The sociological spread of HIV/AIDS in South Africa. |
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| Authors: | J Mitton |
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| Affiliation: | 1. Department of Women’s and Children’s Health, Uppsala University, SE-751 85 Uppsala, Sweden;2. Department of Clinical Sciences, Obstetrics and Gynaecology, Umeå University, SE-901 87 Umeå, Sweden;3. Department of Nursing Sciences, Faculty of Human Sciences, Mid Sweden University, SE-851 70 Sundsvall, Sweden;1. Department of Medicine, Cardiology Division, University of California, San Francisco, CA, USA;2. Gladstone Institute of Cardiovascular Disease, San Francisco, CA, USA;1. Adjunct Associate Professor, Department of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine, Faculty of Medicine, Nursing and Health Sciences, Monash University, Melbourne, Victoria, Australia;2. Christchurch Hospital, Christchurch, New Zealand;1. Institute for Health Metrics and Evaluation, Seattle, WA 98103, USA |
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| Abstract: | South Africa (SA) now accounts for more than 50% of newly reported HIV cases in sub-Saharan Africa annually. In 1993, approximately 90% of those reported as HIV positive in SA were of African descent. This paper examines sociological factors in the spread of HIV in SA through the application of Lalonde's (1974) Health Field Concept. SA's emerging District Health System (DHS) is discussed, as well as barriers to effective implementation and recommendations. Through Lalonde's sociopolitical view of health, a coordinated and multisectorial approach to HIV/AIDS in SA can be established. Without this approach, health care interventions will fail to target the population effectively, thereby reducing effectiveness and sustainability. |
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