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African Journal of AIDS Research: AJAR

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https://www.readbyqxmd.com/read/27974025/the-relationship-between-hiv-and-aids-and-water-scarcity-in-nyamakate-resettlements-land-north-central-zimbabwe
#1
Alexio Mbereko, Dianne Scott, Moses John Chimbari
HIV and AIDS and water variability have been studied separately, yet, they impact on rural households simultaneously in an interactive manner. The study provide narratives on various realities from a study in the Nyamakate community that illustrates the dialectical relationship between HIV and AIDS and water scarcity. A qualitative research methodology was employed, and the following data collection tools were used: semi-structured interviews, focus group discussions (FGDs) and participant observations. The study showed that in the Nyamakate area, HIV- and AIDS-affected households utilise more water if there is a bedridden patient...
December 2016: African Journal of AIDS Research: AJAR
https://www.readbyqxmd.com/read/27974024/the-intersection-of-antiretroviral-therapy-peer-support-programmes-and-economic-empowerment-with-hiv-stigma-among-hiv-positive-women-in-west-nile-uganda
#2
Nicole Coffey Kellett, Katherine Gnauck
HIV stigma remains a major problem of the AIDS epidemic in sub-Saharan Africa. Women fear impending social stigma including blame, isolation and abuse. HIV infection and HIV stigma interact cyclically, creating and reinforcing economic and social exclusion for individuals living with HIV. Evidence suggests that interventions for people living with HIV infection that include, in combination, antiretroviral therapy (ART), peer support and economic empowerment are likely to be more effective than if used alone...
December 2016: African Journal of AIDS Research: AJAR
https://www.readbyqxmd.com/read/27974023/ensuring-an-optimal-environment-for-peer-education-in-south-african-schools-goals-systems-standards-and-policy-options-for-effective-learning
#3
Sharlene Swartz, Charles Deutsch, Benita Moolman, Emma Arogundade, Dane Isaacs, Barbara Michel
Peer education has long been seen as a key health promotion strategy and an important tool in preventing HIV infection. In South African schools, it is currently one of the strategies employed to do so. Based on both a recent research study of peer education across 35 schools and drawing on multiple previous studies in South Africa, this paper examines the key elements of peer education that contribute to its effectiveness and asks how this aligns with current educational and health policies. From this research, it summarises and proposes shared goals and aims, minimum standards of implementation and reflects on the necessary infrastructure required for peer education to be effective...
December 2016: African Journal of AIDS Research: AJAR
https://www.readbyqxmd.com/read/27974022/integrated-intervention-for-mental-health-co-morbidity-in-hiv-positive-individuals-a-public-health-assessment
#4
Monika Dos Santos, Gustaaf Wolvaardt
In South Africa, where it is estimated that more people have HIV than anywhere else in the world, HIV/AIDS and psychological disorder co-morbidity have been shown both to exacerbate the late diagnosis and treatment of psychological disorders and to affect adherence to ARVs. Targeted, affordable and evidence-based strategies to reach these populations are essential. Against this backdrop, a pilot project and situational assessment aimed at determining the context of psychological care and HIV treatment services in South Africa was undertaken...
December 2016: African Journal of AIDS Research: AJAR
https://www.readbyqxmd.com/read/27974021/experiences-of-alcohol-consumption-and-taking-antiretroviral-medication-among-men-living-with-hiv-in-tshwane-south-africa
#5
Sebenzile Nkosi, Eileen P Rich, Connie T Kekwaletswe, Neo K Morojele
Hazardous alcohol consumption may compromise optimal antiretroviral therapy (ART) adherence among patients. Adoption of hegemonic notions of masculinity may encourage health-risk behaviours, such as alcohol consumption, and discourage health-enhancing behaviours, such as ART adherence among men. This study aimed to explore linkages between masculinity, alcohol consumption, and taking ART medication among male ART recipients in South Africa. Male facilitators conducted five focus group discussions with 27 black male ART recipients aged between 28 and 65 years at five ART clinics...
December 2016: African Journal of AIDS Research: AJAR
https://www.readbyqxmd.com/read/27974020/aids-at-35-a-midlife-crisis
#6
EDITORIAL
David Wilson, Alan Whiteside
No abstract text is available yet for this article.
December 2016: African Journal of AIDS Research: AJAR
https://www.readbyqxmd.com/read/27974019/advancing-gender-equality-to-improve-hiv-prevention-a-study-of-practice
#7
Jenevieve Mannell
Addressing gender inequality as a social driver of HIV risk and vulnerability has become a key activity of non-governmental organisations (NGOs) in South Africa. This paper sheds light on the environmental factors that influence gender and HIV activities in this context. A multisite ethnographic study including 150 hours of participant observation and 32 in-depth interviews was conducted with 26 NGOs carrying out gender and HIV prevention interventions. Using thematic network analysis, 108 different intervention activities were identified, categorised and further analysed to explore environmental factors that influence the design and delivery of these activities...
