Use of traditional complementary and alternative medicine for HIV patients in KwaZulu-Natal, South Africa
2008

Use of Traditional Medicine by HIV Patients in South Africa

Sample size: 618 publication Evidence: moderate

Author Information

Author(s): Peltzer Karl, Preez Natalie Friend-du, Ramlagan Shandir, Fomundam Henry

Primary Institution: Health Systems Research Unit, Human Sciences Research Council, Pretoria, South Africa

Hypothesis

The study aims to assess the use of Traditional Complementary and Alternative Medicine (TCAM) for HIV patients prior to initiating antiretroviral therapy.

Conclusion

Traditional herbal therapies and TCAM are commonly used by HIV treatment naïve outpatients of public health facilities in South Africa.

Supporting Evidence

  • 51.3% of participants used TCAM for HIV in the past six months.
  • 90% of participants reported their healthcare provider was unaware of their herbal therapy use.
  • Herbal therapies were primarily used for pain relief (87.1%) and stress relief (77.6%).
  • TCAM use was associated with being on a disability grant and fewer clinic visits.

Takeaway

Many people with HIV in South Africa use traditional medicine to help with their health, often without telling their doctors.

Methodology

A cross-sectional study using systematic sampling to interview 618 HIV-positive patients from outpatient departments in three hospitals.

Potential Biases

Potential recall bias and reluctance of participants to disclose TCAM use.

Limitations

The findings may not be generalizable to HIV treatment naïve patients outside the Uthukela health district or those under 18 years of age.

Participant Demographics

The sample included 618 Black African (mostly Zulu) HIV-positive patients, 29.1% male and 70.9% female, aged 18 to 67 years.

Statistical Information

P-Value

p<0.05

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1186/1471-2458-8-255

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