Publication:
South Africa : Who Goes to the Public Sector for Voluntary HIV/AIDS Counseling and Testing?

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dc.contributor.authorThiede, Michael
dc.contributor.authorPalmer, Natasha
dc.contributor.authorMbatsha, Mbatsha
dc.date.accessioned2013-06-05T14:46:47Z
dc.date.available2013-06-05T14:46:47Z
dc.date.issued2004-10
dc.description.abstractThis 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.en
dc.identifierhttp://documents.worldbank.org/curated/en/2004/10/5371201/south-africa-goes-public-sector-voluntary-hivaids-counseling-testing
dc.identifier.doi10.1596/13766
dc.identifier.urihttps://hdl.handle.net/10986/13766
dc.languageEnglish
dc.language.isoen_US
dc.publisherWorld Bank, Washington, DC
dc.relation.ispartofseriesHNP Discussion Paper;
dc.rightsCC BY 3.0 IGO
dc.rights.holderWorld Bank
dc.rights.urihttp://creativecommons.org/licenses/by/3.0/igo
dc.subjectAGE GROUPS
dc.subjectAIDS CARE
dc.subjectANTENATAL CARE
dc.subjectANXIETY
dc.subjectCOMMUNITIES
dc.subjectCOMMUNITY DEVELOPMENT
dc.subjectCOMMUNITY GROUPS
dc.subjectCOMMUNITY HEALTH
dc.subjectCOPING STRATEGIES
dc.subjectCOUGHING
dc.subjectCOUNSELING
dc.subjectCOUNSELORS
dc.subjectDISEASE
dc.subjectDWELLING
dc.subjectECONOMIC STATUS
dc.subjectEMPLOYMENT
dc.subjectEXPENDITURES
dc.subjectGENDER
dc.subjectGENERAL PRACTITIONERS
dc.subjectHEALTH ECONOMICS
dc.subjectHEALTH POLICY
dc.subjectHEALTH SERVICE DELIVERY
dc.subjectHEALTH SERVICES
dc.subjectHEALTH SYSTEM
dc.subjectHEALTH SYSTEMS
dc.subjectHIV
dc.subjectHIV INFECTION
dc.subjectHIV PREVENTION
dc.subjectHIV TRANSMISSION
dc.subjectHOUSEHOLDS
dc.subjectHOUSING
dc.subjectHOUSING CONDITIONS
dc.subjectHUMAN DEVELOPMENT
dc.subjectHUMAN IMMUNODEFICIENCY VIRUS
dc.subjectHYGIENE
dc.subjectIMMUNODEFICIENCY
dc.subjectINCOME
dc.subjectINCOME DISTRIBUTION
dc.subjectINFORMAL SETTLEMENTS
dc.subjectINFORMED CONSENT
dc.subjectLIVING CONDITIONS
dc.subjectLUNG DISEASE
dc.subjectMASS MEDIA
dc.subjectMEDIA
dc.subjectNEIGHBORHOODS
dc.subjectNURSES
dc.subjectNUTRITION
dc.subjectPATIENTS
dc.subjectPOSTERS
dc.subjectPREGNANT WOMEN
dc.subjectPREVALENCE
dc.subjectPRIMARY CARE
dc.subjectPRIMARY HEALTH CARE
dc.subjectPRIMARY HEALTH CARE SERVICES
dc.subjectPRIVATE SECTOR
dc.subjectPUBLIC CLINICS
dc.subjectPUBLIC HEALTH
dc.subjectPUBLIC SECTOR
dc.subjectQUALITY OF CARE
dc.subjectRADIO
dc.subjectREPRODUCTIVE HEALTH
dc.subjectRISK GROUPS
dc.subjectRURAL AREAS
dc.subjectSETTLEMENT
dc.subjectSEXUALLY TRANSMITTED DISEASES
dc.subjectSEXUALLY TRANSMITTED INFECTIONS
dc.subjectSQUATTERS
dc.subjectCARE
dc.subjectSYMPTOMS
dc.subjectSYNDROMES
dc.subjectTHERAPY
dc.subjectTOUCH
dc.subjectTREATMENT
dc.subjectTROPICAL MEDICINE
dc.subjectTUBERCULOSIS
dc.subjectTUBERCULOSIS CONTROL
dc.subjectURBAN AREAS
dc.subjectURBAN POPULATION
dc.subjectWORKERS
dc.titleSouth Africa : Who Goes to the Public Sector for Voluntary HIV/AIDS Counseling and Testing?en
dspace.entity.typePublication
okr.date.doiregistration2025-05-05T12:26:28.056381Z
okr.doctypePublications & Research::Working Paper
okr.doctypePublications & Research
okr.docurlhttp://documents.worldbank.org/curated/en/2004/10/5371201/south-africa-goes-public-sector-voluntary-hivaids-counseling-testing
okr.globalpracticeTransport and ICT
okr.guid602991468104634248
okr.identifier.externaldocumentum000090341_20041119140255
okr.identifier.internaldocumentum5371201
okr.identifier.report30477
okr.language.supporteden
okr.pdfurlhttp://www-wds.worldbank.org/external/default/WDSContentServer/WDSP/IB/2004/11/19/000090341_20041119140255/Rendered/PDF/304770RPP6SAfrica.pdfen
okr.region.administrativeAfrica
okr.region.countrySouth Africa
okr.topicHealth Monitoring and Evaluation
okr.topicHealth Systems Development and Reform
okr.topicHealth Economics and Finance
okr.topicHousing and Human Habitats
okr.topicInformation and Communication Technologies::ICT Policy and Strategies
okr.unitHealth, Nutrition, and Population
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