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


"I'm doing this test so I can benefit from PrEP": exploring HIV testing barriers/facilitators and implementation of pre-exposure prophylaxis among South African adolescents.

Afr J AIDS Res 2020 Apr 24:1-8. Epub 2020 Apr 24.

Department of Behavioral and Social Sciences, Brown University School of Public Health, Providence, Rhode Island, USA.

In South Africa, adolescents are a key population in the HIV epidemic that can benefit from increased access to oral pre-exposure prophylaxis (PrEP). HIV testing is an integral component of the PrEP care continuum but adolescents in South Africa have generally low HIV testing rates; therefore, adolescents' HIV testing attitudes and behaviours must be understood to develop strategies for effective PrEP implementation. Ten focus groups were conducted with adolescents living with HIV and HIV-uninfected adolescents ( = 55), and in-depth interviews were conducted with service providers ( = 25), adolescents living with HIV ( = 10) and HIV-uninfected adolescents ( = 25). Read More

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http://dx.doi.org/10.2989/16085906.2020.1743726DOI Listing

Addressing community-level stigma toward key populations: communication insights from action research in Ghana.

Afr J AIDS Res 2020 Apr 22:1-8. Epub 2020 Apr 22.

Communicate for Health, FHI 360, Accra, Ghana.

Global HIV response emphasises improving the uptake of HIV testing, providing access to antiretroviral therapy and sustaining viral suppression with a view to curtailing the pandemic by 2030. Stigma and discrimination impede this response by limiting engagement with the HIV continuum among sub-populations such as men who have sex with men (MSM) and female sex workers (FSW). Stigma reduction strategies that explore community-level solutions and barriers to care for these key populations are under-explored. Read More

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http://dx.doi.org/10.2989/16085906.2020.1743727DOI Listing
April 2020
0.608 Impact Factor

Male partners' influence on women's acceptance and use of PrEP products across two high HIV-burdened districts in South Africa.

Afr J AIDS Res 2020 Apr 22:1-8. Epub 2020 Apr 22.

Centre for Communication, Media and Society, University of KwaZulu-Natal, Durban, South Africa.

The demonstrated efficacy of pre-exposure prophylaxis (PrEP) has brought hope of controlling the epidemic among women with limited HIV preventation options. Several studies have demonstrated the importance of male partner involvement in female sexual and reproductive health but there is limited research on male involvement in the adoption of HIV prevention methods among women. Using a culture-centred approach, this article discusses perceptions of female-initiated HIV prevention methods among men and women. Read More

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http://dx.doi.org/10.2989/16085906.2020.1727932DOI Listing

Editorial: Managing the march of COVID-19: lessons from the HIV and AIDS epidemic.

Afr J AIDS Res 2020 Apr 1:1-4. Epub 2020 Apr 1.

NISC (Pty) Ltd, Makhanda, South Africa.

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http://dx.doi.org/10.2989/16085906.2020.1749792DOI Listing

Intervention targets for people living with HIV and depressive symptoms in Botswana.

Afr J AIDS Res 2020 Mar;19(1):80-88

Psychology Department, University of Botswana, Gaborone, Botswana.

The prevalence of HIV in Botswana is high. Many people living with HIV (PLWH) suffer from depressive symptoms and have inadequate coping skills. Most PLWH do not receive adequate psychological treatment. Read More

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http://dx.doi.org/10.2989/16085906.2020.1727933DOI Listing

Resilience and pathways to wellness among HIV-positive patients in Ghana: a qualitative study.

Afr J AIDS Res 2020 Mar;19(1):69-79

Brown University Schools of Public Health, Providence, Rhode Island, USA.

Few African studies have focused on resilience factors related to engagement in HIV-related care among people living with HIV; instead, many studies have identified health risk factors and barriers within this population. Informed by the Disability-Stress-Coping Model of Adjustment, a qualitative study was conducted to develop a better understanding of psychosocial factors that can promote positive behaviours and subjective wellness for people living with HIV in Accra, Ghana. Thirty patients from the two largest HIV clinics in Accra participated in in-depth individual interviews. Read More

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http://dx.doi.org/10.2989/16085906.2019.1686034DOI Listing

Healthcare workers' perspectives on availability and accessibility of the prevention of mother-to-child-transmission programme in North West province, South Africa.

