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Social Aspects of HIV/AIDS and Health
Research to inform HIV/AIDS prevention, care and impact mitigation

Research outputs

Cross, C. & Seager, J.R. (eds). (2010) Editorial. Development Southern Africa. 27(1):1-2.
Cross, C. & Seager, J.R. (2010) Towards identifying the causes of South Africa's street homelessness: some policy recommendations. Development Southern Africa. 27(1):143-158.
The HSRCl's four-year study of street homelessness in SA highlights the way unemployment stresses poor households and sets in motion processes of exclusion, and suggests that the social wage safety net is not protecting the street homeless. Although subsidised housing and social grants seem to head off homelessness in many cases, they mainly target the poor in shacks, and economic migrant pop...
Mohlala, G., Peltzer, K., Phaswana-Mafuya, N. & Ramlagan, S. (2010) Drug prescription habits in public and private health facilities in 2 provinces in South Africa. Eastern Mediterranean Health Journal. 16(3):324-328.
The aim of this study was to explore drug prescription habits using WHO standard indicators in 15 public hospitals and 36 private surgeries in 2 provinces in South Africa. A high mean number of drugs were prescribed per patient (3.2 versus 2.8) in public hospitals and by general practitioners (GPs) respectively and generic prescribing rates were low (45.2% versus 24.5%). The rates of prescribin...
Munyaka, S., Senekal, I., Phaswana-Mafuya, N. & Davids, A. (2010) Patient satisfaction survey: Kouga sub district. (Commissioned by the Eastern Cape Department of Health, Kouga Sub District, February).
The objective of this study was to conduct a patient satisfaction survey in 12 selected facilities in Kouga Sub District. Facilities were selected from the municipal areas of Sundays River Valley, KouKamma, and Kouga. Respondents were generally satisfied on most domains except for a few items under Service Standards domain. There is room to improve these areas and to maintain areas that are ...
Peltzer, K., Friend-du Preez, N., Ramlagan, S. & Anderson, J. (2010) Antiretroviral treatment adherence among HIV patients in KwaZulu-Natal, South Africa*. BMC Public Health. 10 (1):111.
Background: Successful antiretroviral treatment is dependent on sustaining high rates of adherence. In the southern African context, only a handful of studies (both quantitative and qualitative) have looked at the determinants including a health behaviour theory of adherence to antiretroviral therapy. The aim of this study is to assess factors including the information, motivation and behaviou...
Peltzer, K. (2010) Chronic diseases risk factors and access to health exams among women in South Africa. (Paper presented at the International Conference on Early Disease Detection and Prevention (EDDP), Munich, Germany, 25-28 February).
Peltzer, K., Mlambo, M., Phaswana-Mafuya, N. & Ladzani, R. (2010) Determinants of adherence to a single-dose nevirapine regimen for the prevention of mother-to-child HIV transmission in Gert Sibande district in South Africa. Acta Paediatrica. February:Online.
Aim: To identify factors that influence adherence to antiretroviral (ARV) prophylaxis by HIV positive mothers participating in the HIV prevention of mother to child (PMTCT) programme. Methods: Post-delivery 815 HIV-infected mothers aged 18 years and above with babies aged 3-6 months were interviewed in Gert Sibande District, Mpumalanga province, South Africa. Results: Eighty five percent of t...
Peltzer, K., Kanta, X. & Banyini, M. (2010) Evaluation of a safer male circumcision training programme for Ndebele traditional surgeons and nurses in Gauteng, South Africa: using direct observation of circumcision procedures. African Journal of Traditional, Complementary and Alternative Medicines. 7(2):153-159.
The aim of this study was to assess the safety of traditional male circumcision practices among Ndebele traditional surgeons following a five days training by direct observation of circumcision procedures. The sample included eight Ndebele traditional surgeons and traditional nurses and 86 initiates (abakhwetwa) from two districts in Gauteng province in South Africa. A structured observations t...
Peltzer, K., Mlambo, G. & Phaweni, K. (2010) Factors determining prenatal HIV testing for Prevention of Mother to Child Transmission of HIV in Mpumalanga, South Africa. AIDS and Behavior. January:Online.
This study assessed factors associated with participation in HIV counseling and testing and reported reasons for not taking part in Voluntary HIV Counseling and Testing among 930 pregnant women attending clinics for antenatal care in South Africa. Results indicate that from 930 clients interviewed 87% had agreed to participate in individual pre-test HIV counseling and 81.2% had received their ...
Peltzer, K. & Ramlagan, S. (2010) Illicit drug use in South Africa: findings from a 2008 national population-based survey. South African Journal of Psychiatry. 15(4):93-101.
Objective. The aim of this secondary analysis of the South African National HIV, Incidence, Behaviour and Communication (SABSSM) 2008 survey is to provide current data on illicit drug use that could assist in the development and implementation of effective substance abuse policies and intervention programmes aimed at these populations in South Africa. Method. A multistage random population sam...
