气候变化领域集成服务门户(CCPortal): Economic, social and demographic impacts of drought on treatment adherence among people living with HIV in rural South Africa: A qualitative analysis

CCPortal

DOI	10.1016/j.crm.2022.100423
	Economic, social and demographic impacts of drought on treatment adherence among people living with HIV in rural South Africa: A qualitative analysis
	Orievulu K.; Ayeb-Karlsson S.; Ngwenya N.; Ngema S.; McGregor H.; Adeagbo O.; Siedner M.J.; Hanekom W.; Kniveton D.; Seeley J.; Iwuji C.
发表日期	2022
ISSN	2212-0963
卷号	36
英文摘要	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. © 2022
英文关键词	Climate change; Drought; HIV treatment adherence; Migration; Poverty; Social vulnerability; South Africa
语种	英语
来源期刊	Climate Risk Management
文献类型	期刊论文
条目标识符	http://gcip.llas.ac.cn/handle/2XKMVOVA/256067
作者单位	Africa Health Research Institute, KwaZulu-Natal, South Africa; Department of Global Health and Infection, Brighton and Sussex Medical School, University of Sussex, UK, Brighton, United Kingdom; Centre for Africa-China Studies, University of Johannesburg, Johannesburg, South Africa; Division of Infection and Immunity, University College London, UK, London, United Kingdom; United Nations University Institute for Environment and Human Security, Bonn, Germany; Institute of Development Studies, University of Sussex, UK, United Kingdom; Department of Health Promotion, Education & Behaviour, University of South Carolina, United States; Harvard Medical School, Boston, MA 02114, United States; School of Global Studies, University of Sussex, UK, Brighton, United Kingdom; Global Health and Development Department, London School of Hygiene and Tropical Medicine, UK, London, United Kingdom; Institute for Risk and Disaster Reduction, University College London, London, United Kingdom
推荐引用方式 GB/T 7714	Orievulu K.,Ayeb-Karlsson S.,Ngwenya N.,et al. Economic, social and demographic impacts of drought on treatment adherence among people living with HIV in rural South Africa: A qualitative analysis[J],2022,36.
APA	Orievulu K..,Ayeb-Karlsson S..,Ngwenya N..,Ngema S..,McGregor H..,...&Iwuji C..(2022).Economic, social and demographic impacts of drought on treatment adherence among people living with HIV in rural South Africa: A qualitative analysis.Climate Risk Management,36.
MLA	Orievulu K.,et al."Economic, social and demographic impacts of drought on treatment adherence among people living with HIV in rural South Africa: A qualitative analysis".Climate Risk Management 36(2022).