Authors:
Debbie Habedi

Afr J AIDS Res 2020 Mar;19(1):24-33

Department of Health Studies, University of South Africa, Pretoria, South Africa.

: Despite the availability of prevention of mother-to-child transmission (PMTCT) of human immunodeficiency virus (HIV) services, many factors and reasons prevent mothers from accessing these services. HIV prevalence is still high among South African women of reproductive age and mother-to-child-transmission (MTCT) is a concern. This study ascertained the perspectives of healthcare workers regarding availability and accessibility of the PMTCT programme. Read More

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http://dx.doi.org/10.2989/16085906.2019.1676803DOI Listing

A community-based HIV counselling and testing programme found a decreasing proportion of new HIV testers in South Africa.

Afr J AIDS Res 2020 Mar;19(1):34-39

Foundation for Professional Development, Pretoria, South Africa.

This article assesses the history of HIV testing among community-based HIV counselling and testing (CBCT) clients between 2014 and 2018 in 13 South African districts. Consenting clients were tested for HIV and interviewed to categorise as first-time testers or repeat testers. Of the 1 800 753 clients tested for HIV, 15. Read More

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http://dx.doi.org/10.2989/16085906.2019.1676804DOI Listing

Barriers to HIV testing uptake among men in sub-Saharan Africa: a scoping review.

Afr J AIDS Res 2020 Mar 15;19(1):13-23. Epub 2020 Mar 15.

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

HIV testing among men remains low globally and in sub-Saharan Africa (SSA) in particular, when compared with their female counterparts. The aim of this study was to synthesise evidence on barriers to HIV testing among men in SSA using a scoping review method. A scoping review was conducted, guided by Arksey and O'Malley's framework. Read More

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http://dx.doi.org/10.2989/16085906.2020.1725071DOI Listing

"Left behind": why implementing migration-aware responses to HIV for migrant farm workers is a priority for South Africa.

Afr J AIDS Res 2020 Mar 10;19(1):57-68. Epub 2020 Mar 10.

The African Centre for Migration & Society, University of the Witwatersrand, Johannesburg, South Africa.

Like many other countries, South Africa (SA) has committed to the Sustainable Development Goals that aim to "leave no-one behind", in efforts towards universal health coverage, and meeting the UNAIDS 90-90-90 targets through the implementation of universal test and treat (UTT) interventions. SA is associated with high levels of international and internal migration that, in certain contexts, are known to (1) increase the risk of acquiring HIV and (2) present challenges to HIV treatment access and continuity. Despite this, migration and mobility are not adequately considered in responses to HIV. Read More

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http://dx.doi.org/10.2989/16085906.2019.1698624DOI Listing

Maternal HIV status disclosure to young uninfected children: psychological variables of the mother.

Afr J AIDS Res 2020 Mar 10;19(1):48-56. Epub 2020 Mar 10.

Department of Psychology, University of Pretoria, South Africa.

Mothers living with HIV are faced with the dilemma of when and how to disclose their HIV-positive status to their young uninfected children. In this study, a South African sample of mothers living with HIV, with young uninfected children (6-10 years) in the city of Tshwane was studied. In the sample of 406 mothers, 11. Read More

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http://dx.doi.org/10.2989/16085906.2019.1681481DOI Listing

Long-term outcomes in perinatally HIV-infected adolescents and young adults on antiretroviral therapy: a review of South African and global literature.

Afr J AIDS Res 2020 Mar 2;19(1):1-12. Epub 2020 Mar 2.

School of Public Health and Family Medicine, University of Cape Town, Cape Town, South Africa.

Paediatric antiretroviral programmes have been implemented globally for more than a decade, yet information on long-term treatment outcomes in perinatally HIV-infected adolescents is limited. Published literature on long-term treatment outcomes was reviewed, including virologic, immunologic and growth outcomes, as well as drug resistance and factors associated with drug resistance. Outcomes were compared between high-income countries and low- and middle-income countries (LMIC), with additional focus on South Africa, the country with the biggest HIV epidemic in the world and the largest treatment programme. Read More

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http://dx.doi.org/10.2989/16085906.2019.1676802DOI Listing

Levels and determinants of HIV testing uptake among Ghanaian men.

