Original Research

The willingness of private-sector doctors to manage public-sector HIV/AIDS patients in the eThekwini metropolitan region of KwaZulu-Natal

Panjasaram Naidoo, Champaklal C. Jinabhai, Myra Taylor
African Journal of Primary Health Care & Family Medicine | Vol 2, No 1 | a102 | DOI: https://doi.org/10.4102/phcfm.v2i1.102 | © 2010 Panjasaram Naidoo, Champaklal C. Jinabhai, Myra Taylor | This work is licensed under CC Attribution 4.0
Submitted: 24 June 2009 | Published: 24 March 2010

About the author(s)

Panjasaram Naidoo, School of Pharmacy and Pharmacology, University of KwaZulu-Natal, Westville campus, South Africa
Champaklal C. Jinabhai, Department of Public Health Medicine, University of KwaZulu-Natal, Howard College campus, South Africa
Myra Taylor, Department of Public Health Medicine, University of KwaZulu-Natal, Howard College campus, South Africa


Share this article

Bookmark and Share

Abstract

Background: South Africa is severely affected by the AIDS pandemic and this has resulted in an already under-resourced public sector being placed under further stress, while there remains a vibrant private sector. To address some of the resource and personnel shortages facing the public sector in South Africa, partnerships between the public and private sectors are slowly being forged. However, little is known about the willingness of private-sector doctors in the eThekwini Metropolitan (Metro) region of KwaZulu-Natal, South Africa to manage public-sector HIV and AIDS patients.

Objectives: To gauge the willingness of private-sector doctor to manage public-sector HIV and AIDS patients and to describe factors that may infuence their responses.

Method: A descriptive cross-sectional study was undertaken among private-sector doctors, both general practitioners (GPs) and specialists, working in the eThekwini Metro, using an anonymous, structured questionnaire to investigate their willingness to manage public-sector HIV and AIDS patients and the factors associated with their responses. Chi-square and independent t-tests were used to evaluate associations. Odds ratios were determined using a binary logistic regression model. A p value
< 0.05 was considered statistically significant.

Results: Most of the doctors were male GPs aged 30–50 years who had been in practice for more than 10 years. Of these, 133 (77.8%) were willing to manage public-sector HIV and AIDS patients, with 105 (78.9%) reporting adequate knowledge, 99 (74.4%) adequate time, and 83 (62.4%) adequate infrastructure. Of the 38 (22.2%) that were unwilling to manage these patients, more than 80% cited a lack of time, knowledge and infrastructure to manage them. Another reason cited by five doctors (3.8%) who were unwilling, was the distance from public-sector facilities. Of the 33 specialist doctors, 14 (42.4%) indicated that they would not be willing to manage public-sector HIV and AIDS patients, compared with only 24 (17.4%) of the 138 GPs (p < 0.01).

Conclusion: Many private-sector doctors are willing to manage public-sector HIV and AIDS patients in the eThekwini Metro, potentially removing some of the current burden on the public health sector.


Keywords

private sector; doctors; public sector; patients; HIV/AIDS

Metrics

Total abstract views: 7374
Total article views: 16030

 

Crossref Citations

1. Knowledge, awareness and readiness of private sector doctors practising in the Ethekweni and Ugu districts of KwaZulu-Natal province for the implementation of the National Health Insurance
S Latiff-Khamissa, Panjasaram Naidoo
South African Family Practice  vol: 58  issue: 1  first page: 18  year: 2016  
doi: 10.1080/20786190.2015.1123361