People living with HIV in rural South Africa: A qualitative analysis

Orievulu, Kingsley, Ayeb-Karlsson, Sonja, Ngwenya, Nothando, Ngema, Sthembila, McGregor, Hayley, Adeagbo, Oluwafemi, Siedner, Mark J., Hanekom, Willem, Kniveton, Dominic, Seeley, Janet and Iwuji, Collins, (2022). People living with HIV in rural South Africa: A qualitative analysis. Climate Risk Management, 36(100423), n/a-n/a

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  • Sub-type Journal article
    Author Orievulu, Kingsley
    Ayeb-Karlsson, Sonja
    Ngwenya, Nothando
    Ngema, Sthembila
    McGregor, Hayley
    Adeagbo, Oluwafemi
    Siedner, Mark J.
    Hanekom, Willem
    Kniveton, Dominic
    Seeley, Janet
    Iwuji, Collins
    Title People living with HIV in rural South Africa: A qualitative analysis
    Appearing in Climate Risk Management
    Volume 36
    Issue No. 100423
    Publication Date 2022-01-01
    Place of Publication Amsterdam
    Publisher Elsevier
    Start page n/a
    End page n/a
    Language eng
    Abstract The 2015 El Niño-triggered drought in Southern Africa caused widespread economic and livelihood disruption in South Africa, imposing multiple physical and health challenges for rural populations including people living with HIV (PLHIV). We examined the economic, social and demographic impacts of drought drawing on 27 in-depth interviews in two cohorts of PLHIV in Hlabisa, uMkhanyakude district, KwaZulu-Natal. Thematic analysis revealed how drought-enforced soil water depletion, dried-up rivers, and dams culminated in a continuum of events such as loss of livestock, reduced agricultural production, and insufficient access to water and food which was understood to indirectly have a negative impact on HIV treatment adherence. This was mediated through disruptions in incomes, livelihoods and food systems, increased risk to general health, forced mobility and exacerbation of contextual vulnerabilities linked to poverty and unemployment. The systems approach, drawn from interview themes, hypothesises the complex pathways of plausible networks of impacts from drought through varying socioeconomic factors, exacerbating longstanding contextual precarity, and ultimately challenging HIV care utilisation. Understanding the multidimensional relationships between climate change, especially drought, and poor HIV care outcomes through the prism of contextual vulnerabilities is vital for shaping policy interventions.
    UNBIS Thesaurus DROUGHT
    MIGRATION
    POVERTY
    SOUTH AFRICA
    CLIMATE CHANGE
    Keyword HIV treatment adherence
    Social vulnerability
    Copyright Holder The Authors
    Copyright Year 2022
    Copyright type Creative commons
    DOI 10.1016/j.crm.2022.100423
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    Created: Fri, 06 Jan 2023, 23:13:49 JST by Aarti Basnyat on behalf of UNU EHS