{"id":"https://openalex.org/W2096395035","doi":null,"title":"Understanding patterns of health system utilisation among people living with HIV/Aids attending rural HIV services","display_name":"Understanding patterns of health system utilisation among people living with HIV/Aids attending rural HIV services","publication_year":2013,"publication_date":"2013-01-24","ids":{"openalex":"https://openalex.org/W2096395035","mag":"2096395035"},"language":"en","primary_location":{"id":"pmh:oai:wiredspace.wits.ac.za:10539/12290","doi":null,"is_oa":true,"landing_page_url":"http://hdl.handle.net/10539/12290","pdf_url":"http://hdl.handle.net/10539/12290","source":{"id":"https://openalex.org/S4306400603","display_name":"University of the Witwatersrand, Johannesburg Institutional Repository on DSpace (University of the Witwatersrand, Johannesburg)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I192619145","host_organization_name":"University of the Witwatersrand","host_organization_lineage":["https://openalex.org/I192619145"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"","raw_type":"Thesis (Ph.D.(Public Health))--University of the Witwatersrand, Faculty of Health Sciences, 2012"},"volume":null,"type":"dissertation","is_traditional":true,"indexed_in":[],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"http://hdl.handle.net/10539/12290","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5108499772","display_name":"Matlagolo Mosa Moshabela","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":true,"raw_author_name":"Matlagolo Mosa Moshabela","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]}],"institutions":[],"countries_distinct_count":0,"institutions_distinct_count":0,"corresponding_author_ids":["https://openalex.org/A5108499772"],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":null,"has_fulltext":true,"cited_by_count":1,"citation_normalized_percentile":null,"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10082","display_name":"HIV/AIDS Research and Interventions","score":0.9854000210762024,"subfield":{"id":"https://openalex.org/subfields/2725","display_name":"Infectious Diseases"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10082","display_name":"HIV/AIDS Research and Interventions","score":0.9854000210762024,"subfield":{"id":"https://openalex.org/subfields/2725","display_name":"Infectious Diseases"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T14334","display_name":"HIV/AIDS Impact and Responses","score":0.011900000274181366,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T10526","display_name":"HIV/AIDS drug development and treatment","score":0.00019999999494757503,"subfield":{"id":"https://openalex.org/subfields/2725","display_name":"Infectious Diseases"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/people-living-with-hiv","display_name":"people living with HIV","score":0.8479999899864197},{"id":"https://openalex.org/keywords/antiretroviral-therapy","display_name":"antiretroviral therapy","score":0.8539999723434448},{"id":"https://openalex.org/keywords/rural-health-care","display_name":"rural health care","score":0.5640000104904175},{"id":"https://openalex.org/keywords/health-care-access","display_name":"health care access","score":0.8040000200271606},{"id":"https://openalex.org/keywords/treatment-adherence","display_name":"medication adherence","score":0.47099998593330383},{"id":"https://openalex.org/keywords/treatment-retention","display_name":"treatment retention","score":0.550000011920929},{"id":"https://openalex.org/keywords/traditional-healers","display_name":"traditional healers","score":0.7260000109672546},{"id":"https://openalex.org/keywords/patient-self-efficacy","display_name":"patient self-efficacy","score":0.7649999856948853},{"id":"https://openalex.org/keywords/social-support","display_name":"social support","score":0.7059999704360962},{"id":"https://openalex.org/keywords/financial-barriers-to-care","display_name":"financial barriers to care","score":0.6140000224113464},{"id":"https://openalex.org/keywords/health-care-inequities","display_name":"health