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Social exposure to an antiretroviral treatment programme in rural KwaZulu-Natal

Objective: To investigate the prevalence of social exposure to a large, government-run ART programme in rural South Africa. Method  Clinical data on 6681 patients were matched with demographic data on a nearly complete cohort of 102 359 people residing in the programme catchment area. We calculated...

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Main Authors: Bor, Jacob (Author) , Bärnighausen, Till (Author) , Newell, Colin (Author) , Tanser, Frank (Author) , Newell, Marie-Louise (Author)
Format: Article (Journal)
Language:English
Published: 26 May 2011
In: Tropical medicine & international health
Year: 2011, Volume: 16, Issue: 8, Pages: 988-994
ISSN:1365-3156
DOI:10.1111/j.1365-3156.2011.02795.x
Online Access:Resolving-System, kostenfrei, Volltext: http://dx.doi.org/10.1111/j.1365-3156.2011.02795.x
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Author Notes:Jacob Bor, Till Bärnighausen, Colin Newell, Frank Tanser and Marie-Louise Newell

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520 |a Objective: To investigate the prevalence of social exposure to a large, government-run ART programme in rural South Africa. Method  Clinical data on 6681 patients were matched with demographic data on a nearly complete cohort of 102 359 people residing in the programme catchment area. We calculated the proportion of residents in the demographic surveillance area that were members of a household, or resided in a compound where someone had initiated ART or received pre-ART care. Results  By January 2010, 3% of the population had initiated ART. However, 25% of the population shared household membership or resided in a compound with someone who had initiated ART; 40% shared household or living arrangements with people who had either initiated ART or were enrolled in pre-ART care. Conclusion  Such high rates of social exposure suggest that ART programmes in HIV endemic areas are likely to have significant population-level effects on social norms and economic welfare. These results also point to the opportunity to reach large numbers of people with health and social services through existing ART programmes 
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