Barriers to health care in Rural Mozambique: A rapid ethnographic assessment of planned mobile health clinics for ART

Global Health Science and Practice

Volumn 3, Issue 1, 2015, Pages 109-116

  Schwitters, Amee ^a   Lederer, Philip ^a   Zilversmit, Leah ^a,b   Gudo, Paula Samo ^a   Ramiro, Isaias ^c   Cumba, Luisa ^d   Mahagaja, Epifanio ^d   Jobarteh, Kebba ^a  

^a CENTERS FOR DISEASE CONTROL AND PREVENTION   (United States)

^b Association of Schools and Programs of Public Health   (United States)

^c Mozambique Ministry of Health   (Mozambique)

^d MINISTRY OF HEALTH   (Mozambique)

Author keywords

[No Author keywords available]

Indexed keywords

ANTI HUMAN IMMUNODEFICIENCY VIRUS AGENT;

ADULT; AGED; CULTURAL ANTHROPOLOGY; DEMOGRAPHY; FEMALE; HEALTH CARE DELIVERY; HIV INFECTIONS; HUMAN; MALE; MIDDLE AGED; MOZAMBIQUE; OUTPATIENT DEPARTMENT; PATIENT ATTITUDE; PREVENTIVE HEALTH SERVICE; PROCEDURES; RURAL HEALTH CARE; RURAL POPULATION; TELEMEDICINE; TRAFFIC AND TRANSPORT; YOUNG ADULT;

ADULT; AGED; AMBULATORY CARE FACILITIES; ANTHROPOLOGY, CULTURAL; ANTI-HIV AGENTS; DELIVERY OF HEALTH CARE; FEMALE; HEALTH SERVICES ACCESSIBILITY; HIV INFECTIONS; HUMANS; MALE; MIDDLE AGED; MOBILE HEALTH UNITS; MOZAMBIQUE; PATIENT ACCEPTANCE OF HEALTH CARE; RESIDENCE CHARACTERISTICS; RURAL HEALTH SERVICES; RURAL POPULATION; TELEMEDICINE; TRANSPORTATION; YOUNG ADULT;

EID: 84961545674     PISSN: None     EISSN: 2169575X     Source Type: Journal    
DOI: 10.9745/GHSP-D-14-00145     Document Type: Article

References (26)

