Interrogating concepts of care in the HIV care continuum: ethnographic insights from the implementation of a 'Universal Test and Treat' approach in South Africa
| العنوان: | Interrogating concepts of care in the HIV care continuum: ethnographic insights from the implementation of a 'Universal Test and Treat' approach in South Africa |
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| المؤلفون: | Lindsey Reynolds, Dillon T. Wademan |
| المصدر: | AIDS Care. 28:52-58 |
| بيانات النشر: | Informa UK Limited, 2016. |
| سنة النشر: | 2016 |
| مصطلحات موضوعية: | 0301 basic medicine, Community-Based Participatory Research, medicine.medical_specialty, Health (social science), Social Psychology, Social stigma, Health Personnel, Social Stigma, Community-based participatory research, HIV Infections, Context (language use), Medication Adherence, Interviews as Topic, South Africa, 03 medical and health sciences, 0302 clinical medicine, Humans, Medicine, 030212 general & internal medicine, Set (psychology), Anthropology, Cultural, Qualitative Research, business.industry, Public health, Public Health, Environmental and Occupational Health, Gender studies, Continuity of Patient Care, Patient Acceptance of Health Care, Public relations, 030112 virology, Emotional labor, Anti-Retroviral Agents, Caregivers, Care work, business, Qualitative research |
| الوصف: | South Africa currently sustains the largest antiretroviral treatment (ART) programme in the world. The number of people on ART is set to grow even more in the coming years as incidence remains stable, people on ART stay healthy, and guidelines for initiation become increasingly inclusive. The South African public health sector has increasingly relied on community- and home-based lay and professional "carers" to carry out the everyday tasks of rolling out the ART programme. Drawing on ethnographic research in one locality in the Western Cape, the paper explores the care practices of two such groups of carers implementing a 'Universal Test and Treat' (UTT) approach. The UTT approach being evlauated in this place is based on one model of the HIV treatment cascade, or care continuum, which focuses on the steps necessary to identify and link HIV-positive individuals to care and retain them in lifelong HIV treatment. In this context, community-based care workers are responsible for carrying out several discrete steps in the HIV care continuum, including testing people for HIV, linking HIV-positive individuals to care, and supporting adherence. In order to retain clients within the continuum, however, carers also perform other forms of labour that stretch their care work beyond more bounded notions of a stepwise progression of care. These broader forms of care, which can be material, emotional, social or physical in nature, appear alongside the more structured technical and biomedical tasks formally expected of carers. We argue that understanding the dynamics of these more distributed and relational forms of care is essential for the effective implementation of the care continuum, and of the UTT approach, in diverse contexts. |
| تدمد: | 1360-0451 0954-0121 |
| DOI: | 10.1080/09540121.2016.1161164 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::c1c4a5dabc867249f28679bf9dc442d2 https://doi.org/10.1080/09540121.2016.1161164 |
| Rights: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....c1c4a5dabc867249f28679bf9dc442d2 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 13600451 09540121 |
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| DOI: | 10.1080/09540121.2016.1161164 |