Afr J AIDS Res 2020 Mar 20;19(1):40-47. Epub 2020 Feb 20.

Department of Demography, College of Public Policy, The University of Texas at San Antonio, San Antonio, Texas, USA.

The uptake of HIV testing has always been found to be lower among men compared with women in many developing countries. The aim of this study was to ascertain the level and determinants of HIV testing uptake among men aged 15 to 59 in Ghana. This article was based on data from the 2003, 2008 and 2014 Ghana Demographic and Health Surveys. Read More

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http://dx.doi.org/10.2989/16085906.2019.1679851DOI Listing

Editorial - A sustainable AIDS response: results in the era of shrinking donor funding.

Afr J AIDS Res 2019 12;18(4):iii-iv

Joint United Nations Programme on HIV/AIDS (UNAIDS).

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http://dx.doi.org/10.2989/16085906.2019.1698215DOI Listing
December 2019

HIV treatment support services in Tanzania: a cost and efficiency analysis at facility and community levels.

Afr J AIDS Res 2019 Dec;18(4):306-314

Palladium Group Inc., Washington DC, United States of America.

Differentiated service delivery models provide an opportunity to reduce the cost of HIV treatment while increasing the focus on advanced patients. Also, stable patients who need less attention can visit facilities less frequently, saving time and money and reducing overcrowding. Tanzania needs treatment support services that can improve the quality of life, ensure adherence and result in viral suppression. Read More

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http://dx.doi.org/10.2989/16085906.2019.1676805DOI Listing
December 2019
5 Reads

A meta-analysis approach for estimating average unit costs for ART using pooled facility-level primary data from African countries.

Afr J AIDS Res 2019 Dec;18(4):297-305

National Institute of Public Health, Cuernavaca, Mexico.

To estimate facility-level average cost for ART services and explore unit cost variations using pooled facility-level cost estimates from four HIV empirical cost studies conducted in five African countries . Through a literature search we identified studies reporting facility-level costs for ART programmes. We requested the underlying data and standardised the disparate data sources to make them comparable. Read More

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http://dx.doi.org/10.2989/16085906.2019.1688362DOI Listing
December 2019

HIV testing preferences among pregnant women attending antenatal care and their male partners: a discrete choice experiment in Uganda.

Afr J AIDS Res 2019 Dec;18(4):332-340

Health Economics and HIV and AIDS Research Division, University of KwaZulu-Natal, Durban, South Africa.

HIV testing rates remain stubbornly low among men - a crucial target population for reaching the ambitious global and regional goals of the HIV programme. In an era of declining donor funding, identifying cost-effective strategies to increase testing rates amongst men remains paramount. Antenatal care is an effective entry-point for the delivery of HIV testing services for women, and partner testing presents an important opportunity to reach their male partners. Read More

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http://dx.doi.org/10.2989/16085906.2019.1686032DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6890225PMC
December 2019

Planning and sustaining HIV response in the countries of the "risky middle".

Afr J AIDS Res 2019 Dec;18(4):360-369

Health Economics, UNAIDS, Geneva, Switzerland.

This paper focusses on high-HIV middle-income countries termed the "risky middle", i.e. characterised by a typology based on HIV burden and gross national income (GNI), according to which seven countries - Lesotho, Eswatini, Kenya, Zimbabwe, Tanzania, Namibia and Zambia - are identified. Read More

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http://dx.doi.org/10.2989/16085906.2019.1681482DOI Listing
December 2019

Using information on ART costs and benefits to mobilise resources - comparing different methods and contexts.

Authors:
Anthony Kinghorn

Afr J AIDS Res 2019 Dec;18(4):289-296

Perinatal HIV Research Unit, University of the Witwatersrand, Soweto, South Africa.

