607 results match your criteria African journal of AIDS research : AJAR[Journal]


Effect of multiple intervention models on uptake of HIV testing services and sexual behaviour among residents of military cantonments in south-east Nigeria.

Afr J AIDS Res 2019 Apr 16:1-6. Epub 2019 Apr 16.

a Department of Community Medicine , Federal Teaching Hospital Abakaliki , Nigeria.

Background: HIV testing and counselling (HTC) has been a viable tool in controlling the spread of HIV/AIDS, and serves as the entry point in the HIV care and treatment cascade. In Africa, HIV-related morbidity and mortality are high with thousands still unaware of their HIV status. This study assessed the effect of on-site multiple HIV control interventions on the uptake of HTC services, knowledge and sexual behaviour among residents of two military cantonments [barracks] in south-east Nigeria. Read More

View Article

Download full-text PDF

Source
https://www.tandfonline.com/doi/full/10.2989/16085906.2019.1
Publisher Site
http://dx.doi.org/10.2989/16085906.2019.1586738DOI Listing
April 2019
1 Read

Association between HIV/AIDS knowledge and stigma towards people living with HIV/AIDS in Botswana.

Afr J AIDS Res 2019 Mar;18(1):58-64

g Department of Social Medicine, Heritage College of Osteopathic Medicine , Ohio University , Dublin , Ohio , USA.

In Botswana, an estimated 350 000 people live with HIV/AIDS. HIV/AIDS testing rates are low, suggesting that many other people remain undiagnosed. Stigma related to HIV/AIDS is prevalent and contributes to low testing rates and under-diagnosis of the virus. Read More

View Article

Download full-text PDF

Source
https://www.tandfonline.com/doi/full/10.2989/16085906.2018.1
Publisher Site
http://dx.doi.org/10.2989/16085906.2018.1552879DOI Listing
March 2019
6 Reads

Factors associated with adherence to ARV treatment in people living with HIV/AIDS in a rural area (Koula-Moutou) in East Gabon.

Afr J AIDS Res 2019 Mar;18(1):51-57

b Laboratory of Molecular and Cellular Biology , University of Science and Technology of Masuku , Franceville , Gabon.

The goal of this study was to evaluate the impact of socio-clinical factors on adherence to antiretroviral treatment in people living with HIV/AIDS in Koula-Moutou (a rural area of Gabon). Two adherence assessment methods based on patient declaration and compliance with pharmacy visits were used to determine qualitative and quantitative aspects of adherence to antiretroviral therapy (ART). The quantitative (82. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.2989/16085906.2018.1552878DOI Listing

Informal transit, socio-spatial exclusion, and changing geographies of HIV/AIDS in urban Malawi.

Afr J AIDS Res 2019 Mar;18(1):81-88

c University of Ottawa School of Nursing , Ottawa , Canada.

The role played by the transport sector in the regional spread of HIV in sub-Saharan Africa is well known, yet attention has remained confined to entertainment hotspots and stopping places along long-distance highways and cross-border transport corridors. This paper draws attention to informal modes of transit prevalent in sub-Saharan African cities, by linking the rise of two-wheeled, manually operated bicycles, known as "Sacramento", to the potential spread of HIV and AIDS in Malawi. The findings of a qualitative study from Mzuzu city show that Sacramento operators are prone to demanding or accepting sexual favours from female commuters as payment for a ride. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.2989/16085906.2019.1575884DOI Listing

Determinants of risky sexual behaviours among adolescents in Central African Republic, Eswatini and Ghana: evidence from multi-indicator cluster surveys.

Afr J AIDS Res 2019 Mar;18(1):38-50

c Department of Geography , Western University , Ontario , Canada.

Despite the declining HIV/AIDS prevalence globally, nearly half of all new HIV infections still occur among youth, especially in sub-Saharan Africa. While determinants of risky sexual behaviour have received copious attention in the literature, we still lack multi-country studies that track regional changes in sexual risk among youth in sub-Saharan Africa. This study seeks to fill part of this gap by identifying the determinants of risky sexual behaviours among adolescents in Ghana, Central African Republic (CAR) and Eswatini (formerly Swaziland). Read More

View Article

Download full-text PDF

Source
https://www.tandfonline.com/doi/full/10.2989/16085906.2018.1
Publisher Site
http://dx.doi.org/10.2989/16085906.2018.1552600DOI Listing
March 2019
3 Reads

The influence of marital status on HIV infection in an HIV hyperendemic area of rural South Africa, 2000-2017.

Authors:
Boikhutso Tlou

Afr J AIDS Res 2019 Mar;18(1):65-71

a School of Nursing and Public Health , University of KwaZulu-Natal , Durban , South Africa.

