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• W2793844175 abstract "Background: South Africa introduced the world’s largest antiretroviral treatment (ART) programme in 2004 and since 2016 the Department of Health (DoH) implemented a universal Treatment as Prevention strategy. However, some studies have shown that increasing the availability of ART is insufficient for the comprehensive treatment of HIV, since many people still use Traditional Health Practitioners (THPs) to avoid being identified as HIV-positive, and for reasons unrelated to HIV/AIDS. This qualitative study explored the factors influencing how both HIV-negative and HIV-positive people choose amongst multiple sources of healing and how they engage with them, in the context of HIV/AIDS and wide availability of ART. Methods: Data were collected as part of a larger treatment as prevention trial at the Africa Health Research Institute, KwaZulu-Natal. Repeat in-depth individual interviews were conducted with ten participants. Repeat group discussions were conducted with 42 participants. Group discussion data were triangulated using community walks and photo-voice techniques to give more insight into the perceptions of community members. All data were collected over 18 months. Thematic analysis was used to analyze participants’ narratives from both individual interviews and group discussions. Findings: In the context of HIV/AIDS and wide availability of ART, use of biomedical and traditional healing systems seemed to be common in this locality. People used THPs to meet family expectations, particularly those of authoritative heads of households such as parents or grandparents. Most participants believed that THPs could address specific types of illnesses, especially those understood to be spiritually caused and which could not be addressed or cured by biomedical practitioners. However, it was not easy for participants to separate some spiritually caused-illnesses from biologically-caused illnesses in the context of HIV/AIDS. These data demonstrate that in this context, the use of THPs continues regardless of the wide availability of ART. To meet the health care needs of those patients requiring a health care system which combines biomedical and traditional approaches, collaboration and integration of biomedical and traditional health care should be considered." @default.
• W2793844175 created "2018-03-29" @default.
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• W2793844175 date "2018-03-12" @default.
• W2793844175 modified "2023-10-12" @default.
• W2793844175 title "Navigating Multiple Sources of Healing in the Context of HIV/AIDS and Wide Availability of Antiretroviral Treatment: A Qualitative Study of Community Participants’ Perceptions and Experiences in Rural South Africa" @default.
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• W2793844175 doi "https://doi.org/10.3389/fpubh.2018.00073" @default.
• W2793844175 hasPubMedCentralId "https://www.ncbi.nlm.nih.gov/pmc/articles/5857548" @default.
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