Sustaining HIV and AIDS responses depends on a mix of donor, government and private funders. Their decisions about investing in HIV treatment may be informed by various types of economic evaluations, which may be more or less useful for different contexts. This paper benchmarks methods against each other. Read More

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http://dx.doi.org/10.2989/16085906.2019.1688363DOI Listing
December 2019

It's politics, stupid! A political analysis of the HIV/AIDS Trust Fund in Uganda.

Afr J AIDS Res 2019 Dec;18(4):370-381

Institute for Global Health, University College London, London, United Kingdom.

The role of trust funds in the practice of and the policy discourse on the sustainable financing for health and HIV is growing. However, there is a paucity of political analyses on implementing trust fund arrangements. Drawing on a novel meta-framework - connecting multiple streams and advocacy coalition frameworks to policy cycle models of analysis - to politically analyse HIV financing policy design, adoption and implementation as well as insights from public finance literature, this article critically analyses the politics of the AIDS Trust Fund (ATF) in Uganda. Read More

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http://dx.doi.org/10.2989/16085906.2019.1689148DOI Listing
December 2019

Which delivery model innovations can support sustainable HIV treatment?

Afr J AIDS Res 2019 Dec;18(4):315-323

Institute of Global Health, University of Heidelberg, Germany.

The rapid scale-up of antiretroviral treatment (ART) for HIV since the mid-2000s, mostly through disease-specific or "vertical" programmes, has been a highly successful undertaking, which averted millions of deaths and prevented many new infections. However, the dynamics of the HIV epidemic and changing political and financial commitment to fight the disease will likely require new models for the delivery of ART over the coming decades if the promises of universal treatment are to be met. Delivery model innovations for ART are intended to improve both the effectiveness and efficiency of the HIV treatment cascade, reaching new people who require ART and providing ART to more people without an increase in resources. Read More

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http://dx.doi.org/10.2989/16085906.2019.1686033DOI Listing
December 2019
4 Reads

Developing the Global Health Cost Consortium Unit Cost Study Repository for HIV and TB: methodology and lessons learned.

Afr J AIDS Res 2019 Dec;18(4):263-276

Philip R Lee Institute for Health Policy Studies, University of California San Francisco, San Francisco, USA.

Consistently defined, accurate, and easily accessible cost data are a valuable resource to inform efficiency analyses, budget preparation, and sustainability planning in global health. The Global Health Cost Consortium (GHCC) designed the Unit Cost Study Repository (UCSR) to be a resource for standardised HIV and TB intervention cost data displayed by key characteristics such as intervention type, country, and target population. To develop the UCSR, the GHCC defined a typology of interventions for each disease; aligned interventions according to the standardised principles, methods, and cost and activity categories from the GHCC Reference Case for Estimating the Costs of Global Health Services and Interventions; completed a systematic literature review; conducted extensive data extraction; performed quality assurance; grappled with complex methodological issues such as the proper approach to the inflation and conversion of costs; developed and implemented a study quality rating system; and designed a web-based user interface that flexibly displays large amounts of data in a user-friendly way. Read More

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http://dx.doi.org/10.2989/16085906.2019.1680398DOI Listing
December 2019

The costs of home-based HIV testing and counselling in sub-Saharan Africa and its association with testing yield: a literature review.

Authors:
Katharina Hauck

Afr J AIDS Res 2019 Dec;18(4):324-331

Abdul Latif Jameel Institute for Disease and Emergency Analytics, MRC Centre for Global Infectious Disease Analysis, Department of Infectious Disease Epidemiology, School of Public Health, Imperial College London, London, UK.

More than 14.5 of the 36.7 million people living with HIV globally do not know their HIV status, making comprehensive testing interventions a critical step in ending the HIV/AIDS epidemic. Read More

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http://dx.doi.org/10.2989/16085906.2019.1680399DOI Listing
December 2019

The future of HIV and AIDS - a persistent priority.

Authors:
Alison Reiszadeh

Afr J AIDS Res 2019 12;18(4):382-383

Balsillie School of International Affairs, Waterloo, Canada.

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http://dx.doi.org/10.2989/16085906.2019.1680400DOI Listing
December 2019

The state of costing research for HIV interventions in sub-Saharan Africa.