Marital status is one of the factors whose impact on HIV infection has always been studied but contradictory findings have been reported. The drastic changes in marriage patterns in South Africa influences the role of marital status on HIV infection. This study aims to give evidence-based information on the association between marital status and HIV infection in a hyperendemic HIV area in rural South Africa. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.2989/16085906.2018.1559209DOI Listing

The feasibility of the draw-and-write technique in exploring the resilience of children orphaned by AIDS.

Afr J AIDS Res 2019 Mar;18(1):72-80

c School of Nursing and Midwifery , Edith Cowan University , Western Australia.

Worldwide, researchers routinely study children indirectly through adults who act as proxies for such children. The call for researchers to rather study children directly and adopt less intrusive child-friendly methodologies has become louder. The draw-and-write technique is regarded as a less intrusive child-friendly method of collecting data that can be used for this purpose. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.2989/16085906.2018.1556170DOI Listing

The role of support groups in linking and retaining newly diagnosed clients in HIV care in a peri-urban location in South Africa.

Afr J AIDS Res 2019 Mar;18(1):9-17

c Gender & Health Research Unit, School of Public Health , University of the Witwatersrand , Johannesburg , South Africa.

Although South Africa has the largest number of people on antiretroviral therapy (ART) in the world, many HIV clients drop out of care immediately after HIV diagnosis. This qualitative study explored the perceptions and experiences of newly diagnosed clients on the role support groups play in linking and retaining newly diagnosed clients in HIV care in Mbandazayo peri-urban location. The data were analysed using the thematic content analysis approach. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.2989/16085906.2018.1551233DOI Listing

"I don't want them to know": how stigma creates dilemmas for engagement with Treat-all HIV care for people living with HIV in Eswatini.

Afr J AIDS Res 2019 Mar 19;18(1):27-37. Epub 2019 Feb 19.

a London School of Hygiene and Tropical Medicine , London , UK.

"Treat-all" programmes aim to improve clinical outcomes and to reduce HIV transmission through regular HIV testing and immediate offer of antiretroviral therapy (ART) for those diagnosed HIV-positive, irrespective of immunological status and symptoms of disease. Global narratives on the benefits of Treat-all anticipate reduced HIV-related stigma and increased "normalisation" of HIV with Treat-all implementation, whereby HIV is remoulded as a manageable, chronic condition where stigmatising symptoms can be concealed. Drawing on Goffman's stigma work, we aimed to investigate how stigma may influence the engagement of clinically asymptomatic people living with HIV (PLHIV) with Treat-all HIV care in Shiselweni, Eswatini (formerly Swaziland). Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.2989/16085906.2018.1552163DOI Listing
March 2019
0.608 Impact Factor

HIV prevalence and related behaviours of older people in Botswana - secondary analysis of the Botswana AIDS Impact Survey (BAIS) IV.

Afr J AIDS Res 2019 Mar 19;18(1):18-26. Epub 2019 Feb 19.

a School of Public Health , University of Sydney , Sydney , Australia.

The focus of HIV interventions in Botswana, a country with the second highest prevalence of HIV in the world, remains targeted at those aged 15-49 years despite a growing cohort of older people living with the disease - driven largely by the successful roll-out of antiretroviral therapy (ART). Primarily utilising the Botswana AIDS Impact Survey IV, we set out to examine HIV related characteristics and behaviours of this often ignored older cohort (50-64 years) relative to younger (25-49 years) adults. Analysis revealed that more than 80% of older people living with HIV were on ART. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.2989/16085906.2018.1552162DOI Listing
March 2019
2 Reads

Psycho-educational and social interventions provided for orphans and vulnerable children at a community-based organisation in Soweto, South Africa.

Afr J AIDS Res 2019 Mar 22;18(1):1-8. Epub 2019 Jan 22.

a DST/NRF SARChI Chair in Education and Care in Childhood , University of Johannesburg , Johannesburg , South Africa.

This qualitative study explored the psycho-educational and social interventions provided for orphans and vulnerable children (OVC) in a community-based organisation (CBO) in Soweto, South Africa. The study involved 12 OVC (males = 40%, and females = 60%; aged 10 to 18 years). Data was collected using individual interviews, focus group discussions, and autobiographies. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.2989/16085906.2018.1548359DOI Listing

Stunted scale-up of a performance-based financing program on HIV and maternal-child health services in Mozambique - a policy analysis.

Afr J AIDS Res 2018 Dec;17(4):353-361

a ThinkWell , Maputo , Mozambique.

Objective: A performance-based financing (PBF) program was implemented for services for HIV, prevention of mother-to-child transmission (PMTCT) and maternal/child health (MCH) in two provinces of Mozambique. This study investigates the determinants of policy scale-up to help accelerate the expansion of PBF in Mozambique and globally from pilot projects to national policies.

