A study of local government HIV/AIDS projects in South Africa

Swartz, Leon; Roux, Niel

doi:10.1080/17290376.2004.9724832

Cited by 6 publications

(6 citation statements)

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“…The mean age of the study population was representative of a substantial portion of the most economically active individuals [26, 27] and an age wherein mothers are more open to changing their attitudes to ensure better health for themselves and their babies [28, 29].…”

Section: Discussionmentioning

confidence: 99%

“…The majority of these mothers were of African race, largely disadvantaged, with many living under subeconomic conditions and very few having acquired tertiary education. Educational level is thought to determine the level of empowerment and employability of an individual, though other market factors may also contribute to determining employment status and income [26, 27], all of which contribute to access to health care [30] and disease development [3]. For that reason, many do not receive adequate health care and remain ignorant of the need to seek dental help during pregnancy.…”

Section: Discussionmentioning

confidence: 99%

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Oral Health Status and Treatment Needs of Pregnant Women Attending Antenatal Clinics in KwaZulu-Natal, South Africa

Africa

Turton

2019

International Journal of Dentistry

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During pregnancy, the oral cavity is characterised by an acidic environment and an inflammatory response brought about by vomiting and changes in hormonal levels, respectively, thereby increasing the mother’s risk of developing caries. Although evidence exists to support an association between pregnancy-associated periodontal disease and adverse pregnancy outcomes, there is a paucity of studies which focus on the caries prevalence and other oral manifestations of pregnant women. The aim of this study was to assess the oral health status and treatment needs of pregnant women attending antenatal clinics in KwaZulu-Natal, South Africa. Randomly selected mothers (n=443) attending a maternal obstetrics unit participated in the study. A questionnaire elicited demographic information about the participants, while the measurement of decayed, missing, and filled indices (DMFT) determined their caries status. Oral lesions were noted if present. Descriptive statistics for independent variables described frequencies in the various categories of race, location, pregnancy stage, etc., with the association between 2 independent variables tested by chi-square. Dependent variables such as DMFT were expressed as means and standard deviations, and ANOVA was used to examine whether independent variables significantly influenced the DMFT. The mean DMFT was 7.18 (±4.22) with significant correlations observed between DMFT, D, M, and age. F scores differed significantly between races, location, and educational levels and showed a significant correlation with pregnancy stage. Pregnancy epulis was diagnosed in 38 (8.5%), oral lesions in 65 (14.7%), and tooth mobility in 26 (5.9%) mothers. Early oral health screening during pregnancy can ensure the overall well-being of both the mother and the foetus.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Oral Health Status and Treatment Needs of Pregnant Women Attending Antenatal Clinics in KwaZulu-Natal, South Africa

Africa

Turton

2019

International Journal of Dentistry

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“…The second most common fear was their personal risk for contracting HIV infection, thereafter it was the potential risk of losing other patients from the practice and financial concerns related to treating HIV infected people considering the extra time needed to provide appropriate care for people living with HIV (Crossley, 2004). Some dentists might consider it their right to refuse treatment to people living with HIV, especially when the risks are high (Barr et al, 1989;Swartz and Roux, 2004;Lapidus and Sandler, 1997), however, refusal to treat a patient after the patient has disclosed their HIV status is discrimination (Terry et al, 1994;Chikte and Naidoo, 2000).…”

Section: Introductionmentioning

confidence: 99%

Stigma and disclosure as barriers to regular dental care for people living with HIV/AIDS in Kwazulu-Natal and Western Cape, South Africa