Peltzer, K. (2010) Leisure time physical activity and sedentary behavior and substance use among in-school adolescents in eight African countries. International Journal of Behavioral Medicine. January:Online.
Background. Physical inactivity leads to higher morbidity and mortality from chronic non-communicable diseases. In high income countries, studies have measured school population level physical activity and substance use, but comparable data are lacking from most African countries. Purpose.To study the relationship between self-reported leisure time physical activity frequency and sedentary beh...
Peltzer, K. (2010) Traditional circumcisers and cultural considerations. (Paper presented at the MC Evaluation Workshop and Operations Meeting, Johannesburg, 18-23 January).
Peltzer, K., Friend-du Preez, N., Ramlagan, S., Fomundam, H. & Anderson, J. (2010) Traditional complementary and alternative medicine and antiretroviral treatment adherence among HIV patients in KwaZulu-Natal, South Africa. African Journal of Traditional, Complementary and Alternative Medicines. 7(2):125-137.
Adherence to antiretroviral medication in the treatment of HIV is critical, both to maximize efficacy and to minimize the emergence of drug resistance. The aim of this prospective study in three public hospitals in KwaZulu-Natal, South Africa, is to assess the use of Traditional Complementary and Alternative Medicine (TCAM) by HIV patients and its effect on antiretroviral (ARV) adherence 6 mont...
Phaswana-Mafuya, N., Seager, J., Peltzer, K., Jooste, S. & Mkhonto, S. (2010) Social determinants of HIV in the Eastern Cape. (Commissioned by the Eastern Cape Socio-Economic Consultative Council, March).
This report was prepared for the Eastern Cape Socio Economic Consultative Council to review the Social Determinants of HIV/AIDS in the Eastern Cape with the aim of proposing programmes and research agenda for the scale up of effective HIV prevention. The report is based on a rapid review of available and accessible literature, both published and unpublished ('grey literature'), of HIV/AIDS stu...
Rohleder, P., Swartz, L., Kalichman, S.C. & Simbayi, L.C. (2010) Introduction and overview. In: Rohleder, P., Swartz, L., Kalichman, S.C. & Simbayi, L.C. (eds). HIV/AIDS in South Africa 25 years on: psychosocial perspectives. New York: Springer. 1-9.
Much has happened since the first appearance of AIDS in 1981: it has been identified, studied, and occasionally denied. The virus has shifted host populations and spread globally. Medicine, the social sciences, and world governments have joined forces to combat and prevent the disease. And South Africa has emerged as ground zero for the pandemic. The urgent lessons in this book apply both glob...
Seager, J.R. & Tamasane, T. (2010) Health and well-being of the homeless in South African cities and towns. Development Southern Africa. 27(1):63-83.
Little is known about the health and well-being of people who live on the streets although their lifestyle involves health risks. This study used quantitative and qualitative methods to explore the health status and health service needs of homeless people in several South African cities and towns. It was found in some cases that their own or family members' ill-health had contributed to their...
Setswe, G. (2010) Developing an HIV/AIDS policy: content, process, challenges and implementation. (Paper presented at the PDM 2010, University of Stellenbosch, 12 January).
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Setswe, G. (2010) Epidemiology and surveillance of the HIV/AIDS epidemic. (Paper presented at the PDM Summer School 2010, University of Stellenbosch, January).
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Setswe, G. (2010) HIV/AIDS prevention strategies. (Paper presented at the PDM 2010, University of Stellenbosch, January).
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Setswe, G. (2010) Social and sensitive aspects of HIV prevention and male circumcision. (Paper presented at BMGF Male Circumcision Workshop, Sandton, 22 January).
Setswe, G. (2010) Systemic reviews in public health. (Paper presented at the DrPH Seminar, University of Limpopo, School of Public Health, 29 January).
Shisana, O., Zungu, N. & Pezi, S. (2010) Poverty and HIV and AIDS. In: Rohleder, P., Swartz, L., Kalichman, S.C. & Simbayi, L.C. (eds). HIV/AIDS in South Africa 25 years on: psychosocial perspectives. New York: Springer. 89-104.
Tshitangano, T.G., Pengpid, S. & Peltzer, K. (2010) Factors that contribute to tuberculosis control in primary health care services at Mutale primary health care sub-district of the Limpopo Province, South Africa. Journal of Human Ecology. 29(2):75-85.
The aim of the present study was to analyze factors associated with TB control at Mutale health sub-district in the Limpopo Province of South Africa. Based on the multiple factors found contributing to tuberculosis control in this study recommendations made included improvement of human resources, training of health-care workers, substance use counselling of patients, special and legislative s...
Wabiri, N. & Amusa, H. (2010) Quantifying South Africa's crude oil import risk: a multi-criteria portfolio model. Economic Modelling. 27:445-453.
A major consequence of South Africa's strong economic growth since the democratic dispensation of 1994 is the rapid increase in domestic demand for oil energy. With small amounts of proven oil reserves, the rise in oil demand as an energy source has resulted in South Africa's growing dependence on external sources for its domestic crude oil needs. High oil prices, instability in major oil produ...
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