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African Journal of AIDS Research: AJAR

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https://www.readbyqxmd.com/read/29132291/hiv-prevention-needs-for-men-who-have-sex-with-men-in-swaziland
#1
Bhekie Sithole
Men who have sex with men (MSM) have a high HIV burden and also often face multiple other challenges accessing HIV services, including legal and social issues. Although Swaziland recently started responding with interventions for MSM, significant gaps still exist both in information and programming. This study aimed to explore the HIV prevention needs of MSM in Swaziland, including factors elevating their risks and vulnerabilities to HIV infection; to find out what HIV prevention strategies exist; and to determine how best to meet the prevention needs of MSM...
December 2017: African Journal of AIDS Research: AJAR
https://www.readbyqxmd.com/read/29132290/history-of-the-hiv-epidemic-and-response-in-swaziland
#2
Khanyakwezwe Mabuza, Tengetile Dlamini
No abstract text is available yet for this article.
December 2017: African Journal of AIDS Research: AJAR
https://www.readbyqxmd.com/read/29132289/evidence-for-hiv-prevention-in-southern-africa-ehpsa
#3
(no author information available yet)
No abstract text is available yet for this article.
December 2017: African Journal of AIDS Research: AJAR
https://www.readbyqxmd.com/read/29132288/foreword
#4
Rebecca Fielding-Miller
No abstract text is available yet for this article.
December 2017: African Journal of AIDS Research: AJAR
https://www.readbyqxmd.com/read/29132287/a-qualitative-analysis-of-the-barriers-to-antiretroviral-therapy-initiation-among-children-2-to-18-months-of-age-in-swaziland
#5
Charisse V Ahmed, Pauline Jolly, Luz Padilla, Musa Malinga, Chantal Harris, Nobuhle Mthethwa, Inessa Ba, Amy Styles, Sarah Perry, Raina Brooks, Florence Naluyinda-Kitabire, Makhosini Mamba, Peter Preko
HIV/AIDS remains one of the leading causes of death among children under 5 years old in Swaziland. Although studies have shown that early initiation of infants and children diagnosed with HIV on antiretroviral therapy (ART) significantly reduces mortality, many children do not initiate ART until the later stages of disease. This study was designed to collect qualitative data from mothers and caregivers of HIV-positive children to identify the barriers to ART initiation. Focus group discussion (FGD) sessions were conducted in siSwati between July and September 2014 among caregivers of aged children 2-18 months in Swaziland who did or did not initiate ART between January 2011 and December 2012 after HIV DNA PCR-positive diagnosis of the infants...
December 2017: African Journal of AIDS Research: AJAR
https://www.readbyqxmd.com/read/29132286/the-gendered-experiences-of-children-in-child-headed-households-in-swaziland
#6
Nozipho Mkhatshwa
This study investigated the gender dynamics of living in child-headed households (CHHs) in a rural area in Swaziland that experiences high levels of drought, poverty and HIV and AIDS. Using a qualitative research methodology, the study examined ways in which children in CHHs meet their daily family needs and address their vulnerabilities according to their gender, focusing on the experiences of the children. The study sample consisted of 10 households, with 5 boy and 5 girl-headed households from the chiefdoms within the area...
December 2017: African Journal of AIDS Research: AJAR
https://www.readbyqxmd.com/read/29132285/empowering-caregivers-of-orphans-and-vulnerable-children-in-swaziland
#7
Syloid Choice Makufa, Daisy Kisyombe, Nicole Miller, Nanette Barkey
This paper reports on the health and psychosocial impacts of a programme designed to economically empower female caregivers of orphans and vulnerable children (OVC). The results presented are from a cohort of 492 female caregivers who participated in savings groups and were responsible for 887 OVC. The data showed that the caregivers had increased earnings, borrowed more, repaid their loans, and expanded their businesses. Important health impacts were found for both the caregivers and the OVC. Access to health care increased and the proportion of OVC and caregivers who reported being too ill to take part in daily activities decreased...
December 2017: African Journal of AIDS Research: AJAR
https://www.readbyqxmd.com/read/29132284/love-matters-exploring-conceptions-of-love-in-rwanda-and-swaziland-and-relationship-to-hiv-and-intimate-partner-violence
#8
Allison Ruark, Erin Stern, Thandeka Dlamini-Simelane, Marie Fidele Kakuze
Health risks such as intimate partner violence (IPV) and HIV infection often occur within intimate sexual relationships, yet the study of love and intimacy is largely absent from health research on African populations. This study explores how women and men in Rwanda and Swaziland understand and represent love in their intimate sexual partnerships. In Rwanda, 58 in-depth interviews with 15 couples, 12 interviews with activists, and 24 focus group discussions were carried out during formative and evaluative research of the Indashyikirwa programme, which aims to reduce IPV and support healthy couple relationships...
December 2017: African Journal of AIDS Research: AJAR
https://www.readbyqxmd.com/read/29132283/predictors-of-survival-among-hiv-positive-children-on-art-in-swaziland
#9
Patrick Shabangu, Andy Beke, Samuel Manda, Nobuhle Mthethwa
The objective of the study was to determine predictors of survival among HIV-positive children (<15 years) in Swaziland. A retrospective cohort analysis of medical records for 4 167 children living with HIV who were initiated on antiretroviral therapy (ART) between 2004 and 2008, and followed up until 2014 was conducted in clinical settings at 36 health facilities. The Kaplan Meier Estimator, signed-ranks test, and the Cox proportional hazards regression model were applied to determine survival probabilities, significant difference among stratified survival functions and adjusted hazard ratios respectively...
