- PI: Diane Cooper
- Funder: University of Essex
- Dates: 15/10/2015 - 30/10/2016
This study that was conceived in collaboration with the University of Essex in the UK will explore multi-level risk and protective factors/ processes involved in providing HIV/AIDS treatment in primary care facilities in areas of endemic gang-related violence, crime and broader violence, with a view to recommendations for better care and treatment provision within health care services. The impact of violence and particularly gang-related violence on access to and provision of health services has broader implications for healthcare delivery in other areas of acute and chronic health care in high violence settings.
The study population will be healthcare workers (HCWs) and clients living with HIV between the ages of 18 and 30 years on ART.
i) Carry out interviews with up to 10 staff members and up to 40 (20 male, 20 female) purposively selected clients in 2 to 4 public sector primary healthcare ARV facilities in geographic areas of high violence, particularly gang violence in the Cape Town Metropole.
ii) Use a semi-structured interview guide to explore in-depth the risk and protective factors associated with providing HIV/AIDS treatment in Cape Town, South Africa, where there is a high level of gang-related violence and crime.
iii) Use Interviews and focus groups in a place and language of choice of participants, audio-recorded, transcribed and translated, where necessary. All data will be entered into a computer managed program and thematically analysed.
iv) Use the study information to develop local recommendations and as preliminary data for a proposed larger mixed- method multinational study to improve outcomes and efficiency in the care continuum globally in countries with high levels of HIV/AIDS and gang-related violence and crime.
v) Disseminate emerging research findings and information to Stakeholders and aim to publish the results in two peer reviewed articles.