Methods: A retrospective policy programme analysis was carried out using in-depth key informant interviews. Read More

View Article

Download full-text PDF

Source
https://www.tandfonline.com/doi/full/10.2989/16085906.2018.1
Publisher Site
http://dx.doi.org/10.2989/16085906.2018.1544574DOI Listing
December 2018
1 Read

Health and AIDS in 2019 and beyond.

Afr J AIDS Res 2018 Dec;17(4):iii-v

c Global AIDS Program , World Bank , Washington DC , USA.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.2989/16085906.2018.1550202DOI Listing
December 2018

Unpacking the practice of ukujola in contemporary South Africa: understanding informal/casual sexual relations of young African adults in the context of HIV and AIDS.

Afr J AIDS Res 2018 Dec;17(4):341-351

b DST/NRF SARChI Chair in Economic Development, School of Built Environment and Development Studies , University of KwaZulu-Natal , Durban , South Africa.

HIV and AIDS continue to pose a global health and development challenge, particularly in sub-Saharan Africa. South Africa has the largest number of people living with HIV (PLHIV) in the world. In spite of the accelerated efforts to combat the HIV and AIDS epidemic, there still remains an unabated challenge, i. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.2989/16085906.2018.1544573DOI Listing
December 2018

Cooking Data: Culture and Politics in an African Research World.

Authors:
Amanda Joynt

Afr J AIDS Res 2018 Nov 23:1-2. Epub 2018 Nov 23.

a Department of Geography and Environmental Management , University of Waterloo , Ontario , Canada.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.2989/16085906.2018.1544200DOI Listing
November 2018

Social engagement and survival in people aged 50 years and over living with HIV and without HIV in Uganda: a prospective cohort study.

Afr J AIDS Res 2018 Dec 23;17(4):333-340. Epub 2018 Nov 23.

a Medical Research Council/Uganda Virus Research Institute and London School of Hygiene and Tropical Medicine , Uganda Research Unit on AIDS , Entebbe , Uganda.

This study examined the association between social engagement and survival in people with or without HIV aged 50 years and over in Uganda. We analysed two waves of a survey from two sites in Uganda to assess predictors of mortality between waves. The first wave was conducted between 2009 and 2010 while the second wave was conducted between 2012 and 2013. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.2989/16085906.2018.1542322DOI Listing
December 2018

The relationship between social support and anxiety amongst children living with HIV in rural northern Namibia.

Afr J AIDS Res 2018 Dec 22;17(4):293-300. Epub 2018 Nov 22.

c Morgan State University , School of Social Work , Baltimore , Maryland , USA.

This study examined how HIV-related stigma and social support are related to anxiety among children living with HIV in rural northern Namibia. This is a cross-sectional exploratory study with a sample of 132 caregiver-child dyads. Our study found that higher levels of social support was correlated with lower levels of anxiety among children living with HIV, but higher levels of HIV-related stigma was not correlated with higher levels of anxiety. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.2989/16085906.2018.1534748DOI Listing
December 2018
8 Reads

Socio-demographic, marital and psychosocial predictors of safe sex behaviour among Mozambican women at risk for HIV/AIDS.

Afr J AIDS Res 2018 Dec 23;17(4):323-331. Epub 2018 Nov 23.

b School of Social Work , University of Texas at Arlington , USA.

Heterosexual encounters remain the primary route for HIV transmission in Africa. Safer sex behaviour is not adopted by many women due to several social and psychological factors. This paper aims to identify socio-demographic, marital and psychosocial predictors associated with current sexual activity and condom use in Mozambican women at sexual risk for HIV/AIDS. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.2989/16085906.2018.1536672DOI Listing
December 2018

Employees' experiences of the stigma of HIV in a retail organisation: secrecy, privacy or trust?

Authors:
Kgope P Moalusi

Afr J AIDS Res 2018 Dec 23;17(4):313-322. Epub 2018 Nov 23.

a Industrial and Organisational Psychology , University of South Africa , Pretoria , South Africa.

This study unveiled the participants' experiences of HIV-related stigma in a retail organisation located in the Western Cape province of South Africa. A qualitative approach was adopted because of its appropriateness for unravelling subjective phenomena such as employees' experiences of HIV-related stigma. In-depth interviews were conducted with 10 HIV-positive employees who volunteered to participate. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.2989/16085906.2018.1536671DOI Listing
December 2018

Multisectoral (in)action: towards effective mainstreaming of HIV in public sector departments in South Africa.

Afr J AIDS Res 2018 Dec 23;17(4):301-312. Epub 2018 Nov 23.

b School of Public Health, Faculty of Health Sciences , University of the Witwatersrand , Johannesburg , South Africa.

