AHRI.Clinic.Visits.Code.2021
Clinic attendance by sex and HIV status in rural South Africa
Name | Country code |
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South Africa | ZA |
BACKGROUND: HIV-negative men are over-represented in tuberculosis (TB) prevalence surveys. Traditionally, TB screening is focused in clinics. We aimed to determine the frequency of primary healthcare clinic (PHC) attendance among HIV-negative men in a TB-prevalent setting.
METHODS: Since January 2017, PHC attendees in a rural South African demographic surveillance area (DSA) were asked their reason for attendance. HIV status was defined as positive if tested positive in a DSA sero-survey or attended clinic for HIV care; negative if tested negative between January 2014-December 2017 and no HIV-related visits; and HIV-unknown otherwise.
RESULTS: Among 67124 DSA residents (=15 years), 27038 (40%) were male; 14196 (21%) were classified HIV-positive, 18892 (28%) HIV-negative and 34036 (51%) HIV-unknown. Between April 2017 and March 2018, 24382/67124 (36.3%, 95% confidence interval [CI] 36.0-36.7) adults made =1 PHC visit, comprising 9805/40086 (24.5%, 95%CI 23.6-25.3) of HIV-negative or unknown women and 3440/27038 (12.7%, 95%CI 11.6-13.8) of HIV-negative or unknown men. Overall, HIV care accounted for 37556/88109 (43.6%) of adult PHC visits.
CONCLUSION: In this rural population, HIV-negative and -unknown men rarely attend PHCs. Improving TB screening in clinics may not reach a key population with respect to undiagnosed TB. Additional strategies are needed to diagnose and treat TB earlier.
Clinical dataset licensed under Creative Commons Attribution 4.0 international license (CC-BY 4.0)
v1.0.0
2017-08-14
Topic | Vocabulary | URI |
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Tuberculosis; Adults; Rural population; Africa; Mass screening; Primary Health Care; Tuberculosis case finding; HIV infection | Africa Health Research Institute | http//www.ahri.org |
The study was conducted in the Africa Health Research Institute (AHRI) demographic surveillance area (DSA), in uMkhanyakude district, KwaZulu-Natal, South Africa. The AHRI DSA covers 845km2, with approximately 25000 homesteads and over 60000 residents aged 15 years or above.
The population of interest in our analysis were all individuals over the age of 15 years who were a resident member (defined as intending to spend the majority of nights at a household within the study area) of a household in the AHRI DSA on 1st July 2017. Among 67124 DSA residents (=15 years), 27038 (40.3%) were men; 14196 (21.2%) were classified HIV-positive, 18892 (28.1%) HIV-negative and 34036 (50.7%) HIV-unknown.
Name | Affiliation |
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Safiyya Randera-Rees | Africa Health Resaerch Institute |
Wende Clarence Safari | Africa Health Resaerch Institute |
Dickman Gareta | Africa Health Resaerch Institute, SAPRIN |
Kobus Herbst | Africa Health Resaerch Institute, SAPRIN |
Kathy Baisley | Africa Health Resaerch Institute, LSHTM |
Alison D. Grant | Africa Health Resaerch Institute, LSHTM, UKZN, Wits school of public health |
Name |
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Africa Health Research Institute |
Name | Role |
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Wellcome Trust | Strategic Award to the Africa Health Research Institute |
Name | Affiliation |
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HIV Research Trust, UK | Visiting scholarship to WCS to the Africa Health Research Institute |
Since January 2017, individuals who sought health care at any one of the 11 PHC's serving the AHRI DSA on weekdays between 7am and 7pm have been registered by a member of AHRI staff, and their self-reported reason for attending clinic recorded, using an electronic system known as ClinicLink.
Start | End |
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2017-04-01 | 2018-03-31 |
Start date | End date |
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2017-08-14 | 2017-08-14 |
The representative of the Receiving Organization agrees to comply with the following conditions:
Randera-Rees, S. et al. (2021) “Clinic attendance by sex and HIV status in rural South Africa.” Africa Health Research Institute (AHRI). doi: 10.23664/AHRI.CLINIC.VISITS.CODE.2021.
DDI.Clinic.Visits.Code.2021
Name |
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Africa Health Research Institute |
2017-08-14