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Factors associated with concurrent consultation of primary health care clinics and other providers by TB patients and HIV patients
Dissertation (MSc)--University of Pretoria, 2015.
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| Format: | Thesis |
| Language: | English |
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University of Pretoria
2016
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| _version_ | 1867613648727310336 |
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| access_status_str | Open Access |
| author2 | Girdler-Brown, Brendan V. |
| author_browse | Girdler-Brown, Brendan V. |
| author_facet | Girdler-Brown, Brendan V. |
| collection | Thesis |
| dc_rights_str_mv | © 2016 University of Pretoria. All rights reserved. The copyright in this work vests in the University of Pretoria. |
| description | Dissertation (MSc)--University of Pretoria, 2015. |
| format | Thesis |
| id | oai:repository.up.ac.za:2263/53033 |
| institution | University of Pretoria (South Africa) |
| language | English |
| last_indexed | 2026-06-10T12:39:29.475Z |
| license_str | Other — see source repository |
| provenance_str_mv | Harvested via OAI-PMH from UPSpace — University of Pretoria Institutional Repository |
| publishDate | 2016 |
| publishDateRange | 2016 |
| publishDateSort | 2016 |
| publisher | University of Pretoria |
| publisherStr | University of Pretoria |
| record_format | dspace |
| source_str | UPSpace — University of Pretoria Institutional Repository |
| spelling | oai:repository.up.ac.za:2263/53033 Factors associated with concurrent consultation of primary health care clinics and other providers by TB patients and HIV patients Girdler-Brown, Brendan V. vamudzengi@outlook.com Mudzengi, Don Lawrence UCTD Tuberculosis TB HIV/AIDS Primary health care Health sciences theses SDG-03 Health sciences theses SDG-17 Dissertation (MSc)--University of Pretoria, 2015. Introduction. Concurrent use of public sector and other healthcare facilities by adult persons seeking treatment for human immunodeficiency virus (HIV) and/ or tuberculosis (TB) has been shown to lead to poorer health outcomes for such patients. Apart from structural factors (e.g. service standards), demographic and personal factors may also influence patients to use private health services concurrently with public sector services for these two diseases. Aim. The Aim of this analysis was to explore demographic and personal factors associated with concurrent use of public and private health services by TB and/or HIV patients, attending public sector primary health care clinics. Methods. This was a secondary analysis of data collected during a cluster randomised controlled trial. In that trial, structured interviews were conducted with 486 patients with HIV and or TB aged between 18 and 71 years in 18 primary health care clinics in Ekurhuleni North, Gauteng South Africa. Descriptive analyses were followed by multiple logistic regression using Stata Version 12 to analyse associations between independent variables and concurrent use of public and private health services. The analyses were repeated with adjustment for the complex survey sampling design and also with regular logistic regression but using the cluster option available in Stata, for comparison. Results. It was found that two factors associated with concurrent use of public and private health services were shown to be statistically significant: having access to medical scheme funding and being accompanied by at least one other adult when attending the public sector clinic. Conclusions and recommendations. As the factors associated with co-consultation may be beyond the control of policy makers it is recommended that emphasis be placed on improving standards of care in both the public and private sectors; and encouraging private providers to comply with national diagnostic, treatment and reporting guidelines for these two conditions. em2026 School of Health Systems and Public Health (SHSPH) MSc Unrestricted SDG-03: Good health and well-being SDG-17: Partnerships for the goals 2016-06-10T07:03:51Z 2016-06-10T07:03:51Z 2016-04-22 2015 Dissertation Mudzengi, DL 2015, Factors associated with concurrent consultation of primary health care clinics and other providers by TB patients and HIV patients, MSc Dissertation, University of Pretoria, Pretoria, viewed yymmdd <http://hdl.handle.net/2263/53033> A2016 http://hdl.handle.net/2263/53033 en © 2016 University of Pretoria. All rights reserved. The copyright in this work vests in the University of Pretoria. application/pdf University of Pretoria |
| spellingShingle | UCTD Tuberculosis TB HIV/AIDS Primary health care Health sciences theses SDG-03 Health sciences theses SDG-17 Factors associated with concurrent consultation of primary health care clinics and other providers by TB patients and HIV patients |
| title | Factors associated with concurrent consultation of primary health care clinics and other providers by TB patients and HIV patients |
| title_full | Factors associated with concurrent consultation of primary health care clinics and other providers by TB patients and HIV patients |
| title_fullStr | Factors associated with concurrent consultation of primary health care clinics and other providers by TB patients and HIV patients |
| title_full_unstemmed | Factors associated with concurrent consultation of primary health care clinics and other providers by TB patients and HIV patients |
| title_short | Factors associated with concurrent consultation of primary health care clinics and other providers by TB patients and HIV patients |
| title_sort | factors associated with concurrent consultation of primary health care clinics and other providers by tb patients and hiv patients |
| topic | UCTD Tuberculosis TB HIV/AIDS Primary health care Health sciences theses SDG-03 Health sciences theses SDG-17 |
| url | http://hdl.handle.net/2263/53033 |