Title
Using a sociological model to analyze access to pediatric HIV/AIDS care in rural Sub-Saharan Africa Using a sociological model to analyze access to pediatric HIV/AIDS care in rural Sub-Saharan Africa
Author
Faculty/Department
Faculty of Medicine and Health Sciences
Publication type
article
Publication
Hilversum ,
Subject
Human medicine
Source (journal)
Current HIV research. - Hilversum
Volume/pages
6(2008) :6 , p. 563-571
ISSN
1570-162X
ISI
000261501100010
Carrier
E
Target language
English (eng)
Full text (Publishers DOI)
Affiliation
University of Antwerp
Abstract
The decentralization of pediatric HIV/AIDS-treatment programs to primary health care centers in rural Africa has lagged behind. In order to guide an analysis of current access to care, a sociological conceptual framework was developed. This framework focused on conditions of seeking pediatric HIV care among community members and initiating pediatric HIV care by primary health care workers (PHCWs). The use of the sociological conceptual framework helped in determining basic research questions and current gaps in knowledge (e.g. the effectiveness and long-term impact of Western counseling models in rural African settings), exploring the need for healthcare level specific research and policy (e.g. in infant HIV-testing), identifying potential pitfalls in decentralizing pediatric HIV treatment programs to rural African communities (e.g. lack of self-confidence in HIV counseling among PHCWs). Consequently, the use of the sociological model is helpful in maximizing efforts and resources allocated to such roll-out. A renewed appreciation for primary health care in general, however, remains crucial for a successful decentralization of pediatric HIV/AIDS-treatment programs to rural Africa.
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