Turton

Naidoo

2014

Ethnicity and Inequalities in Health and Social Care

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Purpose – The purpose of this paper is to determine the oral health care experiences of people living with HIV in Kwazulu-Natal (KZN) and the Western Cape (WC) and also to identify the role of stigma and discrimination in the oral health care experiences for people living with HIV in KZN and the WC. Design/methodology/approach – This study was a survey among HIV-positive people attending selected Community Health Centres and regional hospitals, HIV clinics in KZN and WC provinces in South Africa. The sample consisted of people living with HIV that were 18 years or older and who had given written, informed consent. A cross-sectional study structure has been employed using a standardized format using a semi-structured interview and an administered questionnaire to collect data. The study classified participants as living in metropolitan or non-metropolitan areas. Findings – Apprehension of loss of confidentiality, stigma and discrimination were the barriers that deterred participants from seeking care. Respondents stated that they feared what the dentist and staff would think of them being HIV positive and feared being discriminated against by the dentist and staff. In some instances there appears to be a difference between policy and practice regarding the oral health care needs of and services rendered to people living with HIV in public health facilities as there are still patients who do not obtain care and for whom the attitudes of the health care provider constitutes the major barrier to accessing that care. Research limitations/implications – The results are specific to KZN and WC and have to be extrapolated with caution to the rest of South Africa. Additionally, this study did not have a control group of HIV-negative people which would have enabled one to determine whether certain barriers were unique to people living with HIV. Practical implications – To make recommendations with respect to addressing the issue of stigma and discrimination in the oral health care experiences for people living with HIV in KZN and the WC as there is a definite need for the government to address the resource needs of rural areas and less developed areas of South Africa. Health care is a much-needed resource in these high prevalence areas and governments must ensure that all their HIV/AIDS projects and policies should have a rural component built into them. Social implications – This study emphasizes the importance of embracing people that are being discriminated and marginalized by society such as people living with HIV to ensure that they feel a franchised member of society who can take the initiative to be in control of their own health and, with the necessary aid from public resources and societal support, join forces to reduce the public health burden and its impact on the socio-economic milieu. Originality/value – To the best of the author's knowledge, there is no other study that has compared differences in the use of oral health care services by people with HIV in South Africa and these results serve as an indication of some the important issues in this regard.

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“…This is because the local government has the sole responsibility of dealing with these issues within its jurisdiction. Given its role as the local government, it must be actively involved in tackling the issues of HIV/AIDS prevention and control, it is to be expected that such local policies for overcoming HIV/AIDS can be more effective (The World Bank, 2003;Swartz & Roux, 2004). This issue applies equally to both federal and unitary states -although institutionally, the participation capacity of the local government differs significantly between federal and unitary states.…”

Section: Hiv/aids and The Role Of Local Government: Comparative Persp...mentioning

confidence: 99%

Legal Framework in Implementing the National Policy on Hiv/Aids Prevention and Control in Indonesian Local Regulations

Rauta

Kurnia

Wauran

2023

UUM Journal of Legal Studies

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The purpose of this study is to analyze local regulations on the prevention and control of HIVIAIDS and their relevance to the implementation of national policies in Indonesia. More specifically, in light of the absence of a national law on the prevention and control of HIVIAIDS in Indonesia this study discusses the role of local regulation issued by local governments in response to this problem. This study has adopted the doctrinal legal study method and has examined legal materials from a library-based research. This study finds that the existing national policy on HIV/AIDS prevention and control is only substantially specified inthe Regulation of the Ministry of Health No. 21 of 2013, which has been issued to fill the lacunae in legislation on the matter at hand. The Ministerial Regulation has substantively applied the human rights approach to serve as the central government's response and an interpretive guideline for local governments in responding to HIVIAIDS prevention and control issues. The findings also pointed out that local governments are more responsive to the issue, their regulations have underscored the importance of health and human rights as the critical consideration in their policy regarding the prevention and control of HIV/AIDS. Practical recommendations are outlined for the central government to take serious measures to regulate the issues on HIVIAIDS prevention and control at the national level.

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A study of local government HIV/AIDS projects in South Africa

Cited by 6 publications

References 1 publication

Oral Health Status and Treatment Needs of Pregnant Women Attending Antenatal Clinics in KwaZulu-Natal, South Africa

Oral Health Status and Treatment Needs of Pregnant Women Attending Antenatal Clinics in KwaZulu-Natal, South Africa

Stigma and disclosure as barriers to regular dental care for people living with HIV/AIDS in Kwazulu-Natal and Western Cape, South Africa

Legal Framework in Implementing the National Policy on Hiv/Aids Prevention and Control in Indonesian Local Regulations

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