Whilst progress has been made, evidence of effective approaches to improve action on addressing the social and structural drivers of the HIV epidemic remains a priority, to meet the 2030 sustainable development agenda, and to achieve key HIV targets, including the 90-90-90 target and the Treatment as Prevention (TasP) intervention. With a focus on the public sector in South Africa, we critically reflect on the HIV mainstreaming approach, assessing its ability to augment multisectoral action on the response to HIV. We reflect on progress made in mainstreaming HIV in non-health sector departments, exploring factors that have enabled and hindered the process. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.2989/16085906.2018.1536069DOI Listing
December 2018
4 Reads

Courage and confidence to stop lying: caregiver perspectives on a video to support paediatric HIV disclosure in Kampala, Uganda.

Afr J AIDS Res 2018 Sep;17(3):273-279

h Institute for Collaboration on Health, Intervention and Policy , University of Connecticut , Storrs , Connecticut.

The World Health Organization (WHO) recommends that HIV-positive children are told their diagnosis by age 12 years. However, most perinatally-infected children reach adolescence without being told their HIV status. Effective strategies are needed to promote disclosure, and optimise children's health outcomes as they transition to adolescence and adulthood. Read More

View Article

Download full-text PDF

Source
https://www.tandfonline.com/doi/full/10.2989/16085906.2018.1
Publisher Site
http://dx.doi.org/10.2989/16085906.2018.1521850DOI Listing
September 2018
2 Reads
0.610 Impact Factor

Community perceptions and personal accounts of HIV discordance in rural western Kenya.

Afr J AIDS Res 2018 Sep;17(3):281-290

b Division of HIV/AIDS Prevention, Centers for Disease Control and Prevention , Atlanta , Georgia , USA.

Among HIV-discordant couples, the literature is sparse regarding issues related to stigma, relationships and coping. Objectives were to explore: 1) perceptions about discordant HIV status; 2) understanding of HIV discordancy; 3) effects of discordancy on couples; and 4) adaptation and coping strategies for discordant HIV status. A survey was administered to 202 members of heterosexual discordant couples in rural western Kenya. Read More

View Article

Download full-text PDF

Source
https://www.tandfonline.com/doi/full/10.2989/16085906.2018.1
Publisher Site
http://dx.doi.org/10.2989/16085906.2018.1521851DOI Listing
September 2018
9 Reads

"I think the parent should be there because no one was born alone": Kenyan adolescents' perspectives on parental involvement in HIV research.

Afr J AIDS Res 2018 Sep 14;17(3):227-239. Epub 2018 Oct 14.

b Pacific Institute for Research and Evaluation , Chapel Hill , USA.

Despite a pressing need for adolescent HIV research in sub-Saharan Africa, ethical guidance for conducting research among minor adolescents is lacking. One ethical issue is the degree to which parents should be involved in the research process. The existing discourse is predominantly speculative and focuses on negative consequences of parental involvement. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.2989/16085906.2018.1504805DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6420210PMC
September 2018
5 Reads
0.610 Impact Factor

Prevalence of HIV and other infections and injection behaviours among people who inject drugs in Addis Ababa, Ethiopia.

Afr J AIDS Res 2018 Sep 14;17(3):259-264. Epub 2018 Oct 14.

a Ethiopian Public Health Institute , Addis Ababa , Ethiopia.

Background: Ethiopia is one of the sub-Saharan African countries most affected by HIV/AIDS. However, the country lacks data describing the extent of the epidemic among people who inject drugs (PWID). Thus, a bio-behavioural study was conducted in 2015 to generate strategic information on the magnitude of HIV, hepatitis B virus (HBV), hepatitis C virus (HCV), syphilis and related risk behaviours among PWID in Addis Ababa. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.2989/16085906.2018.1511604DOI Listing
September 2018
5 Reads

Mother-baby dyads enrolled in PMTCT care in western Kenya: characteristics and implications for ART programmes.

Afr J AIDS Res 2018 Sep 14;17(3):241-247. Epub 2018 Oct 14.

b Academic Model Providing Access to Health Care (AMPATH)-USAID , Eldoret , Kenya.

The objective of the study was to establish the mother-baby pair characteristics that contribute to vertical transmission of HIV and elucidate on remediation. We assessed for factors increasing the odds of HIV transmission in children born to HIV-infected mothers in western Kenya. We used a retrospective study which reviewed routinely collected data of 1 028 mother-baby pairs enrolled in a prevention of mother-to-child transmission (PMTCT) programme in western Kenya from January to December 2015. Read More

View Article

Download full-text PDF

Source
https://www.tandfonline.com/doi/full/10.2989/16085906.2018.1
Publisher Site
http://dx.doi.org/10.2989/16085906.2018.1508044DOI Listing
September 2018
3 Reads

Tablet-based disclosure counselling for HIV-infected children, adolescents, and their caregivers: a pilot study.