December 2016: African Journal of AIDS Research: AJAR
https://www.readbyqxmd.com/read/27974018/risky-sexual-behaviour-among-women-does-economic-empowerment-matter-case-of-gabon-mozambique-sierra-leone-and-zambia
#8
Clifford O Odimegwu, Nicole De Wet, Pamela C Banda
The link between economic empowerment and high risky sexual behaviour has been debated by different scholars in various settings. However, no consistently clear connection between poverty and lack of education has been found regarding engagement in risky sexual behaviour. Also, not much research has been done to examine the strength of these relationships for adolescents and women. The objectives of this study were to assess the relationship between female economic empowerment and risky sexual behaviour in Africa...
December 2016: African Journal of AIDS Research: AJAR
https://www.readbyqxmd.com/read/27974017/hiv-care-and-treatment-experiences-among-female-sex-workers-living-with-hiv-in-sub-saharan-africa-a-systematic-review
#9
REVIEW
Kathryn E Lancaster, Dana Cernigliaro, Rose Zulliger, Paul F Fleming
Female sex workers (FSW) living with HIV in sub-Saharan Africa have poor engagement to HIV care and treatment. Understanding the HIV care and treatment engagement experiences of FSW has important implications for interventions to enhance care and treatment outcomes. We conducted a systematic review to examine the HIV care experiences and determinants of linkage and retention in care, antiretroviral therapy (ART) initiation, and ART adherence and viral suppression among FSW living with HIV in sub-Saharan Africa...
December 2016: African Journal of AIDS Research: AJAR
https://www.readbyqxmd.com/read/27974016/dealing-with-disclosure-perspectives-from-hiv-positive-children-and-their-older-carers-living-in-rural-south-western-uganda
#10
Esther Dusabe-Richards, Rwamahe Rutakumwa, Flavia Zalwango, Allen Asiimwe, Elvis Kintu, Fatuma Ssembajja, Janet Seeley
There are limited data on the challenges faced by carers, in particular older carers, in managing the difficult task of status disclosure for HIV-positive children. We report findings from qualitative interviews with 18 care dyads of older people and HIV-positive children living in rural south-western Uganda. Our data provide insights into perceptions and norms influencing communication during and following disclosure among both carers and children, including those shaped by gendered expectations of girls' and boys' sexual behaviour...
December 2016: African Journal of AIDS Research: AJAR
https://www.readbyqxmd.com/read/27681155/social-sustainability-as-the-seventh-tenant-a-reflection-on-oberth-and-whiteside-s-sustainability-in-the-hiv-and-aids-response
#11
Lacey Willmott
No abstract text is available yet for this article.
September 2016: African Journal of AIDS Research: AJAR
https://www.readbyqxmd.com/read/27681154/keeping-kids-in-care-virological-failure-in-a-paediatric-antiretroviral-clinic-and-suggestions-for-improving-treatment-outcomes
#12
Susan Purchase, Jayne Cunningham, Monika Esser, Donald Skinner
The burden of paediatric HIV in South Africa is extremely high. Antiretrovirals (ARVs) are now widely accessible in the country and the clinical emphasis has shifted from initiation of treatment to retention in care. This study describes the cumulative virological failure rate amongst children on ARVs in a peri-urban clinic, and suggests ways in which clinics and partners could improve treatment outcomes. The study was conducted by the non-profit organisation HOPE Cape Town Association. A retrospective file audit determined the cumulative virological failure rate, that is, the sum of all children with a viral load >1000 copies/ml, children on monotherapy, children who had stopped treatment, children lost to follow-up (LTFU) and children who had died...
September 2016: African Journal of AIDS Research: AJAR
https://www.readbyqxmd.com/read/27681153/political-economy-of-decentralising-hiv-and-aids-treatment-services-to-primary-healthcare-facilities-in-three-nigerian-states
#13
Chinyere Mbachu, Obinna Onwujekwe, Nkoli Ezumah, Olayinka Ajayi, Olusola Sanwo, Benjamin Uzochukwu
Decentralisation is defined as the dispersion, distribution or transfer of resources, functions and decision-making power from a central authority to regional and local authorities. It is usually accompanied by assignment of accountability and responsibility for results. Fundamental to understanding decentralisation is learning what motivates central governments to give up power and resources to local governments, and the practical significance of this on their positions regarding decentralisation. This study examined key political and institutional influences on role-players' capacity to support decentralisation of HIV and AIDS treatment services to primary healthcare facilities, and implications for sustainability...
September 2016: African Journal of AIDS Research: AJAR
https://www.readbyqxmd.com/read/27681152/morbidity-and-nutrition-status-of-rural-drug-na%C3%A3-ve-kenyan-women-living-with-hiv
#14
Charlotte G Neumann, Winstone Nyandiko, Abraham Siika, Natalie Drorbaugh, Goleen Samari, Grace Ettyang, Judith A Ernst
This paper describes morbidity in a group of HIV-positive drug-naïve rural women in western Kenya. A total of 226 drug-naïve HIV-positive women were evaluated for baseline morbidity, immune function, and anthropometry before a food-based nutrition intervention. Kenyan nurses visited women in their homes and conducted semi-structured interviews regarding symptoms and physical signs experienced at the time of the visit and during the previous week and physical inspection. Blood and urine samples were examined for determination of immune function (CD4, CD8, and total lymphocyte counts), anaemia, malaria, and pregnancy status...
