Evidence for localised HIV related micro–epidemics associated with the decentralised provision of antiretroviral treatment in rural South Africa: a spatio–temporal analysis of changing mortality patterns (2007–2010)

Paul Mee; Mark A. Collinson; Sangeetha Madhavan; Elisabeth Dowling Root; Stephen M. Tollman; Peter Byass; Kathleen Kahn

doi:10.7189/jogh.04.010403

Journal of Global Health (Jun 2014)

Evidence for localised HIV related micro–epidemics associated with the decentralised provision of antiretroviral treatment in rural South Africa: a spatio–temporal analysis of changing mortality patterns (2007–2010)

Paul Mee ,
Mark A. Collinson ,
Sangeetha Madhavan ,
Elisabeth Dowling Root ,
Stephen M. Tollman ,
Peter Byass ,
Kathleen Kahn

Affiliations

Paul Mee: Medical Research Council/Wits University Rural Public Health and Health Transitions Research Unit (Agincourt), School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa; Umeå Centre for Global Health Research, Division of Epidemiology and Global Health, Department of Public Health and Clinical Medicine, Umeå University, Umeå, Sweden
Mark A. Collinson: Medical Research Council/Wits University Rural Public Health and Health Transitions Research Unit (Agincourt), School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa; Umeå Centre for Global Health Research, Division of Epidemiology and Global Health, Department of Public Health and Clinical Medicine, Umeå University, Umeå, Sweden; INDEPTH Network, Kanda, Accra, Ghana
Sangeetha Madhavan: Medical Research Council/Wits University Rural Public Health and Health Transitions Research Unit (Agincourt), School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa; Department of African–American Studies, University of Maryland, Maryland, USA
Elisabeth Dowling Root: Department of Geography and Institute of Behavioral Science, University of Colorado at Boulder, Boulder, Colorado, USA
Stephen M. Tollman: Medical Research Council/Wits University Rural Public Health and Health Transitions Research Unit (Agincourt), School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa; Umeå Centre for Global Health Research, Division of Epidemiology and Global Health, Department of Public Health and Clinical Medicine, Umeå University, Umeå, Sweden; INDEPTH Network, Kanda, Accra, Ghana
Peter Byass: Medical Research Council/Wits University Rural Public Health and Health Transitions Research Unit (Agincourt), School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa; WHO Collaborating Centre for Verbal Autopsy, Umeå Centre for Global Health Research, Umeå University, 90187 Umeå, Sweden; Umeå Centre for Global Health Research, Division of Epidemiology and Global Health, Department of Public Health and Clinical Medicine, Umeå University, Umeå, Sweden
Kathleen Kahn: Medical Research Council/Wits University Rural Public Health and Health Transitions Research Unit (Agincourt), School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa; Umeå Centre for Global Health Research, Division of Epidemiology and Global Health, Department of Public Health and Clinical Medicine, Umeå University, Umeå, Sweden; INDEPTH Network, Kanda, Accra, Ghana

DOI: https://doi.org/10.7189/jogh.04.010403
Journal volume & issue: Vol. 4, no. 1

Abstract

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In this study we analysed the spatial and temporal changes in patterns of mortality over a period when antiretroviral therapy (ART) was rolled out in a rural region of north–eastern South Africa. Previous studies have identified localised concentrated HIV related sub–epidemics and recommended that micro–level analyses be carried out in order to direct focused interventions.

Published in Journal of Global Health

ISSN: 2047-2978 (Print); 2047-2986 (Online)
Publisher: Edinburgh University Global Health Society
Country of publisher: United Kingdom
LCC subjects: Medicine: Public aspects of medicine
Website: http://jogh.org

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