South Africa : Who Goes to the Public Sector for Voluntary HIV/AIDS Counseling and Testing?
This is a study of how well public voluntary counseling and testing (VCT) programs for HIV/AIDS reach poor people in township areas of Cape Town, South Africa. The study covered three public clinics, where lay counselors from local nongovernmental...
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| Format: | Working Paper |
| Language: | English en_US |
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World Bank, Washington, DC
2013
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| Online Access: | http://documents.worldbank.org/curated/en/2004/10/5371201/south-africa-goes-public-sector-voluntary-hivaids-counseling-testing http://hdl.handle.net/10986/13766 |
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okr-10986-137662021-04-23T14:03:09Z South Africa : Who Goes to the Public Sector for Voluntary HIV/AIDS Counseling and Testing? Thiede, Michael Palmer, Natasha Mbatsha, Mbatsha AGE GROUPS AIDS CARE ANTENATAL CARE ANXIETY COMMUNITIES COMMUNITY DEVELOPMENT COMMUNITY GROUPS COMMUNITY HEALTH COPING STRATEGIES COUGHING COUNSELING COUNSELORS DISEASE DWELLING ECONOMIC STATUS EMPLOYMENT EXPENDITURES GENDER GENERAL PRACTITIONERS HEALTH ECONOMICS HEALTH POLICY HEALTH SERVICE DELIVERY HEALTH SERVICES HEALTH SYSTEM HEALTH SYSTEMS HIV HIV INFECTION HIV PREVENTION HIV TRANSMISSION HOUSEHOLDS HOUSING HOUSING CONDITIONS HUMAN DEVELOPMENT HUMAN IMMUNODEFICIENCY VIRUS HYGIENE IMMUNODEFICIENCY INCOME INCOME DISTRIBUTION INFORMAL SETTLEMENTS INFORMED CONSENT LIVING CONDITIONS LUNG DISEASE MASS MEDIA MEDIA NEIGHBORHOODS NURSES NUTRITION PATIENTS POSTERS PREGNANT WOMEN PREVALENCE PRIMARY CARE PRIMARY HEALTH CARE PRIMARY HEALTH CARE SERVICES PRIVATE SECTOR PUBLIC CLINICS PUBLIC HEALTH PUBLIC SECTOR QUALITY OF CARE RADIO REPRODUCTIVE HEALTH RISK GROUPS RURAL AREAS SETTLEMENT SEXUALLY TRANSMITTED DISEASES SEXUALLY TRANSMITTED INFECTIONS SQUATTERS CARE SYMPTOMS SYNDROMES THERAPY TOUCH TREATMENT TROPICAL MEDICINE TUBERCULOSIS TUBERCULOSIS CONTROL URBAN AREAS URBAN POPULATION WORKERS This is a study of how well public voluntary counseling and testing (VCT) programs for HIV/AIDS reach poor people in township areas of Cape Town, South Africa. The study covered three public clinics, where lay counselors from local nongovernmental organizations provided counseling. A clinic nurse was responsible for testing and notifying patients of the results. Waiting room interviews of 540 patients included questions about the patients' possessions and housing conditions designed to assess economic status. This information was compared with comparable information for people in South Africa as a whole, and in South Africa's urban areas, collected through a large-scale household Demographic and Health Survey. The principal finding was a much higher use of VCT services by lower- than higher-income patients. Almost 75 percent of VCT patients came from the poorest 40 percent of South Africa's urban population, fewer than 10 percent of patients belonging to the urban population's highest 40 percent. VCT patients were also poorer on average than patients attending the clinics for other reasons. The study also included focus group discussions with residents of the townships where the clinics were located, designed to determine what factors influence use of the clinics for VCT. These suggest that an important reason for the predominance of poor people among clinic patients was the poor reputation of the services provided by the clinics. This led better-off people to seek care from other, more expensive available sources. 2013-06-05T14:46:47Z 2013-06-05T14:46:47Z 2004-10 http://documents.worldbank.org/curated/en/2004/10/5371201/south-africa-goes-public-sector-voluntary-hivaids-counseling-testing http://hdl.handle.net/10986/13766 English en_US HNP Discussion Paper; CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo World Bank World Bank, Washington, DC Publications & Research :: Working Paper Publications & Research Africa South Africa |
| repository_type |
Digital Repository |
| institution_category |
Foreign Institution |
| institution |
Digital Repositories |
| building |
World Bank Open Knowledge Repository |
| collection |
World Bank |
| language |
English en_US |
| topic |