care inequities","score":0.6159999966621399},{"id":"https://openalex.org/keywords/bushbuckridge","display_name":"Bushbuckridge","score":0.8149999976158142},{"id":"https://openalex.org/keywords/south-africa","display_name":"South Africa","score":0.8579999804496765}],"concepts":[{"id":"https://openalex.org/C3013748606","wikidata":"https://www.wikidata.org/wiki/Q15787","display_name":"Human immunodeficiency virus (HIV)","level":2,"score":0.7363648414611816},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.5194137096405029},{"id":"https://openalex.org/C74909509","wikidata":"https://www.wikidata.org/wiki/Q10387","display_name":"Gerontology","level":1,"score":0.4689333736896515},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.44774749875068665},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.33593907952308655}],"mesh":[],"locations_count":2,"locations":[{"id":"pmh:oai:wiredspace.wits.ac.za:10539/12290","doi":null,"is_oa":true,"landing_page_url":"http://hdl.handle.net/10539/12290","pdf_url":"http://hdl.handle.net/10539/12290","source":{"id":"https://openalex.org/S4306400603","display_name":"University of the Witwatersrand, Johannesburg Institutional Repository on DSpace (University of the Witwatersrand, Johannesburg)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I192619145","host_organization_name":"University of the Witwatersrand","host_organization_lineage":["https://openalex.org/I192619145"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"","raw_type":"Thesis (Ph.D.(Public Health))--University of the Witwatersrand, Faculty of Health Sciences, 2012"},{"id":"mag:2096395035","doi":null,"is_oa":false,"landing_page_url":"https://wiredspace.wits.ac.za/bitstream/handle/10539/12290/Moshabela%20MM_PhD%20Thesis_2012.pdf?sequence=1","pdf_url":null,"source":null,"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":null}],"best_oa_location":{"id":"pmh:oai:wiredspace.wits.ac.za:10539/12290","doi":null,"is_oa":true,"landing_page_url":"http://hdl.handle.net/10539/12290","pdf_url":"http://hdl.handle.net/10539/12290","source":{"id":"https://openalex.org/S4306400603","display_name":"University of the Witwatersrand, Johannesburg Institutional Repository on DSpace (University of the Witwatersrand, Johannesburg)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I192619145","host_organization_name":"University of the Witwatersrand","host_organization_lineage":["https://openalex.org/I192619145"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"","raw_type":"Thesis (Ph.D.(Public Health))--University of the Witwatersrand, Faculty of Health Sciences, 2012"},"sustainable_development_goals":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":0.979200005531311},{"display_name":"Reduced inequalities","id":"https://metadata.un.org/sdg/10","score":0.8974000215530396}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W2096395035.pdf","grobid_xml":"https://content.openalex.org/works/W2096395035.grobid-xml"},"referenced_works_count":112,"referenced_works":["https://openalex.org/W170545881","https://openalex.org/W564590558","https://openalex.org/W588454197","https://openalex.org/W613173125","https://openalex.org/W1417039948","https://openalex.org/W1487760132","https://openalex.org/W1510192517","https://openalex.org/W1512796631","https://openalex.org/W1528013745","https://openalex.org/W1532440937","https://openalex.org/W1569296355","https://openalex.org/W1588825727","https://openalex.org/W1591605745","https://openalex.org/W1591839355","https://openalex.org/W1653355835","https://openalex.org/W1710440927","https://openalex.org/W1817309772","https://openalex.org/W1835365554","https://openalex.org/W1899168751","https://openalex.org/W1913544977","https://openalex.org/W1961633984","https://openalex.org/W1964472723","https://openalex.org/W1970458559","https://openalex.org/W1980004891","https://openalex.org/W1980044792","https://openalex.org/W1980142771","https://openalex.org/W1988880265","https://openalex.org/W1990091936","https://openalex.org/W1990575834","https