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Social capital and utilization of HIV/ AIDS-related healthcare in rural Matabeleland South Province, Zimbabwe
This study examined the relationship between social capital and utilization of HIV/AIDSrelated healthcare amongst people living with HIV in rural Matabeleland South province of Zimbabwe. It also explored barriers to optimal HIV/AIDS-related healthcare utilization among this rural population. Grounde...
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| Format: | Thesis |
| Language: | English |
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Department of Social Development
2017
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| _version_ | 1867613305313427456 |
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| access_status_str | Open Access |
| author | Mucheri, Tolbert |
| author2 | John-Langba, Johannes |
| author_browse | John-Langba, Johannes Mucheri, Tolbert |
| author_facet | John-Langba, Johannes Mucheri, Tolbert |
| author_sort | Mucheri, Tolbert |
| collection | Thesis |
| description | This study examined the relationship between social capital and utilization of HIV/AIDSrelated healthcare amongst people living with HIV in rural Matabeleland South province of Zimbabwe. It also explored barriers to optimal HIV/AIDS-related healthcare utilization among this rural population. Grounded on the Andersen and Newman model of healthcare utilization and social capital theory, the study employed a mixed method research design. Using time-location sampling procedure, a total of 399 people living with HIV were interviewed using a survey questionnaire. Semi-structured in-depth interviews were also conducted with 40 purposively selected key informants that included healthcare workers, HIV/AIDS service providers and community leaders. A statistically significant association was found between social capital and healthcare utilization. The binary logistic regression model was statistically significant, χ² (11) =129.362, (p < .005), it correctly classified 80.20% of cases and explained 59.3% of the variance in healthcare utilization (Nagelkerke R-Square =59.30%). The 16 items of the social capital scale were subjected to principal compoments analysis (PCA). Kaiser-Meyer-Olkin (KMO) value of sampling adequacy was 0.645 and Bartletts's Test of Spehericity reached statistical significance (χ² (120) = 128, p < .001), supporting the factorability of the correlation matrix. Social capital was a significant predictor of HIV/AIDS-related healthcare utilization (p<0.001). The results indicated that for a unit increase in social capital the odds of utilization of HIV/AIDS-related healthcare increased by a factor of 59.84. Other significant predictors of HIV/AID-related healthcare utilization amongst the study participants were gender (p<.05, odds ratio=3.4), discrimination (p<.05, odds ratio = 7.7) and household headship (p<.001, odds ratio = 4.3). Enabling factors such as membership in health insurance schemes and household income had no significant effect on HIV/AIDS-related healthcare utilization. Major barriers to HIV/AIDS-related healthcare utilization were food insecurity and reliance on informal sources of medication. This study contributed to understanding of the influences of social capital on the utilization of HIV/AIDS-related health care and underscored the need to integrate social capital in designing interventions to improve HIV/AIDS-related healthcare utilization in rural contexts. |
| format | Thesis |
| id | oai:open.uct.ac.za:11427/23713 |
| institution | University of Cape Town (South Africa) |
| language | eng |
| last_indexed | 2026-06-10T12:34:00.978Z |
| license_str | Not specified — see source repository |
| provenance_str_mv | Harvested via OAI-PMH from UCTD — University of Cape Town Open Access Repository |
| publishDate | 2017 |
| publishDateRange | 2017 |
| publishDateSort | 2017 |
| publisher | Department of Social Development |
| publisherStr | Department of Social Development |
| record_format | dspace |
| source_str | UCTD — University of Cape Town Open Access Repository |
| spelling | oai:open.uct.ac.za:11427/23713 Social capital and utilization of HIV/ AIDS-related healthcare in rural Matabeleland South Province, Zimbabwe Mucheri, Tolbert John-Langba, Johannes Social Development This study examined the relationship between social capital and utilization of HIV/AIDSrelated healthcare amongst people living with HIV in rural Matabeleland South province of Zimbabwe. It also explored barriers to optimal HIV/AIDS-related healthcare utilization among this rural population. Grounded on the Andersen and Newman model of healthcare utilization and social capital theory, the study employed a mixed method research design. Using time-location sampling procedure, a total of 399 people living with HIV were interviewed using a survey questionnaire. Semi-structured in-depth interviews were also conducted with 40 purposively selected key informants that included healthcare workers, HIV/AIDS service providers and community leaders. A statistically significant association was found between social capital and healthcare utilization. The binary logistic regression model was statistically significant, χ² (11) =129.362, (p < .005), it correctly classified 80.20% of cases and explained 59.3% of the variance in healthcare utilization (Nagelkerke R-Square =59.30%). The 16 items of the social capital scale were subjected to principal compoments analysis (PCA). Kaiser-Meyer-Olkin (KMO) value of sampling adequacy was 0.645 and Bartletts's Test of Spehericity reached statistical significance (χ² (120) = 128, p < .001), supporting the factorability of the correlation matrix. Social capital was a significant predictor of HIV/AIDS-related healthcare utilization (p<0.001). The results indicated that for a unit increase in social capital the odds of utilization of HIV/AIDS-related healthcare increased by a factor of 59.84. Other significant predictors of HIV/AID-related healthcare utilization amongst the study participants were gender (p<.05, odds ratio=3.4), discrimination (p<.05, odds ratio = 7.7) and household headship (p<.001, odds ratio = 4.3). Enabling factors such as membership in health insurance schemes and household income had no significant effect on HIV/AIDS-related healthcare utilization. Major barriers to HIV/AIDS-related healthcare utilization were food insecurity and reliance on informal sources of medication. This study contributed to understanding of the influences of social capital on the utilization of HIV/AIDS-related health care and underscored the need to integrate social capital in designing interventions to improve HIV/AIDS-related healthcare utilization in rural contexts. 2017-01-30T10:28:56Z 2017-01-30T10:28:56Z 2016 Doctoral Thesis Doctoral PhD http://hdl.handle.net/11427/23713 eng application/pdf Department of Social Development Faculty of Humanities University of Cape Town |
| spellingShingle | Social Development Mucheri, Tolbert Social capital and utilization of HIV/ AIDS-related healthcare in rural Matabeleland South Province, Zimbabwe |
| thesis_degree_str | Doctoral |
| title | Social capital and utilization of HIV/ AIDS-related healthcare in rural Matabeleland South Province, Zimbabwe |
| title_full | Social capital and utilization of HIV/ AIDS-related healthcare in rural Matabeleland South Province, Zimbabwe |
| title_fullStr | Social capital and utilization of HIV/ AIDS-related healthcare in rural Matabeleland South Province, Zimbabwe |
| title_full_unstemmed | Social capital and utilization of HIV/ AIDS-related healthcare in rural Matabeleland South Province, Zimbabwe |
| title_short | Social capital and utilization of HIV/ AIDS-related healthcare in rural Matabeleland South Province, Zimbabwe |
| title_sort | social capital and utilization of hiv aids related healthcare in rural matabeleland south province zimbabwe |
| topic | Social Development |
| url | http://hdl.handle.net/11427/23713 |
| work_keys_str_mv | AT mucheritolbert socialcapitalandutilizationofhivaidsrelatedhealthcareinruralmatabelelandsouthprovincezimbabwe |