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Exposition sociale à un programme de traitement antirétroviral dans les régions rurales du KwaZulu‐Natal
Author(s) -
Bor Jacob,
Bärnighausen Till,
Newell Colin,
Tanser Frank,
Newell MarieLouise
Publication year - 2011
Publication title -
tropical medicine and international health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.056
H-Index - 114
eISSN - 1365-3156
pISSN - 1360-2276
DOI - 10.1111/j.1365-3156.2011.02795.x
Subject(s) - social welfare , catchment area , population , rural area , government (linguistics) , socioeconomics , welfare , cohort , geography , demography , medicine , antiretroviral therapy , economic growth , environmental health , human immunodeficiency virus (hiv) , sociology , family medicine , political science , drainage basin , economics , linguistics , philosophy , cartography , pathology , law , viral load
Summary Objective To investigate the prevalence of social exposure to a large, government‐run ART programme in rural South Africa. Method Clinical data on 6681 patients were matched with demographic data on a nearly complete cohort of 102 359 people residing in the programme catchment area. We calculated the proportion of residents in the demographic surveillance area that were members of a household, or resided in a compound where someone had initiated ART or received pre‐ART care. Results By January 2010, 3% of the population had initiated ART. However, 25% of the population shared household membership or resided in a compound with someone who had initiated ART; 40% shared household or living arrangements with people who had either initiated ART or were enrolled in pre‐ART care. Conclusion Such high rates of social exposure suggest that ART programmes in HIV endemic areas are likely to have significant population‐level effects on social norms and economic welfare. These results also point to the opportunity to reach large numbers of people with health and social services through existing ART programmes.