Afr J AIDS Res 2018 Sep 14;17(3):249-258. Epub 2018 Oct 14.

a Indiana University School of Medicine , Indianapolis , Indiana , USA.

Background: Overwhelmed, under-trained medical staff working in resource-limited settings need efficient resources for HIV disclosure counselling. The objective of this study was to describe providers' experiences using tablet computers for disclosure-related counselling with HIV-infected children and their caregivers in western Kenya, with additional perspectives from adolescents.

Methods: A qualitative study design was implemented at three HIV clinics in western Kenya (Bumala, Busia and Port Victoria) within the Academic Model Providing Access to Healthcare (AMPATH) partnership. Read More

View Article

Download full-text PDF

Source
https://www.tandfonline.com/doi/full/10.2989/16085906.2018.1
Publisher Site
http://dx.doi.org/10.2989/16085906.2018.1509101DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6376488PMC
September 2018
13 Reads

An assessment of antiretroviral drug initiation to pregnant women of unknown HIV status during labour and delivery in Cameroon.

Afr J AIDS Res 2018 Sep 14;17(3):265-271. Epub 2018 Oct 14.

i Department of Family Health, Ministry of Public Health , Yaoundé , Cameroon.

Background: Evidence from previous research has shown that antiretroviral (ARV) drug initiation to seropositive pregnant women could significantly contribute to eliminating new paediatric infections even when started during labour and delivery. This study therefore seeks to assess missed opportunities for ARV initiation during this critical period of pregnancy to improve outcomes of the prevention of mother-to-child transmission (PMTCT) programmes in Cameroon.

Methods: A retrospective study was conducted on the 2014 PMTCT data for labour and delivery among pregnant women of unknown HIV status within health facilities in six regions of Cameroon (428 eligible facilities). Read More

View Article

Download full-text PDF

Source
https://www.tandfonline.com/doi/full/10.2989/16085906.2018.1
Publisher Site
http://dx.doi.org/10.2989/16085906.2018.1515780DOI Listing
September 2018
4 Reads

"Treatment is not yet necessary": delays in seeking access to HIV treatment in Uganda and Zimbabwe.

Afr J AIDS Res 2018 Sep 22;17(3):217-225. Epub 2018 Aug 22.

a Medical Research Council/Uganda Virus Research Institute and London School of Hygiene & Tropical Medicine (MRC/UVRI and LSHTM) , Uganda Research Unit , Entebbe , Uganda.

We examined the logic that individuals use to account for delaying HIV testing and/or initiating HIV treatment. Our qualitative study, situated within the REALITY trial (Reduction of EArly mortaLITY in HIV infected adults and children starting antiretroviral therapy), was conducted in Uganda and Zimbabwe in 2015. Forty-eight participants (different age groups, sex and viral load/WHO disease stage) were included. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.2989/16085906.2018.1490785DOI Listing
September 2018
2 Reads

Poverty as a barrier to antiretroviral therapy access for people living with HIV/AIDS in Kenya.

Afr J AIDS Res 2018 Jul;17(2):145-152

b UNAIDS , Gaborone , Botswana.

Understanding barriers to access to essential health services is critical for devising effective strategies to improve access and align such strategies with national health and development policy objectives. However, while considerable empirical evidence exists on correlates of HIV prevalence and populations at risk of contracting HIV, there is very little such evidence on access to antiretroviral therapy. This paper addresses this gap through a cross-sectional analysis of coverage of antiretroviral therapy and its correlates across 47 counties in Kenya. Read More

View Article

Download full-text PDF

Source
https://www.tandfonline.com/doi/full/10.2989/16085906.2018.1
Publisher Site
http://dx.doi.org/10.2989/16085906.2018.1475401DOI Listing
July 2018
16 Reads

Provider understandings of and attitudes towards integration: Implementing an HIV and sexual and reproductive health service integration model, South Africa.

Afr J AIDS Res 2018 Jul;17(2):183-192

a MatCH Research Unit (MRU), Department of Obstetrics and Gynaecology, Faculty of Health Sciences , University of the Witwatersrand , Durban , South Africa.

In South Africa, a lack of integration between sexual and reproductive health (SRH) and HIV services has led to lost opportunities in the treatment cascade. In a context of high HIV, tuberculosis (TB) and unplanned pregnancies, a model for integrating SRH and HIV services was implemented in a hospital and six feeder clinics in KwaZulu-Natal, South Africa. Changes in healthcare provider knowledge, attitudes and understandings were explored following model implementation. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.2989/16085906.2018.1478314DOI Listing
July 2018
10 Reads

Physical activity, social support and socio-economic status amongst persons living with HIV and AIDS: a review.

