Addressing coloniality of power to improve HIV care in South Africa and other LMIC.

ABSTRACT: We describe the appropriateness and potential for effectiveness of three strategic approaches for improving HIV care in South Africa: community-based primary healthcare, local/community-based stakeholder engagement, and community-engaged research. At their core, these approaches are related to overcoming health inequity and inequality resulting from coloniality of power's heterogenous structural processes impacting health care in many low- and middle-income countries (LMIC). We turn to South Africa, a middle-income country, as an example. There the HIV epidemic began in the 1980s and its ending is as elusive as achieving universal healthcare. Despite impressive achievements such as the antiretroviral treatment program (the largest in the world) and the country's outstanding cadre of HIV ex

SUBMITTER: Ordonez CE 

PROVIDER: S-EPMC10090665 | biostudies-literature | 2023

REPOSITORIES: biostudies-literature