Afr J AIDS Res 2019 Dec;18(4):277-288

Institute for Health Policy Studies, University of California San Francisco, USA.

The past decade has seen a growing emphasis on the production of high-quality costing data to improve the efficiency and cost-effectiveness of global health interventions. The need for such data is especially important for decision making and priority setting across HIV services from prevention and testing to treatment and care. To help address this critical need, the Global Health Cost Consortium was created in 2016, in part to conduct a systematic search and screening of the costing literature for HIV and TB interventions in low- and middle-income countries (LMIC). Read More

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http://dx.doi.org/10.2989/16085906.2019.1679200DOI Listing
December 2019

Smart cascades: using cost analysis to improve HIV care and treatment interventions to achieve global 95-95-95 goals.

Afr J AIDS Res 2019 Dec;18(4):350-359

Health Policy Plus Project (HP+), Palladium, Washington, USA.

HIV programmes are achieving significant scale, even as external financing plateaus. Maximising achievement from identification to viral suppression is key to epidemic control and reaching global 95-95-95 goals. Cost and technical efficiency analyses can help programs understand why losses occur along the cascade, which tactics prevent losses, and additional investments required for cost-efficient solutions. Read More

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http://dx.doi.org/10.2989/16085906.2019.1679201DOI Listing
December 2019

Meta-analysis of average costs of HIV testing and counselling and voluntary medical male circumcision across thirteen countries.

Afr J AIDS Res 2019 Dec;18(4):341-349

Center for Health Systems Research, National Institute of Public Health, Cuernavaca, Mexico.

Explore facility-level average costs per client of HIV testing and counselling (HTC) and voluntary medical male circumcision (VMMC) services in 13 countries. Through a literature search we identified studies that reported facility-level costs of HTC or VMMC programmes. We requested the primary data from authors and standardised the disparate data sources to make them comparable. Read More

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http://dx.doi.org/10.2989/16085906.2019.1679850DOI Listing
December 2019

The relevance of the content of an HIV and AIDS social intervention programme for the youth in the Northern Cape, South Africa.

Afr J AIDS Res 2019 Sep;18(3):234-243

Department of Social Work and Criminology, University of Pretoria , Pretoria , South Africa.

The numbers of people infected with HIV and living with AIDS remain high in South Africa. The youth of the Northern Cape province in South Africa are a vulnerable population in this regard. However, there seems to be a dearth of rigorous evaluations of HIV and AIDS social intervention programmes targeted at the youth. Read More

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http://dx.doi.org/10.2989/16085906.2019.1655074DOI Listing
September 2019

Social networks, gender and HIV within marriages in Kenya.

Authors:
Roseanne Njiru

Afr J AIDS Res 2019 Sep;18(3):224-233

Department of Sociology and Social Work, University of Nairobi , Kenya.

Gender inequalities drive the HIV risk within marriages in Kenya, yet strategies to combat the spread of HIV are limited by their emphasis on the individual or dyadic relationship rather than the wider social-cultural relations that shape gender relations within marriage. This study explores how couples' social networks and spaces of interactions are implicated in the (re)production of gender and gender relations and how this, consequently, shapes HIV risks within marriage. It draws on qualitative data from 14 relatively poor couples from rural eastern Kenya and 13 middle-class couples from the capital city of Nairobi. Read More

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http://dx.doi.org/10.2989/16085906.2019.1653331DOI Listing
September 2019

Sex work among female workers in the traditional mining sector in Mali - results from the ANRS-12339 Sanu Gundo cross-sectional study in 2015.

Afr J AIDS Res 2019 Sep;18(3):215-223

ARCAD Sida , Bamako , Mali.

Female sex workers (FSW) in mining sites are considered to be at very high risk of HIV infection. We aimed to characterize FSW at the Kôkôyô artisanal gold mining site in Mali, and identify factors associated with sex work using data from ANRS-12339 Sanu Gundo, a cross-sectional survey conducted in 2015 at the mine by ARCAD-SIDA, a Malian non-governmental organisation. People attending HIV-prevention activities were invited to participate in the quantitative and qualitative parts of the survey. Read More

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http://dx.doi.org/10.2989/16085906.2019.1653330DOI Listing
September 2019

"I am aware of the risks, I am not changing my behaviour": risky sexual behaviour of university students in a high-HIV context.