://openalex.org/W2004358385","https://openalex.org/W2007374658","https://openalex.org/W2009242580","https://openalex.org/W2013642945","https://openalex.org/W2013910594","https://openalex.org/W2015240464","https://openalex.org/W2016976457","https://openalex.org/W2019954567","https://openalex.org/W2022283891","https://openalex.org/W2027554493","https://openalex.org/W2030315518","https://openalex.org/W2031368727","https://openalex.org/W2032659188","https://openalex.org/W2037786112","https://openalex.org/W2037904112","https://openalex.org/W2038014749","https://openalex.org/W2044545703","https://openalex.org/W2046363656","https://openalex.org/W2046518205","https://openalex.org/W2047242713","https://openalex.org/W2051970027","https://openalex.org/W2053254471","https://openalex.org/W2054721168","https://openalex.org/W2062303208","https://openalex.org/W2063745902","https://openalex.org/W2068155640","https://openalex.org/W2068792863","https://openalex.org/W2073848632","https://openalex.org/W2076794724","https://openalex.org/W2079946676","https://openalex.org/W2080169306","https://openalex.org/W2082269663","https://openalex.org/W2082864132","https://openalex.org/W2084726924","https://openalex.org/W2085149413","https://openalex.org/W2086606929","https://openalex.org/W2093816533","https://openalex.org/W2100014367","https://openalex.org/W2100049335","https://openalex.org/W2101224313","https://openalex.org/W2103278408","https://openalex.org/W2107999364","https://openalex.org/W2110203502","https://openalex.org/W2112969721","https://openalex.org/W2113509178","https://openalex.org/W2114507975","https://openalex.org/W2119740264","https://openalex.org/W2120353541","https://openalex.org/W2125387810","https://openalex.org/W2125417662","https://openalex.org/W2125960530","https://openalex.org/W2126583499","https://openalex.org/W2126832551","https://openalex.org/W2126876702","https://openalex.org/W2129132396","https://openalex.org/W2130884910","https://openalex.org/W2133166320","https://openalex.org/W2136161025","https://openalex.org/W2139894829","https://openalex.org/W2139939194","https://openalex.org/W2142225512","https://openalex.org/W2142534753","https://openalex.org/W2148093477","https://openalex.org/W2150374398","https://openalex.org/W2151710691","https://openalex.org/W2152163336","https://openalex.org/W2158031079","https://openalex.org/W2161026355","https://openalex.org/W2161881095","https://openalex.org/W2162944270","https://openalex.org/W2163378293","https://openalex.org/W2164178637","https://openalex.org/W2164664254","https://openalex.org/W2166510189","https://openalex.org/W2170138433","https://openalex.org/W2170572063","https://openalex.org/W2172209082","https://openalex.org/W2179683524","https://openalex.org/W2187955543","https://openalex.org/W2608877821","https://openalex.org/W2904373140","https://openalex.org/W2912613220","https://openalex.org/W4234567874"],"related_works":["https://openalex.org/W2150333290","https://openalex.org/W2005469128","https://openalex.org/W2121974328","https://openalex.org/W2104655377","https://openalex.org/W2005065888","https://openalex.org/W2460221140","https://openalex.org/W2093400408","https://openalex.org/W2082269663","https://openalex.org/W7073758748","https://openalex.org/W2117134343"],"abstract_inverted_index":{"Following":[0],"the":[1,18,62,65,95,149,179,214,261,273,293,303,325,345,355,381,389],"successful":[2],"introduction":[3,97],"of":[4,20,37,41,53,83,98,114,125,167,189,217,232,238,264,281,295,313,327,336,357,385,401],"antiretroviral":[5],"therapy":[6],"(ART)":[7],"in":[8,17,27,31,47,58,128,141,145,151,272,319],"resource-limited":[9],"settings,":[10],"we":[11],"have":[12],"observed":[13],"an":[14],"unprecedented":[15],"explosion":[16],"expansion":[19],"ART":[21,42,57,67,77,89,105,115,137,172,270,340],"programs":[22],"throughout":[23,289],"sub-Saharan":[24,129],"Africa,":[25,60],"resulting":[26],"a":[28,81,142,227,239,253,286,311,334],"13-fold":[29],"increase":[30],"coverage":[32,49,78,90],"since":[33],"2004.":[34],"In":[35],"spite":[36],"these":[38,160],