Author(s):  
Shandir Ramlagan ◽  
Karl Peltzer ◽  
Nancy Phaswana-Mafuya ◽  
Jean Francois Aquilera
Keyword(s):  
South Africa ◽  
Support Group ◽  
Hiv And Aids ◽  
People Living With Hiv ◽  
Living With Hiv

Factors that can influence feelings towards and interactions with people living with HIV/AIDS in rural Central Kenya

2016 ◽  
Vol 28 (9) ◽  
pp. 910-919 ◽  
Author(s):  
Caroline Kingori ◽  
Zelalem T Haile ◽  
Peter Ngatia ◽  
Ruth Nderitu
Keyword(s):  
Rural Areas ◽  
Urban Areas ◽  
Hiv And Aids ◽  
People Living With Hiv ◽  
Hiv Knowledge ◽  
Chi Square ◽  
Hiv Prevention Strategies ◽  
Living With Hiv ◽  
Central Kenya ◽  
Hiv Aids

Background In Kenya, HIV incidence and prevalence have declined. HIV rates are lower in rural areas than in urban areas. However, HIV infection is reported higher in men in rural areas (4.5%) compared to those in urban areas (3.7%). Objectives This study examined HIV knowledge, feelings, and interactions towards HIV-infected from 302 participants in rural Central Kenya. Methods Chi square tests and multivariable logistic regression analyzed variables of interest. Results Most participants exhibited positive feelings in their interaction with people living with HIV and AIDS (PLWHA). Association between HIV knowledge and socio-demographic characteristics revealed that the proportion of participants with a correct response differed by gender, age, level of education, and marital status ( p < 0.05). Compared to those with inadequate knowledge of HIV/AIDS, participants with adequate HIV/AIDS knowledge were nearly three times as likely to disagree that PLWHA should be legally separated from others to protect public health (adjusted odds ratio: aOR (95% CI) (2.76 (1.12, 6.80). Conclusions HIV stigma continues to impact HIV prevention strategies particularly in rural Central Kenya. Culturally, appropriate interventions addressing HIV knowledge among those with lower levels of education, single, older, and male are warranted. Review of HIV policies separating high-risk populations from the general population is needed to reduce stigma.

A Counselling Intervention for Psychological Distress Among People Living with HIV and AIDS in the Eastern Cape.

2018 ◽  
Vol 47 (1) ◽  
Author(s):  
Nomvula Twaise ◽  
Thokozile Mayekiso ◽  
Diane Elkonin ◽  
Calvin Gwandure
Keyword(s):  
South Africa ◽  
Health Care ◽  
Health Care Workers ◽  
Hiv And Aids ◽  
People Living With Hiv ◽  
Eastern Cape ◽  
Care Workers ◽  
African Context ◽  
Living With Hiv ◽  
Counselling Intervention

The aim of this study was to develop and evaluate the effectiveness of an integrative counselling intervention for people living with HIV and AIDS who are prone to   distress in the Eastern Cape. The counselling intervention was developed using a multidisciplinary approach, which included psychological and traditional approaches to counselling. Health care workers and people living with HIV and AIDS were recruited to participate in the development of the intervention. Thirteen health care workers and 18 people living with HIV (PLHIV) participated in the study. The health care workers evaluated the feasibility of the counselling intervention. The findings of the study showed that the counselling intervention content was designed in a manner that appealed to health care workers when providing counselling to PLHIV. The health care workers found the counselling intervention useful but challenging in alleviating distress among clients, as it incorporated counselling dimensions not relevant to the South African context. The findings of the study indicated that there is a need for alternative counselling interventions in South Africa to complement western models of interventions in alleviating distress among PLHIV in South Africa.

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