Afr J AIDS Res 2018 Jul;17(2):203-212

a Department of Sport Recreation and Exercise Science , University of the Western Cape , Bellville , South Africa.

Physical activity can be used for the effective and comprehensive management of HIV and AIDS. Social support and socio-economic status (SES) are two factors that shape physical activity behaviours. Individuals of low SES carry a disproportionate burden of the HIV and AIDS epidemic. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.2989/16085906.2018.1475400DOI Listing

A critical participatory pedagogical approach to enabling life orientation students to develop social literacy through HIV education.

Afr J AIDS Res 2018 Jul;17(2):153-162

b COMBER, Faculty of Education Sciences , North-West University , Potchefstroom , South Africa.

HIV education is an important component of the life orientation curriculum, since an intersectional understanding of HIV provides an entry point to appreciate the interrelatedness of various social injustices. Yet, our interaction with predominantly white and privileged pre-service life orientation students led us to believe that they did not perceive HIV education as something that was relevant to their personal or professional lives. Their rigid, stigmatising belief systems and "othering" attitudes prevented them from embodying the inclusive and life-enhancing values that life orientation is supposed to develop. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.2989/16085906.2018.1478311DOI Listing
July 2018
1 Read

"Bringing back hope": how faith-based responses to HIV and AIDS differ from secular responses.

Authors:
Deborah Simpson

Afr J AIDS Res 2018 Jul;17(2):175-182

a Centre for the Study of Democracy , University of Johannesburg , Johannesburg , South Africa.

This article investigates an assertion by faith-based organisations (FBO) that spirituality is the defining feature of their HIV and AIDS interventions. It is based on interviews with 24 people working on the issue of HIV and AIDS in churches or church organisations in Johannesburg, Rustenburg, Pretoria, Durban, Pietermaritzburg, and Cape Town. The article critically assesses the perceived difference between faith-based responses to HIV and AIDS and secular responses, including government programmes, in relation to the research literature on spirituality. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.2989/16085906.2018.1478313DOI Listing
July 2018
20 Reads

Promoting mental health of students living with HIV using appreciative inquiry.

Afr J AIDS Res 2018 Jul;17(2):163-174

a Department of Educational Psychology , University of Johannesburg , Johannesburg , South Africa.

Living with HIV poses many challenges. This is especially true for students living with HIV (SLHIV) within a university setting. The challenges faced by SLHIV makes it difficult for them to see new possibilities in living with the virus. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.2989/16085906.2018.1478312DOI Listing
July 2018
19 Reads

Barriers to antiretroviral therapy initiation for HIV-positive children aged 2-18 months in Swaziland.

Afr J AIDS Res 2018 Jul;17(2):193-202

g President Emergency Plan for AIDS Relief (PEPFAR) , Mbabane , Swaziland.

Although early antiretroviral therapy (ART) reduces HIV-related mortality in children by up to 75%, almost half of HIV-positive children younger than 1 year old in Swaziland do not initiate ART. This study was conducted to identify barriers to early ART initiation among HIV-positive infants. This was a case-control study among HIV-positive infants, aged 2 to 18 months, who either did not initiate ART (cases), or initiated ART (controls), during 18 months after testing. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.2989/16085906.2018.1488266DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6186401PMC
July 2018
7 Reads

Programmatic mapping to determine the size and dynamics of sex work and injecting drug use in Mauritius.

Afr J AIDS Res 2018 Jul 10;17(2):129-136. Epub 2018 May 10.

b Centre for Global Public Health , University of Manitoba , Canada.

HIV in Mauritius is in a concentrated phase. Most HIV infection is among key populations (KPs) including female sex workers (FSW), people who inject drugs (PWID), men who have sex with men (MSM), and transgender sex workers (TGSW). The objective of this research was to use geographical mapping to determine the precise locations, typologies and population estimates of each KP in Mauritius. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.2989/16085906.2018.1462216DOI Listing
July 2018
1 Read

Healthcare providers' understanding of HIV serodiscordance in South Africa and Uganda: implications for HIV prevention in sub-Saharan Africa.

Afr J AIDS Res 2018 Jul 10;17(2):137-144. Epub 2018 May 10.

d Massachusetts General Hospital, Center for Global Health and Division of Infectious Disease , Boston , Massachusetts , USA.