AGE GROUPS AIDS CARE ANTENATAL CARE ANXIETY COMMUNITIES COMMUNITY DEVELOPMENT COMMUNITY GROUPS COMMUNITY HEALTH COPING STRATEGIES COUGHING COUNSELING COUNSELORS DISEASE DWELLING ECONOMIC STATUS EMPLOYMENT EXPENDITURES GENDER GENERAL PRACTITIONERS HEALTH ECONOMICS HEALTH POLICY HEALTH SERVICE DELIVERY HEALTH SERVICES HEALTH SYSTEM HEALTH SYSTEMS HIV HIV INFECTION HIV PREVENTION HIV TRANSMISSION HOUSEHOLDS HOUSING HOUSING CONDITIONS HUMAN DEVELOPMENT HUMAN IMMUNODEFICIENCY VIRUS HYGIENE IMMUNODEFICIENCY INCOME INCOME DISTRIBUTION INFORMAL SETTLEMENTS INFORMED CONSENT LIVING CONDITIONS LUNG DISEASE MASS MEDIA MEDIA NEIGHBORHOODS NURSES NUTRITION PATIENTS POSTERS PREGNANT WOMEN PREVALENCE PRIMARY CARE PRIMARY HEALTH CARE PRIMARY HEALTH CARE SERVICES PRIVATE SECTOR PUBLIC CLINICS PUBLIC HEALTH PUBLIC SECTOR QUALITY OF CARE RADIO REPRODUCTIVE HEALTH RISK GROUPS RURAL AREAS SETTLEMENT SEXUALLY TRANSMITTED DISEASES SEXUALLY TRANSMITTED INFECTIONS SQUATTERS CARE SYMPTOMS SYNDROMES THERAPY TOUCH TREATMENT TROPICAL MEDICINE TUBERCULOSIS TUBERCULOSIS CONTROL URBAN AREAS URBAN POPULATION WORKERS |
| spellingShingle |
AGE GROUPS AIDS CARE ANTENATAL CARE ANXIETY COMMUNITIES COMMUNITY DEVELOPMENT COMMUNITY GROUPS COMMUNITY HEALTH COPING STRATEGIES COUGHING COUNSELING COUNSELORS DISEASE DWELLING ECONOMIC STATUS EMPLOYMENT EXPENDITURES GENDER GENERAL PRACTITIONERS HEALTH ECONOMICS HEALTH POLICY HEALTH SERVICE DELIVERY HEALTH SERVICES HEALTH SYSTEM HEALTH SYSTEMS HIV HIV INFECTION HIV PREVENTION HIV TRANSMISSION HOUSEHOLDS HOUSING HOUSING CONDITIONS HUMAN DEVELOPMENT HUMAN IMMUNODEFICIENCY VIRUS HYGIENE IMMUNODEFICIENCY INCOME INCOME DISTRIBUTION INFORMAL SETTLEMENTS INFORMED CONSENT LIVING CONDITIONS LUNG DISEASE MASS MEDIA MEDIA NEIGHBORHOODS NURSES NUTRITION PATIENTS POSTERS PREGNANT WOMEN PREVALENCE PRIMARY CARE PRIMARY HEALTH CARE PRIMARY HEALTH CARE SERVICES PRIVATE SECTOR PUBLIC CLINICS PUBLIC HEALTH PUBLIC SECTOR QUALITY OF CARE RADIO REPRODUCTIVE HEALTH RISK GROUPS RURAL AREAS SETTLEMENT SEXUALLY TRANSMITTED DISEASES SEXUALLY TRANSMITTED INFECTIONS SQUATTERS CARE SYMPTOMS SYNDROMES THERAPY TOUCH TREATMENT TROPICAL MEDICINE TUBERCULOSIS TUBERCULOSIS CONTROL URBAN AREAS URBAN POPULATION WORKERS Thiede, Michael Palmer, Natasha Mbatsha, Mbatsha South Africa : Who Goes to the Public Sector for Voluntary HIV/AIDS Counseling and Testing? |
| geographic_facet |
Africa South Africa |
| relation |
HNP Discussion Paper; |
| description |
This is a study of how well public
voluntary counseling and testing (VCT) programs for HIV/AIDS
reach poor people in township areas of Cape Town, South
Africa. The study covered three public clinics, where lay
counselors from local nongovernmental organizations provided
counseling. A clinic nurse was responsible for testing and
notifying patients of the results. Waiting room interviews
of 540 patients included questions about the patients'
possessions and housing conditions designed to assess
economic status. This information was compared with
comparable information for people in South Africa as a
whole, and in South Africa's urban areas, collected
through a large-scale household Demographic and Health
Survey. The principal finding was a much higher use of VCT
services by lower- than higher-income patients. Almost 75
percent of VCT patients came from the poorest 40 percent of
South Africa's urban population, fewer than 10 percent
of patients belonging to the urban population's highest
40 percent. VCT patients were also poorer on average than
patients attending the clinics for other reasons. The study
also included focus group discussions with residents of the
townships where the clinics were located, designed to
determine what factors influence use of the clinics for VCT.
These suggest that an important reason for the predominance
of poor people among clinic patients was the poor reputation
of the services provided by the clinics. This led better-off
people to seek care from other, more expensive available sources. |
| format |
Publications & Research :: Working Paper |
| author |
Thiede, Michael Palmer, Natasha Mbatsha, Mbatsha |
| author_facet |
Thiede, Michael Palmer, Natasha Mbatsha, Mbatsha |
| author_sort |
Thiede, Michael |
| title |
South Africa : Who Goes to the Public Sector for Voluntary HIV/AIDS Counseling and Testing? |
| title_short |
South Africa : Who Goes to the Public Sector for Voluntary HIV/AIDS Counseling and Testing? |
| title_full |
South Africa : Who Goes to the Public Sector for Voluntary HIV/AIDS Counseling and Testing? |
| title_fullStr |
South Africa : Who Goes to the Public Sector for Voluntary HIV/AIDS Counseling and Testing? |
| title_full_unstemmed |
South Africa : Who Goes to the Public Sector for Voluntary HIV/AIDS Counseling and Testing? |
| title_sort |
south africa : who goes to the public sector for voluntary hiv/aids counseling and testing? |
| publisher |
World Bank, Washington, DC |
| publishDate |
2013 |
| url |
http://documents.worldbank.org/curated/en/2004/10/5371201/south-africa-goes-public-sector-voluntary-hivaids-counseling-testing http://hdl.handle.net/10986/13766 |
| _version_ |
1764424246082142208 |