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Modelling the impact of different health care systems and dropouts on the dynamics of HIV/AIDS

Thesis (MSc)--Stellenbosch University, 2020.

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Bibliographic Details
Main Author: Obanla, Motunrayo Elizabeth
Other Authors: Nyabadza, Farai
Format: Thesis
Language:en_ZA
Published: Stellenbosch : Stellenbosch University 2020
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access_status_str Open Access
author Obanla, Motunrayo Elizabeth
author2 Nyabadza, Farai
author_browse Nyabadza, Farai
Obanla, Motunrayo Elizabeth
author_facet Nyabadza, Farai
Obanla, Motunrayo Elizabeth
author_sort Obanla, Motunrayo Elizabeth
collection Thesis
dc_rights_str_mv Stellenbosch University
description Thesis (MSc)--Stellenbosch University, 2020.
format Thesis
id oai:scholar.sun.ac.za:10019.1/108356
institution Stellenbosch University (South Africa)
language en_ZA
last_indexed 2026-06-10T12:44:57.544Z
license_str Other — see source repository
provenance_str_mv Harvested via OAI-PMH from SUNScholar — Stellenbosch University Repository
publishDate 2020
publishDateRange 2020
publishDateSort 2020
publisher Stellenbosch : Stellenbosch University
publisherStr Stellenbosch : Stellenbosch University
record_format dspace
source_str SUNScholar — Stellenbosch University Repository
spelling oai:scholar.sun.ac.za:10019.1/108356 Modelling the impact of different health care systems and dropouts on the dynamics of HIV/AIDS Obanla, Motunrayo Elizabeth Nyabadza, Farai Hui, Cang Stellenbosch University. Faculty of Science. Dept. of Mathematical Sciences. UCTD HIV infections -- Treatment Antiretroviral agents -- Utilization -- Mathematical models HIV infections -- Dropouts -- Mathematical models HIV infections -- Management Sensitivity theory (Mathematics) Hypercube Thesis (MSc)--Stellenbosch University, 2020. ENGLISH ABSTRACT: Side effects from antiretroviral drugs (ARVs) over time, present a major challenge to individuals on treatment and is a major cause of dropouts from treatment programs. The provision of treatment for the infected varies depending on their levels of affordability in many developing countries. In this thesis, we formulate a mathematical model to determine the impact of dropouts on the dynamics of HIV/AIDS which depends on different health care systems. We categorize the health care systems into two, private and public with the dropout rates being dependent on the health care system. The model’s steady states are determined and their stabilities presented in terms of the reproduction number, R0. Numerical simulations are carried out and the results suggest that the management of dropouts is significant to the dynamics and management of HIV/AIDS. The role of essential parameters is also investigated through sensitivity analysis that employs the Latin Hypercube Sampling technique. The results have implications to the management and policy designs with regards to health care systems, dropouts and disease progression. AFRIKAANSE OPSOMMING: Newe-effekte van antiretrovirale medisyne (ARV’s) met verloop van tyd, is ’n groot uitdaging vir individue wat op behandeling is en is die grootste oorsaak van die uitval van behandelingsprogramme. Die verskaffing van behandeling vir besmette wissel afhangend van hul bekostigbaarheidsvlakke in baie ontwikkelende lande. In hierdie tesis formuleer ons ’n wiskundige model om die impak van uitvalle op die dinamika van MIV / VIGS te bepaal wat afhang van verskillende gesondheidsorgstelsels. Ons kategoriseer die gesondheidsorgstelsels in twee, privaat en publiek, en die uitvalkoers is afhanklik van die gesondheidsorgstelsel. Die standvastoestande van die model word bepaal en hul stabiliteit word aangebied in terme van die reproduksienommer, R0. Numeriese simulasies word uitgevoer en die resultate dui daarop dat die bestuur van uitvalle belangrik is vir die dinamika en hantering van MIV / VIGS. Die rol van essensiele parameters word ook ondersoek deur middel van sensitiwiteitsanalise wat gebruik maak van die Latynse Hypercube Monsternemingstegniek. Die resultate het gevolge vir die bestuur en beleidsontwerpe ten opsigte van gesondheidsorgstelsels, uitvalle en progressie van siektes. Masters 2020-02-13T07:57:22Z 2020-04-28T15:10:46Z 2020-02-13T07:57:22Z 2020-04-28T15:10:46Z 2020-03 Thesis http://hdl.handle.net/10019.1/108356 en_ZA Stellenbosch University xiv, 87 pages application/pdf Stellenbosch : Stellenbosch University
spellingShingle UCTD
HIV infections -- Treatment
Antiretroviral agents -- Utilization -- Mathematical models
HIV infections -- Dropouts -- Mathematical models
HIV infections -- Management
Sensitivity theory (Mathematics)
Hypercube
Obanla, Motunrayo Elizabeth
Modelling the impact of different health care systems and dropouts on the dynamics of HIV/AIDS
title Modelling the impact of different health care systems and dropouts on the dynamics of HIV/AIDS
title_full Modelling the impact of different health care systems and dropouts on the dynamics of HIV/AIDS
title_fullStr Modelling the impact of different health care systems and dropouts on the dynamics of HIV/AIDS
title_full_unstemmed Modelling the impact of different health care systems and dropouts on the dynamics of HIV/AIDS
title_short Modelling the impact of different health care systems and dropouts on the dynamics of HIV/AIDS
title_sort modelling the impact of different health care systems and dropouts on the dynamics of hiv aids
topic UCTD
HIV infections -- Treatment
Antiretroviral agents -- Utilization -- Mathematical models
HIV infections -- Dropouts -- Mathematical models
HIV infections -- Management
Sensitivity theory (Mathematics)
Hypercube
url http://hdl.handle.net/10019.1/108356
work_keys_str_mv AT obanlamotunrayoelizabeth modellingtheimpactofdifferenthealthcaresystemsanddropoutsonthedynamicsofhivaids