1. Joint United Nations Programme on HIV/AIDS (UNAIDS). Global report: UNAIDS report on the global AIDS epidemic: 2013. Geneva: UNAIDS; 2013. Available from: Http://www. unaids.org/sites/default/files/en/media/unaids/contentassets/ documents/epidemiology/2013/gr2013/UNAIDS-Global- Report-2013-en.pdf
2. World Health Organization (WHO). The world health report 2006: working together for health. Geneva: WHO; 2006. Available from: Http://whqlibdoc.who.int/publications/2006/ 9241563176-eng.pdf
3. ICF Macro; Ministry of Health [Mozambique]; National Statistics Institute [Mozambique]. Mozambique AIDS indicator survey 2009. Calverton (MD): ICF Macro; 2010. Available from: Http://hivdata.measuredhs.com/surveys/survey-detail. cfm?.survey-id5507
4. MISAU. Aceleraçaõ da Prevençaõ, Diagnostico e Tratamento de HIV/SIDA (2013-2015) Maputo (Mozambique): Ministério da Saúde (MISAU); 2012.
5. United Nations Development Programme (UNDP). Human development report 2013. The rise of the south: Human progress in a diverse world. New York: UNDP; 2013. Available from: Http://hdr.undp.org/sites/default/files/reports/14/hdr2013- en-complete.pdf
6. Mukolo A, Blevins M, Hinton N, Victor B, Vaz LM, Sidat M, et al. Negative labeling and social exclusion of people living with human immunodeficiency virus/acquired immune deficiency syndrome in the antiretroviral therapy era: Insight from attitudes and behavioral intentions of female heads of households in Zambézia Province, Mozambique. AIDS Care. 2014;26(7):821-826. CrossRef. Medline
7. Williams LD. Understanding the relationships among HIV/AIDSrelated stigma, health service utilization, and HIV prevalence and incidence in Sub-Saharan Africa: A multi-level theoretical perspective. Am J Community Psychol. 2014;53(1-2):146-158. CrossRef. Medline
8. Kalofonos IA. "All I eat is ARVs": The paradox of AIDS treatment interventions in central Mozambique. Med Anthropol Q. 2010;24(3):363-380. CrossRef. Medline
9. Audet CM, SidatM, Blevins M, Moon TD, Vergara A, Vermund SH. HIV knowledge and health-seeking behavior in Zambézia Province, Mozambique. SAHARA J. 2012;9(1):41-46. CrossRef. Medline
10. Babb DA, Pemba L, Seatlanyane P, Charalambous S, Churchyard GJ, Grant AD. Use of traditional medicine by HIV-infected individuals in South Africa in the era of antiretroviral therapy. Psychol Health Med. 2007;12(3):314-320. CrossRef. Medline
11. Green EC. Traditional healers and AIDS in Uganda. J Altern Complement Med. 2000;6(1):1-2. CrossRef. Medline
12. Lindgren TG, Deutsch K, Schell E, Bvumbwe A, Hart KB, Laviwa J, et al. Using mobile clinics to deliver HIV testing and other basic health services in rural Malawi. Rural Remote Health. 2011;11(2):1682. Medline
13. Govindasamy D, Kranzer K, van Schaik N, Noubary F, Wood R, Walensky RP, et al. Linkage to HIV, TB and non-communicable disease care from a mobile testing unit in Cape Town, South Africa. PLoS One. 2013;8(11): 1-11. CrossRef. Medline
14. Mozambique Ministry of Health (MISAU); Centers for Disease Control [Mozambique]. Mobile health clinic plan. Maputo (Mozambique): MISAU; 2012.
15. Manderson L, Aaby P. An epidemic in the field?. Rapid assessment procedures and health research. Soc Sci Med. 1992;35(7):839-850. CrossRef. Medline
16. Scrimshaw SC. Rapid anthropological assessment procedures: Applications to measurement of maternal and child mortality, morbidity, and health care. In: Von Braun J, Puetz D, editors. New directions for household surveys. Washington (DC): International Food Policy Research Institute; 1993. p. 138-155.
17. Groh K, Audet CM, Baptista A, Sidat M, Vergara A, Vermund SH, et al. Barriers to antiretroviral therapy adherence in rural Mozambique. BMC Public Health. 2011;11(1):650. CrossRef. Medline
18. Audet CM, Blevins M, Moon TD, Sidat M, Shepherd BE, Pires, P, et al. HIV/AIDS-related attitudes and practices among traditional healers in Zambézia Province, Mozambique. J Altern Complement Med. 2012;18(12):1133-1141. CrossRef. Medline
19. Maheswaran H, Thulare H, Stanistreet D, Tanser F, Newell ML. Starting a home and mobile HIV testing service in a rural area of South Africa. J Acquir Immune Defic Syndr. 2012;59(3):e43-e46. CrossRef. Medline
20. Menzies N, Abang B, Wanyenze R, Nuwaha F, Mugisha B, Coutinho A, et al. The costs and effectiveness of four HIV counseling and testing strategies in Uganda. AIDS. 2009;23(3):395-401. CrossRef. Medline
21. Grabbe KL, Menzies N, Taegtmeyer M, Emukule G, Angala P, Mwega I, et al. Increasing access to HIV counseling and testing through mobile services in Kenya: Strategies, utilization, and cost-effectiveness. J Acquir Immune Defic Syndr. 2010;54(3):317-323. CrossRef. Medline
22. van Schaik N, Kranzer K, Wood R, Bekker LG. Earlier HIV diagnosis-are mobile services the answer?. S Afr Med J. 2010;100(10):671-674. Medline
23. Macha J, Harris B, Garshong B, Ataguba JE, Akazili J, Kuwawenaruwa A, et al. Factors influencing the burden of health care financing and the distribution of health care benefits in Ghana, Tanzania and South Africa. Health Policy Plan. 2012;(Suppl 1):i46-i54. CrossRef. Medline
24. van Dijk JH, Moss WJ, Hamangaba F, Munsanje B, Sutcliffe CG. Scaling-up access to antiretroviral therapy for children: A cohort study evaluating care and treatment at mobile and hospitalaffiliated HIV clinics in rural Zambia. PLoS One. 2014;9(8):e104884. CrossRef. Medline
25. Miyano S, Dube C, Kayama N, Ishikawa N, Nozaki I, Syakantu G. Association between tuberculosis outcomes and the mobile antiretroviral therapy programme in Zambia. Int J Tuberc Lung Dis. 2013;17(4):540-545. CrossRef. Medline
26. Moon TD, Jequicene T, Blevins M, José E, Lankford J, Wester CW, et al. Mobile clinics for antiretroviral therapy in rural Mozambique. Bull World Health Organ. 2014;92(9):680-684. CrossRef. Medline