HIV transmission within stable heterosexual HIV serodiscordant couples accounts for almost half the new incident infections in South Africa and Uganda. Advances in HIV prevention provide opportunities to reduce transmission risk within serodiscordant partnerships (e.g. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.2989/16085906.2018.1462217DOI Listing
July 2018
10 Reads

Late entry to HIV and AIDS care and treatment, Juba Teaching Hospital, Juba, South Sudan, 2013-2016.

Afr J AIDS Res 2018 Jul 10;17(2):213-216. Epub 2018 May 10.

b Field Epidemiology and Laboratory Training Program , Nairobi , Kenya.

Late diagnosis of HIV and enrolment to care are global public health challenges. This study aimed to characterise late HIV diagnoses and initiation of treatment among patients at Juba Teaching Hospital (JTH) in South Sudan. We conducted a retrospective review of lab-confirmed HIV patients at JTH, 2013-2016. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.2989/16085906.2018.1467473DOI Listing
July 2018
3 Reads

Psychosocial characteristics of primary care-seeking long-distance truck drivers in Kenya and associations with HIV testing.

Afr J AIDS Res 2018 Jul 24;17(2):119-128. Epub 2018 Apr 24.

a Department of Epidemiology and Biostatistics & Institute for Implementation Science in Population Health, CUNY Graduate School of Public Health and Health Policy , City University of New York , New York , USA.

The 90-90-90 strategy from the Joint United Nations Programme on HIV/AIDS (UNAIDS) to end the AIDS epidemic by 2020 includes, as its first goal, to have 90% of all people living with HIV to know their status. Achieving this goal will depend on effectively reaching high risk populations, which include mobile populations such as truck drivers. This study aimed to characterise a sample of 305 truck drivers recruited from 2 roadside wellness clinics in Kenya in terms of anticipated HIV stigma, self-efficacy, fatalism, gender equity, sensation seeking, and self-esteem, and then determine the association of these psychosocial characteristics with HIV testing behaviour. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.2989/16085906.2018.1449760DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6085082PMC
July 2018
9 Reads

Perceived HIV-related stigma among university students in South Africa: implications for HIV testing.

Afr J AIDS Res 2018 Jul 18;17(2):109-118. Epub 2018 Apr 18.

c Centre for the AIDS Programme of Research in South Africa (CAPRISA), Nelson R Mandela School of Medicine, University of KwaZulu-Natal , Durban , South Africa.

HIV-related stigma, and particularly perceived stigma, has a negative impact across the HIV care continuum. This study adds to our understanding of stigma by assessing how perceived stigma varies from one context to another and how such differences are associated with the location where individuals would prefer an HIV test. We used self-administered questionnaire data (n = 378) obtained from a convenience sample of students (18 years and older) attending a tertiary education institution in Durban, South Africa. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.2989/16085906.2018.1439512DOI Listing

Effects of exposure to an intensive HIV-prevention programme on behavioural changes among female sex workers in Nairobi, Kenya.

Afr J AIDS Res 2018 Jul 8;17(2):99-108. Epub 2018 Mar 8.

b Department of Community Health Sciences , University of Manitoba (UoM) , Winnipeg , Canada.

While Kenya has had a long-standing national HIV-prevention programme, evidence on the level of exposure to its interventions and related effects on behavioural changes among female sex workers (FSWs) is limited. Using cross-sectional behavioural data collected in 2013 from 1 357 FSWs aged 18 years and above in Nairobi, Kenya, this study explores the relationship between FSW programme exposure levels and behavioural outcomes including condom use, sexually transmitted infection (STI)-treatment, and empowerment measures like disclosure of self-identity and violence reporting. We categorised programme exposure levels as none, moderate and intensive. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.2989/16085906.2017.1377268DOI Listing
July 2018
26 Reads

Community perceptions of the socio-economic structural context influencing HIV and TB risk, prevention and treatment in a high prevalence area in the era of antiretroviral therapy.

Afr J AIDS Res 2018 Mar;17(1):72-81

b Africa Health Research Institute, School of Nursing and Public Health , University of KwaZulu-Natal , Durban , South Africa.

Following calls for targeted HIV prevention interventions in so-called "hotspots", we explored subjective perceptions of community members in places considered to be high HIV and tuberculosis (TB) transmission areas and those with low prevalence. Although more people now have access to antiretroviral therapy (ART), some areas are still experiencing high HIV transmission rates, presenting a barrier to the elimination of HIV. A rapid qualitative assessment approach was used to access a sample of 230 people who contributed narratives of their experiences and perceptions of transmission, treatment and prevention of HIV and TB in their communities. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.2989/16085906.2017.1415214DOI Listing

The role of children in their HIV-positive parents' management of antiretroviral therapy in Uganda.

Afr J AIDS Res 2018 Mar;17(1):37-46

a Medical Research Council/Uganda Virus Research Institute , Uganda Research Unit of AIDS , Entebbe , Uganda.

