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Characteristics of Patients Accessing Care and Treatment for HIV/AIDS at Public and Nongovernmental Sites in South Africa

Center for International Health and Development, Boston University, Boston, Massachusetts, sbrosen{at}bu.edu

Mpefe Ketlhapile, BA

Health Economics Research Office and Clinical HIV Research Unit, Wits Health Consortium, University of the Witwatersrand, Johannesburg, South Africa

Ian Sanne, MBBCh

Health Economics Research Office and Clinical HIV Research Unit, Wits Health Consortium, University of the Witwatersrand, Johannesburg, South Africa

Mary Bachman DeSilva, ScD

Center for International Health and Development, Boston University, Boston, Massachusetts

Little is known about the characteristics of patients accessing antiretroviral therapy (ART) in South Africa. In a random sample of 1069 pre-ART and ART patients attending an urban public hospital, a periurban nongovernmental organization (NGO) clinic, and a rural NGO clinic, 79% were female; average age was 34 for women and 37 for men. Two thirds reported having 1 long-term partner, but most did not live with their partner. Three fourths had completed some secondary school or higher; 47% were employed formally (26%) or informally (21%), and 40% lived in informal housing or shacks. Patients at the rural site were less likely to be employed and more likely to receive government grant support. Relative to the HIV-positive population as a whole, ART patients are older, more likely to be female and have 1 long-term partner, live in informal housing, have reached secondary school, and earn an income from formal or informal employment.

Key Words: HIV/AIDS • antiretroviral therapy • South Africa • access

This version was published on July 1, 2008

Journal of the International Association of Physicians in AIDS Care (JIAPAC), Vol. 7, No. 4, 200-207 (2008)
DOI: 10.1177/1545109708320684


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