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    Medical Pluralism Predicts Non-ART Use among Parents in Need of ART: A Community Survey in KwaZulu-Natal, South Africa

    213455_213455.pdf (643.7Kb)
    Access Status
    Open access
    Authors
    Pantelic, M.
    Cluver, L.
    Boyes, Mark
    Toska, E.
    Kuo, C.
    Moshabela, M.
    Date
    2014
    Type
    Journal Article
    
    Metadata
    Show full item record
    Citation
    Pantelic, M. and Cluver, L. and Boyes, M. and Toska, E. and Kuo, C. and Moshabela, M. 2014. Medical Pluralism Predicts Non-ART Use among Parents in Need of ART: A Community Survey in KwaZulu-Natal, South Africa. AIDS and Behavior. 19 (1): pp. 137-144.
    Source Title
    AIDS and Behavior
    DOI
    10.1007/s10461-014-0852-6
    ISSN
    1090-7165
    School
    School of Psychology and Speech Pathology
    Remarks

    The final publication is available at Springer via http://doi.org/10.1007/s10461-014-0852-6

    URI
    http://hdl.handle.net/20.500.11937/4861
    Collection
    • Curtin Research Publications
    Abstract

    Despite documented common use of traditional healers and efforts to scale up antiretroviral treatment (ART) in sub-Saharan Africa, evidence on whether medical pluralism predicts ART use is inconclusive and restricted to clinic settings. This study quantitatively assesses whether medical pluralism predicts ART use among parents in need of ART in South Africa. 2,477 parents or primary caregivers of children were interviewed in HIV-endemic communities of KwaZulu-Natal. Analysis used multiple logistic regression on a subsample of 435 respondents in need of ART, who reported either medical pluralism (24.6 %) or exclusive public healthcare use (75.4 %). Of 435 parents needing ART, 60.7 % reported ART use. Medical pluralism emerged as a persistent negative predictor of ART utilization among those needing it (AOR [95 % CI] = .556 [.344 - .899], p = .017). Use of traditional healthcare services by those who need ART may act as a barrier to treatment access. Effective intersectoral collaboration at community level is urgently needed.

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