Adjustment to life on antiretroviral therapy (ART) and living with HIV as a long-term chronic condition, pose significant medical, social and economic challenges. We investigated children's role in supporting HIV-positive parents to self-manage life on ART. Between 2010 and 2012, we conducted a qualitative study using semi-structured interviews with 38 HIV-positive parents who had been on ART for over a year. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.2989/16085906.2017.1394332DOI Listing
March 2018
2 Reads

Estimating risk factors for HIV infection among women in Mozambique using population-based survey data.

Afr J AIDS Res 2018 Mar;17(1):62-71

d Instituto de Higiene e Medicina Tropical , Universidade Nova de Lisboa , Lisbon , Portugal.

The use of population-based survey data together with sound statistical methods can enhance better estimation of HIV risk factors and explain variations across subgroups of the population. The distribution and determinants of HIV infection in populations must be taken into consideration. We analysed data from the HIV Prevalence and Behaviour Survey in Mozambique aiming to find risk factors associated with HIV infection among Mozambican women. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.2989/16085906.2017.1405824DOI Listing
March 2018
3 Reads

The role of community health workers in supporting South Africa's HIV/ AIDS treatment programme.

Afr J AIDS Res 2018 Mar;17(1):54-61

a Development Studies , University of KwaZulu-Natal , Durban , South Africa.

Community health workers deployed around South Africa's primary health care clinics, supply indispensable support for the world's largest HIV/AIDS treatment programme. Interviews with these workers illuminated the contribution they make to anti-retroviral treatment (ART) of HIV/AIDS patients and the motivations that sustain their engagement. Their testimony highlights points of stress in the programme and supplies insights into the quality of its implementation. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.2989/16085906.2017.1402793DOI Listing

Managing HIV-positive sero-status in Ghana's most HIV concentrated district: self-perceived explanations and theoretical discourse.

Afr J AIDS Res 2018 Mar;17(1):82-90

b Department of Family and Population Health, School of Public Health , University of Ghana , Legon , Ghana.

As of December 2015 there were 37 million persons living with HIV/AIDS (PLWHAs), 70% of whom are in sub-Saharan Africa. Ghana, which contributes a relatively small number to Africa's HIV burden, has a generalised HIV epidemic. The current national prevalence is 1. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.2989/16085906.2017.1419268DOI Listing

Teenage pregnancies in Mozambique: the experience of "Servicios Amigos dos Adolescentes" clinics in Beira.

Afr J AIDS Res 2018 Mar;17(1):32-36

e Section of Thoracic Surgery , University of Bari , Italy.

The purpose of this article is to provide insights into the demand for pregnancy-related health services by adolescent girls and young women in Mozambique. We analysed the patient registers for the first year of operation (2014) of the Servicios Amigos dos Adolescentes (SAAJ) [Friendly Services for Adolescents] clinics in Beira, Mozambique. These registers provide details of the service demands of, and services provided to the 8 290 adolescent girls and young women who accessed the 6 SAAJ clinics in 2014. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.2989/16085906.2017.1405825DOI Listing
March 2018
5 Reads

Structural barriers to South African volunteer home-based caregivers providing quality care: the need for a policy for caregivers not affiliated to primary healthcare clinics.

Afr J AIDS Res 2018 Mar;17(1):47-53

c Department of Sociology and Anthropology , Nelson Mandela University , Port Elizabeth , South Africa.

Community home-based care (CHBC) is a critical component of non-formal care in communities in Africa that have a high prevalence of HIV and tuberculosis (TB). Community carers consisting primarily of volunteers are critical role players in African healthcare systems and particularly in South Africa's strategy to fight HIV and AIDS. This paper explores the structural barriers volunteer caregivers need to overcome to provide quality CHBC. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.2989/16085906.2017.1397719DOI Listing

Erratum.

Authors:

Afr J AIDS Res 2018 03 23;17(1):97. Epub 2018 Feb 23.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.2989/16085906.2017.1406647DOI Listing

Incursions from the epicentre: Southern theory, social science, and the global HIV research domain.

Afr J AIDS Res 2018 Mar 22;17(1):22-31. Epub 2018 Feb 22.

b Office of the Vice-Chancellor , University of Cape Town , Rondebosch , Cape Town , South Africa.

Research about HIV constitutes a global domain of academic knowledge. The patterns that structure this domain reflect inequalities in the production and dissemination of knowledge, as well as broader inequalities in geopolitics. Conventional metrics for assessing the value and impact of academic research reveal that "Northern" research remains dominant, while "Southern" research remains peripheral. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.2989/16085906.2017.1377267DOI Listing