Afr J AIDS Res 2019 Sep;18(3):244-253

School of Built Environment and Development Studies, University of KwaZulu-Natal , Durban , South Africa.

Unprotected sexual activity increases the risk of pregnancy and HIV and AIDS. More than three decades into the AIDS pandemic, the condom remains the most effective strategy for protecting against the dual risks of pregnancy and HIV and AIDS, but data from national surveys suggest that condom use among young people aged 15-24 is on the decline in South Africa. This study uses qualitative data from 20 in-depth interviews and one focus group to examine the risk behaviours of university students aged 18-24 years old, with particular emphasis on understanding the decline in the use of condoms. Read More

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http://dx.doi.org/10.2989/16085906.2019.1655075DOI Listing
September 2019

Accessing HIV treatment and care services in fishing communities around Lake Victoria in Uganda: mobility and transport challenges.

Afr J AIDS Res 2019 Sep;18(3):205-214

Centre for Social Research in Health , UNSW Sydney , Australia.

Qualitative research exploring the influence of community-level factors on access to and use of HIV treatment and care services among people living in fishing communities is limited, especially with respect to those already in receipt of HIV care and on treatment. To enhance understanding of these issues, semi-structured in-depth interviews were conducted with 42 HIV-positive fisherfolk and 15 health care providers from two HIV clinics located in two fishing communities in Uganda. Fisherfolk's mobility and poor transport systems were significant barriers to access to and use of HIV treatment and care. Read More

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http://dx.doi.org/10.2989/16085906.2019.1648306DOI Listing
September 2019

Do challenges still exist amongst HIV/AIDS patients in managing their condition? A cross-sectional study of 297 participants in the Ethekwini Metro of KwaZulu-Natal, South Africa.

Afr J AIDS Res 2019 Sep;18(3):198-204

Pharmaceutical Sciences, School of Health Sciences, University of KwaZulu-Natal , Durban , South Africa.

South Africa has the largest HIV/AIDS epidemic globally and the largest anti-retroviral treatment (ART) programme in the world, yet HIV incidence is still chronically high in South Africa, especially in KwaZulu-Natal province (KZN). In light of this, a study was conducted to investigate the extent of challenges making the management of HIV/AIDS difficult in people living with HIV (PLWH) in KZN, South Africa. A cross-sectional study was carried out with 297 study participants living with HIV and receiving ART from three selected clinics in the Ethekwini Metro of KZN. Read More

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http://dx.doi.org/10.2989/16085906.2019.1648305DOI Listing
September 2019

Associations between female genital mutilation/cutting and HIV: a review of the evidence.

Afr J AIDS Res 2019 Sep 10;18(3):181-191. Epub 2019 Sep 10.

Consultant, Population Council , Nairobi , Kenya.

Apart from its known association with short- and long-term adverse physical, psychological, and sexual sequelae, female genital mutilation/cutting (FGM/C) could be associated with increased susceptibility to HIV. Some experts propose that FGM/C increases risk of genital trauma and bleeding. Given the known protective effect for men of male circumcision against HIV and that, in some communities, male circumcision and FGM/C are thought of as "equivalent" or parallel procedures, there is an obvious need to more accurately determine the effects of FGM/C on HIV infection risk in women. Read More

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http://dx.doi.org/10.2989/16085906.2019.1637913DOI Listing
September 2019

Perceptions and attitudes towards acceptability of HIV self-testing among female sex workers in Selibe Phikwe, Botswana.

Afr J AIDS Res 2019 Sep 30;18(3):192-197. Epub 2019 Aug 30.

School of Nursing, University of Botswana , Gaborone , Botswana.

Sub-Saharan Africa accounts for 71% of the global burden of HIV infection. For the general population of Botswana, the estimated HIV prevalence is 18.5%; for female sex workers it is 61. Read More

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http://dx.doi.org/10.2989/16085906.2019.1638427DOI Listing
September 2019
1 Read
0.608 Impact Factor

Community beliefs, HIV stigma, and depression among adolescents living with HIV in rural Uganda.