September 2016: African Journal of AIDS Research: AJAR
https://www.readbyqxmd.com/read/27681151/church-representatives-perspectives-on-masculinities-in-the-context-of-hiv-the-case-of-the-ecumenical-hiv-and-aids-initiative-in-africa
#15
Hendrew G Lusey, Monica Christianson, Miguel San Sebastian, Kerstin E Edin
Despite a growing body of literature related to church leaders challenging dominant norms of masculinities that may enable the spread of HIV, research on masculinity issues among African church representatives who are policy makers is scarce. The objectives of this study were to explore the perspectives on masculinities held by church representatives within the Ecumenical HIV and AIDS Initiative in Africa (EHAIA) and to identify strategies they used to transform masculinities in their respective churches. Qualitative interviews were carried out with 14 church representatives belonging to the EHAIA International Reference Group...
September 2016: African Journal of AIDS Research: AJAR
https://www.readbyqxmd.com/read/27681150/psychosocial-well-being-of-people-living-with-hiv-and-the-community-before-and-after-a-hiv-stigma-reduction-community-hub-network-intervention
#16
Catharina D Prinsloo, Minrie Greeff, Annamarie Kruger, Suria Ellis
The purpose of the research was to determine whether an HIV stigma-reduction community "hub" network intervention in a South African urban area would bring about a difference in the psychosocial well-being of people living with HIV (PLWH), as well as their community (living in the same municipal ward). A single case pre-test post-test design was implemented. The sample for this study included 62 PLWH who were selected through accessibility sampling and 570 community members who were selected through random voluntary sampling...
September 2016: African Journal of AIDS Research: AJAR
https://www.readbyqxmd.com/read/27681149/leadership-emergence-the-application-of-the-cynefin-framework-during-a-bio-social-hiv-aids-risk-reduction-pilot
#17
Christopher J Burman, Marota A Aphane
This article focuses on the utility of a knowledge management heuristic called the Cynefin framework, which was applied during an ongoing pilot intervention in the Limpopo province, South Africa. The intervention aimed to identify and then consolidate low-cost, innovative bio-social responses to reinforce the biomedical opportunities that now have the potential to "end AIDS by 2030″. The Cynefin framework is designed to enable leaders to identify specific decision-making domain typologies as a mechanism to maximise the effectiveness of leadership responses to both opportunities and challenges that emerge during interventions...
September 2016: African Journal of AIDS Research: AJAR
https://www.readbyqxmd.com/read/27681148/adverse-drug-reactions-associated-with-antiretroviral-therapy-in-south-africa
#18
Sumeshni Birbal, Mukesh Dheda, Elizabeth Ojewole, Frasia Oosthuizen
South Africa has one of the highest prevalences of HIV and AIDS in the world. HIV/AIDS patients face countless challenges, one of which is the risk of adverse drug reactions (ADRs). This study aimed to describe the ADRs reported in South Africa with reference to the type of ADRs, antiretrovirals (ARVs) implicated, seriousness of the ADRs and patient demographics associated with specific ADRs. A retrospective quantitative study was carried out using ADR reports submitted to the National Department of Health (NDoH) from 1 January 2010 to 31 December 2014...
September 2016: African Journal of AIDS Research: AJAR
https://www.readbyqxmd.com/read/27681147/teachers-subjectivities-and-emotionality-in-hiv-aids-teaching
#19
Jaqueline Naidoo, Peter Rule
Schools play a significant role in conveying essential knowledge, skills and attitudes about HIV and AIDS to millions of learners, and are therefore at the forefront of addressing the HIV/AIDS pandemic. This has resulted in a shift in HIV/AIDS research to focus on the crucial role of teachers in HIV prevention. This paper explores the influence of teachers' subjectivities and emotionality on their teaching about HIV/AIDS. The paper draws on qualitative, narrative data gathered from five teachers teaching in a midlands town in KwaZulu-Natal, South Africa...
September 2016: African Journal of AIDS Research: AJAR
https://www.readbyqxmd.com/read/27681146/clinical-correlates-of-suicidality-among-individuals-with-hiv-infection-and-aids-disease-in-mbarara-uganda
#20
Godfrey Zari Rukundo, Eugene Kinyanda, Brian Mishara
The association between suicidality and HIV/AIDS has been demonstrated for three decades, but little is know about risk factors that can help understand this association and help identify who is most at risk. Few research studies have been conducted in sub-Saharan Africa, a region that accounts for more than 70% of the HIV global burden. This paper describes clinical risk factors for suicidality among individuals with HIV infection and AIDS disease in Mbarara, Uganda. In this study, suicidality includes both suicidal ideation and suicidal attempts...
September 2016: African Journal of AIDS Research: AJAR
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