Corrigendum: Measuring willingness-to-pay for water and sanitation by people living with HIV and AIDs in South Africa, DOI: 10.2166/washdev.2016.102 Ephias M. Makaudze

2016 ◽  
Vol 6 (2) ◽  
pp. 348-348
2016 ◽  
Vol 6 (1) ◽  
pp. 161-169 ◽  
Author(s):  
Ephias M. Makaudze

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.


2019 ◽  
Vol 30 (11) ◽  
pp. 1049-1054 ◽  
Author(s):  
K Sorsdahl ◽  
NK Morojele ◽  
CD Parry ◽  
CT Kekwaletswe ◽  
N Kitleli ◽  
...  

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.


2010 ◽  
Vol 20 (1) ◽  
pp. 117-121 ◽  
Author(s):  
Shandir Ramlagan ◽  
Karl Peltzer ◽  
Nancy Phaswana-Mafuya ◽  
Jean Francois Aquilera

2018 ◽  
Vol 47 (1) ◽  
Author(s):  
Nomvula Twaise ◽  
Thokozile Mayekiso ◽  
Diane Elkonin ◽  
Calvin Gwandure

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.


Author(s):  
K. Kistiah ◽  
John Frean ◽  
J. Winiecka-Krusnell ◽  
A. Barragan

Toxoplasmosis is an infection of warm-blooded vertebrates caused by the obligate intracellular protozoan parasite, Toxoplasma gondii. It is one of the most common parasitic diseases of humans, infecting approximately one-third of the world’s population. In persons with advanced HIV, toxoplasmosis represents a major opportunistic infection of the central nervous system. Approximately two-thirds of all people living with HIV live in sub-Saharan Africa. In areas such as this, toxoplasmosis could theoretically pose a huge threat. There is little known about T. gondii prevalence in humans in Africa. Geographically, prevalences vary widely on this continent, as observed in other parts of the world. There is limited historical information about the disease in South Africa. More knowledge is needed at a regional level about the risk of toxoplasmosis, diagnostic issues, and measures to reduce the risk to susceptible persons. The seroprevalence of T. gondii in selected populations, namely HIV-positive and HIV-negative individuals, and a more general sample biased towards pregnant women, was therefore investigated and found to be 9.8% (37/376), 12.8% (48/376) and 6.4% (32/497) respectively. Compared with historical data from South Africa, the prevalence has decreased substantially; however, the incidence of clinical disease is unknown, despite the very high burden of HIV and AIDS cases (5.9 million and 0.7 million, respectively in 2009). This study provided information relating to the diagnosis and current seroprevalence of T. gondii in South Africa. Many questions still remain to be answered however, to fully understand the impact of this parasite on the country’s population.


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