Inequality in Health Status Among Older Adults in Africa: The Surprising Impact of Anti-Retroviral Treatment
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It is well known that the large-scale roll-out of antiretroviral therapy (ART) has reduced mortality and improved the health status of millions of people living with HIV (PLWH) in resource-limited settings (UNAIDS 2011). Although most common prevalence and epidemiological measures neglect measuring older people in these settings, estimates reveal that there are at least 3 million PLWH aged 50 years and above in sub-Saharan Africa (Hontelez et al. 2012; Negin and Cumming 2010). Though not specifically targeted by most treatment programs, increasing numbers of older adults in Africa have accessed ART services.
There has been an ongoing debate in the literature about how the large scale roll-out of HIV services in Africa has affected wider health systems (Biesma et al. 2009; Brugha et al. 2010). Yet, to date, none of this literature examines the impact on older adults in particular. Studies from South Africa and Uganda reveal that the huge investments in strengthening HIV services and...
KeywordsMental Health Challenge Visit Health Facility High Level Care Ugandan Study Composite Health Score
The authors declare that no competing interests exist. The Wellbeing of Older Peoples Studies (WOPS) cited in this paper were funded by The World Health Organisation’s (WHO) Study on Global Ageing and Adult Health (SAGE) via support from the US National Institute on Aging’s Division of Behavioural and Social Research and the US National Institute of Health (NIH). The Africa Centre for Health and Population Studies is funded by the Welcome Trust, UK. The qualitative research in Uganda was funded by Cordaid and the Medical Research Council (UK). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.
- UNAIDS. (2011). World AIDS day report 2011. How to get to zero: Faster. Smarter. Better. Geneva: UNAIDS.Google Scholar