"achievements,":[39],"uptake":[40,173],"remains":[43],"low.":[44],"The":[45,88],"gap":[46,91,150],"treatment":[48,100,126,262],"is":[50],"approximately":[51,112],"50%":[52],"those":[54],"who":[55],"need":[56,346],"South":[59],"while":[61],"country":[63],"boasts":[64],"largest":[66],"program":[68],"worldwide.":[69],"Rural":[70],"areas":[71],"are":[72,117],"particularly":[73],"prone":[74],"to":[75,119,147,164,170,181,184,246,284,338,347,370,416],"lower":[76],"rates,":[79],"largely":[80],"result":[82,318],"existing":[84],"health":[85,156,185,218,282,307,321],"care":[86,219,248,283,363,403],"inequities.":[87],"will":[92],"widen":[93],"given":[94],"recent":[96],"new":[99],"guidelines,":[101],"which":[102],"allows":[103],"for":[104,350,368,413],"commencement":[106],"at":[107,299],"CD4":[108],"350":[109],"cells/mm3.":[110],"Furthermore,":[111],"one-third":[113],"patients":[116,266,296],"lost":[118],"follow":[120],"up":[121],"after":[122,269],"two":[123],"years":[124],"initiation":[127,271,341],"Africa.":[130],"This":[131],"study":[132],"explores":[133],"factors":[134,161],"associated":[135],"with":[136],"access":[138,183,190],"and":[139,155,174,198,235,244,268,305,329,342,360,364,377,383,399,407,411],"utilisation":[140,280],"rural":[143,274],"area,":[144],"order":[146],"reduce":[148,396,417],"knowledge":[152],"on":[153,213],"patient":[154,372],"system":[157],"factors.":[158],"Unaddressed,":[159],"may":[162,309,316],"continue":[163],"hinder":[165],"adoption":[166],"rigorous":[168],"interventions":[169],"improve":[171,339],"retention.":[175],"\\nThis":[176],"research":[177,224],"employs":[178],"A-Framework":[180],"conceptualize":[182],"care,":[186],"where":[187],"dimensions":[188],"include":[191],"availability":[192],"(physical":[193],"access),":[194,197],"affordability":[195],"(financial":[196],"acceptability":[199],"(cultural":[200],"access).":[201],"A":[202],"data":[203],"triangulation":[204],"approach":[205],"was":[206,211,236,250],"adopted":[207],"as":[208],"very":[209],"little":[210],"known":[212],"utilization":[215],"patterns":[216],"by":[220,252],"HIV/AIDS":[221],"patients.":[222],"Quantitative":[223],"(2008-2010)":[225],"employed":[226],"four-site":[228],"rural-urban":[229],"comparative":[230],"analysis":[231],"1266":[233],"participants,":[234],"part":[237],"5-year":[240],"project":[241],"Researching":[242],"Equity":[243],"Access":[245],"Health":[247,409],"(REACH).This":[249],"complemented":[251],"more":[254],"in-depth":[255],"qualitative":[256],"assessment":[257],"(2006-2007)":[258],"that":[259,323,395],"followed":[260],"experience":[263],"32":[265],"before":[267],"Bushbuckridge":[275],"site.":[276],"\\nWe":[277],"found":[278],"plural":[279],"be":[285,310],"cross-cutting":[287],"theme":[288],"this":[290],"thesis.":[291],"While":[292],"movement":[294],"between":[297],"providers":[298],"various":[300],"levels":[301],"within":[302],"traditional":[304,386],"formal":[306,390],"sector":[308],"sign":[312],"agency,":[314],"it":[315],"also":[317],"excessive":[320],"costs":[322],"threaten":[324],"livelihoods":[326],"individuals":[328],"their":[330],"households.":[331],"We":[332],"discuss":[333],"number":[335],"strategies":[337],"adherence":[343],"including":[344,404],"incorporate":[348],"metrics":[349],"pluralism":[351],"into":[352,388],"routine":[353],"assessments;":[354],"importance":[356],"decentralized,":[358],"humane":[359],"high":[361],"quality":[362],"support":[365,367,379,412],"services;":[366],"efforts":[369,415],"enhance":[371],"self-efficacy":[373],"through":[374],"education,":[375],"awareness":[376],"social":[378],"interventions;":[380],"incorporation":[382],"regulation":[384],"healers":[387],"system;":[391],"risk":[392],"protection":[393],"mechanisms":[394],"financial":[397],"barriers":[398],"consequences":[400],"HIV":[402],"grants,":[405],"subsidies":[406],"National":[408],"Insurance,":[410],"wider":[414],"urban-rural":[418],"inequalities.":[419]},"counts_by_year":[{"year":2015,"cited_by_count":1}],"updated_date":"2026-10-12T09:40:04.860316","created_date":"2016-06-24T00:00:00"}
