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Patterns and implications of medical pluralism among HIV/AIDS patients in rural South Africa.

Publication ,  Journal Article
Moshabela, M; Pronyk, P; Williams, N; Schneider, H; Lurie, M
Published in: AIDS and behavior
May 2011

In some societies, medical pluralism has been demonstrated to delay access to care. We identified sources of health care, and explored utilization patterns and triggers of care-seeking behavior among HIV/AIDS patients in rural South Africa. A longitudinal qualitative study consisting of in-depth interviews was conducted. We purposively sampled thirty-two adult HIV clinic attendees. A high degree of medical pluralism occurred among participants before initiation of antiretroviral treatment (ART). After ART initiation, participants predominantly used the HIV/ART clinic, and utilization of private and traditional facilities decreased. Patterns included both concurrent and sequential pathways to public, private and traditional health sectors. HIV diagnosis and treatment were delayed despite early contact with health systems. Therefore, use of multiple health care modalities before ART initiation can lead to delayed HIV testing and ART initiation. Integrated-care has the potential to mitigate the impact of medical pluralism on access to HIV-related services over the longer term.

Duke Scholars

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Published In

AIDS and behavior

DOI

EISSN

1573-3254

ISSN

1090-7165

Publication Date

May 2011

Volume

15

Issue

4

Start / End Page

842 / 852

Related Subject Headings

  • South Africa
  • Socioeconomic Factors
  • Rural Population
  • Rural Health Services
  • Retrospective Studies
  • Qualitative Research
  • Public Health
  • Patient Acceptance of Health Care
  • Middle Aged
  • Male
 

Citation

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Moshabela, M., Pronyk, P., Williams, N., Schneider, H., & Lurie, M. (2011). Patterns and implications of medical pluralism among HIV/AIDS patients in rural South Africa. AIDS and Behavior, 15(4), 842–852. https://doi.org/10.1007/s10461-010-9747-3
Moshabela, M., P. Pronyk, N. Williams, H. Schneider, and M. Lurie. “Patterns and implications of medical pluralism among HIV/AIDS patients in rural South Africa.AIDS and Behavior 15, no. 4 (May 2011): 842–52. https://doi.org/10.1007/s10461-010-9747-3.
Moshabela M, Pronyk P, Williams N, Schneider H, Lurie M. Patterns and implications of medical pluralism among HIV/AIDS patients in rural South Africa. AIDS and behavior. 2011 May;15(4):842–52.
Moshabela, M., et al. “Patterns and implications of medical pluralism among HIV/AIDS patients in rural South Africa.AIDS and Behavior, vol. 15, no. 4, May 2011, pp. 842–52. Epmc, doi:10.1007/s10461-010-9747-3.
Moshabela M, Pronyk P, Williams N, Schneider H, Lurie M. Patterns and implications of medical pluralism among HIV/AIDS patients in rural South Africa. AIDS and behavior. 2011 May;15(4):842–852.
Journal cover image

Published In

AIDS and behavior

DOI

EISSN

1573-3254

ISSN

1090-7165

Publication Date

May 2011

Volume

15

Issue

4

Start / End Page

842 / 852

Related Subject Headings

  • South Africa
  • Socioeconomic Factors
  • Rural Population
  • Rural Health Services
  • Retrospective Studies
  • Qualitative Research
  • Public Health
  • Patient Acceptance of Health Care
  • Middle Aged
  • Male