Afr J AIDS Res 2019 Sep 24;18(3):169-180. Epub 2019 Jul 24.

Department of Psychiatry, Mbarara University of Science and Technology , Mbarara Uganda.

The availability of and increased access to antiretroviral therapy (ART) has significantly reduced the morbidity and mortality associated with HIV. As a result, perinatally infected youth are increasingly able to reach adolescence. There is limited information about the psychosocial challenges facing adolescents living with HIV (ALWH) in rural settings of sub-Saharan Africa. Read More

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http://dx.doi.org/10.2989/16085906.2019.1637912DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6774805PMC
September 2019
5 Reads

Obligations of motherhood in shaping sex work, condom use, and HIV care among Swazi female sex workers living with HIV.

Afr J AIDS Res 2019 Sep 23;18(3):254-257. Epub 2019 Jul 23.

Department of International Health, Johns Hopkins Bloomberg School of Public Health , Baltimore , Maryland , USA.

Parental obligations influence sexual behaviour among female sex workers (FSW) and may serve as a risk or protective factor for HIV acquisition. How these obligations affect behaviours beyond HIV prevention, including HIV care, is understudied. We analysed 25 interviews conducted with 11 mothers who sell sex and are living with HIV, and 4 key informants as part of a larger study examining the positive health, dignity, and prevention needs of FSW in eSwatini. Read More

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http://dx.doi.org/10.2989/16085906.2019.1639521DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7182034PMC
September 2019

Feasibility of HIV self-testing: experiences of people seeking HIV testing in rural and urban KwaZulu-Natal, South Africa.

Afr J AIDS Res 2019 Jul;18(2):115-122

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

HIV status awareness is a rate limiting step in HIV treatment and prevention initiatives aimed at addressing the global HIV epidemic. Uptake of HIV testing remains suboptimal despite global campaigns aimed at improving uptake. HIV self-testing (HIVST) displays the potential to increase uptake of HIV testing in public health care facilities, which are the main access points for HIV testing, but evidence to support this notion is limited. Read More

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http://dx.doi.org/10.2989/16085906.2019.1621358DOI Listing

Evaluation of the early warning indicators of HIV drug resistance surveillance system in Manicaland province, Zimbabwe.

Afr J AIDS Res 2019 Jul;18(2):123-129

a Department of Community Medicine, College of Health Sciences , University of Zimbabwe , Harare , Zimbabwe.

More than 1.1 million people currently receive lifelong antiretroviral treatment in Zimbabwe following the adoption of the test and treat strategy in 2017. The huge numbers of people on antiretroviral therapy (ART), combined with HIV's error-prone replication, increases the probability of HIV drug resistance (HIVDR) developing. Read More

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http://dx.doi.org/10.2989/16085906.2019.1621359DOI Listing

Sexual behaviour among adolescents living with the human immunodeficiency virus in Zimbabwe: educational implications.

Afr J AIDS Res 2019 Jul;18(2):130-137

a Health Studies , University of South Africa , Pretoria , South Africa.

The incidence of HIV infection is increasing among adolescents in Zimbabwe. This rise in incidence is partly due to risky sexual behaviours yet there are no published research studies on sexual behaviours of HIV-positive adolescents in Zimbabwe. Hence, this study, which examined the sexual behaviours of HIV-positive adolescents. Read More

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http://dx.doi.org/10.2989/16085906.2019.1621910DOI Listing
July 2019
0.608 Impact Factor

Biomedical healthcare and African traditional healing in the management of HIV and AIDS: complimentary or competing cosmologies?

Afr J AIDS Res 2019 Jul;18(2):104-114

b Centre for Social Development in Africa , University of Johannesburg , Johannesburg , South Africa.

In South Africa, African traditional healers and biomedical practitioners play important roles in the management of HIV and AIDS, but provide healthcare services in isolation of each other, despite legislative recognition of both types of healing. An interpretive, qualitative research approach was employed to elicit the views of both groups regarding the feasibility of collaboration. Semi-structured interviews were conducted with a sample of 20 participants with 10 persons from each group. Read More

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http://dx.doi.org/10.2989/16085906.2019.1619600DOI Listing
July 2019
1 Read

Constructions of sexuality and HIV risk among young people in Venda, South Africa: implications for HIV prevention.

