An assessment of the effectiveness of primary health care services in addressing HIV/AIDS by providing anti-retroviral treatment : the case of Du Noon clinic in the Western health sub-district of the city of Cape Town

[摘要] ENGLISH ABSTRACT: The accessibility of anti-retroviral drugs to patients and families affected by HIV andAIDS, and the affordability of these drugs, have been challenges to the Du Nooncommunity in the Cape Peninsula. The aim of the study was to assess theeffectiveness of primary health care services in addressing HIV/AIDS in the light ofthese challenges.The focus was on patients registered on the ARV programme and who werereceiving treatment at Du Noon Clinic. Interviews were conducted with 15 groups of10 patients each using a patient questionnaire. During these interviews qualitativeand quantitative data were gathered and secondary data was used for quantitativeanalysis. The results that the data analysis yielded are in keeping with thehypothesis that the HIV/AIDS programme is effective in meeting the needs of theHIV/AIDS patients of Du Noon.After content analysis of qualitative data, two themes related to patient satisfactionemerged: positive and negative feelings that were categorised as satisfied and notsatisfied with the service. Most often noted was the feeling of satisfaction with theservices rendered at the clinic and that the staff were helpful. The staff rendering theservice were also satisfied with the kind of service offered to the patients, but weredissatisfied with the allocation of resources. An increase in enrolment figures ofpatients was noted in the statistical analysis for the period 2004-2008 with 1,018patients registered. The statistics illustrate the linear tendency in the enrolment ofpatients, which indicated the accessibility and affordability of the service.

[发布机构] Stellenbosch University