MPhil study projects

The role of public-private partnerships in HIV/Aids services: a retrospective study on the uptake and retention in HIV care among farm workers

Student: Sina Anastasia Nomea Masihleho
Country: South Africa

South Africa had the world’s largest HIV treatment programme by the close of 2017, catering to an estimated 4,4 million people living with HIV. Despite this, HIV/Aids continued to affect adults in their prime working years. The 2017 HSRC household survey revealed that HIV prevalence peaked among 35 to 39-year-olds at 31,5%, with variations by gender. The agriculture sector, comprising over 700 000 predominantly male workers, had the highest prevalence at approximately 40%.

Migration has been identified as a contributing factor to HIV/Aids transmission. Collaborative efforts between NGOs and farmers have emerged as effective strategies for delivering health and HIV/Aids-related services to farming communities. These interventions included HIV testing, linkage to healthcare facilities, TB and non-communicable disease screenings, condom distribution and awareness campaigns.

This study aimed to scrutinise collaborative HIV/Aids service delivery models for farm workers and their impact on health outcomes. Findings revealed that such models enhanced awareness and treatment adherence. However, sustainability remains a challenge due to inadequate NGO funding. Government financial backing is recommended to upscale NGO collaborative initiatives, ultimately striving for epidemic control in the sector.