Afr J AIDS Res 2019 Jul;18(2):158-167

a Department of Psychology , University of Pretoria , Pretoria , South Africa.

The study explored constructions of sexuality among young people of Venda in Limpopo, South Africa, and cultural practices that can be used to develop context-specific HIV prevention programmes. HIV prevention can be promoted by including some cultural practices in prevention programmes and changing some aspects of culture that may contribute negatively to health. Six focus group discussions were held with school-going young people (Grades 10 to 12) in urban and rural areas to explore their constructions of sexuality and HIV risk. Read More

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http://dx.doi.org/10.2989/16085906.2019.1630449DOI Listing

Perceptions of school principals and experiences of disclosure of teachers living with HIV.

Afr J AIDS Res 2019 Jul;18(2):148-157

a Department of Educational Leadership and Management , University of Johannesburg , Johannesburg , South Africa.

The aim of this study was to explore the perceptions of school principals and the experiences of disclosure amongst teachers living with HIV. Due to HIV/AIDS-related stigma being prevalent in many societies today, many infected people would rather not disclose their status than deal with negative labelling and stereotyping. This study utilised narrative inquiry as a qualitative research design that is known to be a way of understanding experiences. Read More

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http://dx.doi.org/10.2989/16085906.2019.1629469DOI Listing

Developing governance models and funding mechanisms of state-civil society partnerships for HIV/AIDS treatment and prevention based on lessons from Ghana.

Authors:
Martin Hushie

Afr J AIDS Res 2019 Jul;18(2):138-147

a Department of Behavioural Sciences, School of Allied Health Sciences , University for Development Studies , Tamale , Ghana.

The contribution of civil society organisations (CSOs) to national HIV/AIDS responses in sub-Saharan African countries, with Global Health Initiatives' (GHIs) funding channelled through National AIDS Commissions (NACs), is well researched. Less well understood are the governance models and funding mechanisms being used to successfully engage CSOs in the HIV/AIDS response. Using data from government, donor, CSO and documentary sources, this article characterises the organisational principles and practices and unique funding models adopted by the Ghana AIDS Commission (GAC) to effectively and efficiently engage CSOs in the HIV/AIDS response. Read More

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http://dx.doi.org/10.2989/16085906.2019.1625937DOI Listing

Management of the Global Fund aid programme in Botswana: challenges and prospects for health services delivery.

Afr J AIDS Res 2019 Jul 1;18(2):95-103. Epub 2019 May 1.

c School of Humanities, Anthropology , Sol Plaatje University , Kimberly , South Africa.

This paper examines the institutional management of the Global Fund to Fight AIDS, Tuberculosis and Malaria (GFATM) in Botswana. We analyse the often contested roles of the state and non-governmental organisations (NGOs) as recipients of GFATM and partners in extending public health service provision to communities. Of importance is that Botswana's first GFATM grant had to be administratively closed, and the country was not awarded any other grant (especially for HIV/AIDS) until over a decade later. Read More

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http://dx.doi.org/10.2989/16085906.2019.1605396DOI Listing
July 2019
2 Reads

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 Jul 16;18(2):89-94. Epub 2019 Apr 16.

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

: 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

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https://www.tandfonline.com/doi/full/10.2989/16085906.2019.1
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http://dx.doi.org/10.2989/16085906.2019.1586738DOI Listing
July 2019
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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

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https://www.tandfonline.com/doi/full/10.2989/16085906.2018.1
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http://dx.doi.org/10.2989/16085906.2018.1552879DOI Listing
March 2019
29 Reads
0.608 Impact Factor

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

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http://dx.doi.org/10.2989/16085906.2018.1552878DOI Listing
March 2019
4 Reads
0.608 Impact Factor

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

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http://dx.doi.org/10.2989/16085906.2019.1575884DOI Listing
March 2019
3 Reads

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

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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
21 Reads