December 2017: African Journal of AIDS Research: AJAR
https://www.readbyqxmd.com/read/29132282/hiv-research-impact-the-quest-for-a-helix
#10
Josee Koch
No abstract text is available yet for this article.
December 2017: African Journal of AIDS Research: AJAR
https://www.readbyqxmd.com/read/29132281/constrained-relationship-agency-as-the-risk-factor-for-intimate-partner-violence-in-different-models-of-transactional-sex
#11
Rebecca Fielding-Miller, Kristin Dunkle
Women who engage in transactional sex are more likely to experience intimate partner violence (IPV) and are at higher risk of HIV. However, women engage in transactional sex for a variety of reasons and the precise mechanism linking transactional sex and IPV is not fully understood. We conducted a behavioural survey with a cross-sectional sample of 401 women attending 1 rural and 1 urban public antenatal clinic in Swaziland between February and June 2014. We used structural equation modelling to identify and measure constrained relationship agency (CRA) as a latent variable, and then tested the hypothesis that CRA plays a significant role in the pathway between IPV and transactional sex...
December 2017: African Journal of AIDS Research: AJAR
https://www.readbyqxmd.com/read/29132280/mixed-results-the-protective-role-of-schooling-in-the-hiv-epidemic-in-swaziland
#12
Alan Whiteside, Andriana Vinnitchok, Tengetile Dlamini, Khanya Mabuza
Swaziland has the highest HIV prevalence in the world. It is recognised that young women, especially adolescents, are particularly vulnerable to HIV infection and bear a disproportionate burden of HIV incidence. The HIV data from Swaziland show the location of the epidemic, which is particularly high among adolescent girls and young women. This paper is based on research in Swaziland, commissioned because of the perception that large numbers of children were dropping out of the school. It was assumed that these "dropouts" had increased risk of HIV exposure...
December 2017: African Journal of AIDS Research: AJAR
https://www.readbyqxmd.com/read/29132279/-i-will-take-arvs-once-my-body-deteriorates-an-analysis-of-swazi-men-s-perceptions-and-acceptability-of-test-and-start
#13
Alfred K Adams, Agostino M Zamberia
Swaziland has the highest HIV prevalence in the world. To mitigate the spread and devastation caused by HIV and to improve the wellbeing of people living with HIV, the country has adopted the latest available HIV prevention campaigns, including "Test and Start". Because evidence from randomised controlled trials has demonstrated a significant risk reduction in HIV transmission when HIV-positive people start antiretroviral therapy (ART) early, Swaziland aims to find these people and link them to treatment. This study presents findings regarding the perceptions of this promising HIV-prevention intervention among men aged 17-69 years...
December 2017: African Journal of AIDS Research: AJAR
https://www.readbyqxmd.com/read/29132278/gendered-childcare-norms-evidence-from-rural-swaziland-to-inform-innovative-structural-hiv-prevention-approaches-for-young-women
#14
Pinky N Shabangu, Michelle R Brear
Addressing discriminatory gender norms is a prerequisite for preventing HIV in women, including young women. However, the gendered expectation that women will perform unpaid childcare-related labour is rarely conceptualised as influencing their HIV risk. Our aim was to learn from members of a rural Swazi community about how gendered childcare norms. We performed sequential, interpretive analysis of focus group discussion and demographic survey data, generated through participatory action research. The results showed that gendered childcare norms were firmly entrenched and intertwined with discriminatory norms regarding sexual behaviour...
December 2017: African Journal of AIDS Research: AJAR
https://www.readbyqxmd.com/read/29132277/legal-responses-to-hiv-and-aids-lessons-from-swaziland
#15
Musa N Shongwe
Since 1999, the HIV and AIDS epidemic in Swaziland has been declared a national disaster, and today HIV and AIDS still pose a great threat to the survival and development of Swaziland and its people. The impact of the pandemic necessitated a multi-faceted response from the government. This paper critically evaluates the Swaziland legal response to HIV and AIDS. The objective is to assess whether and to what extent Swazi law addresses human rights issues related to HIV and AIDS. Through the application of a human rights based theory, the paper analyses the domestication of Swaziland's treaty commitments, and the constitutional and the statutory frameworks...
December 2017: African Journal of AIDS Research: AJAR
https://www.readbyqxmd.com/read/28978296/-dying-to-be-women-explorations-and-implications-of-narrative-parameters-of-female-youth-sexuality-in-zimbabwe
#16
Ngonidzashe Muwonwa
This article considers how socio-cultural ideologies and practices can act as social technologies that help produce specific sexual practices and identities in young women. It identifies young women's libidinal economics as one contributing factor responsible for prescriptive gender roles in Southern Africa, and in this context, Zimbabwe. Understanding the contexts and structures of socio-sexual ideologies circulating among young women as part of their formal and informal sexual education might help address the root cause and understand the core conditions that exacerbate young women's sexual vulnerability Therefore youth-related programming may need to develop ways of assisting young people to develop intellectual, social and psychological skills in order for them to take full advantage of their youth...
September 2017: African Journal of AIDS Research: AJAR
https://www.readbyqxmd.com/read/28978295/sizonqoba-outliving-aids-in-southern-africa
#17
Samantha Manley
No abstract text is available yet for this article.
September 2017: African Journal of AIDS Research: AJAR
https://www.readbyqxmd.com/read/28978294/experiences-along-the-hiv-care-continuum-perspectives-of-kenyan-adolescents-and-caregivers
#18
Winnie K Luseno, Bonita Iritani, Susannah Zietz, Suzanne Maman, Isabella I Mbai, Florence Otieno, Barrack Ongili, Denise Dion Hallfors
To be effective, HIV programmes should be responsive to the unique needs of diverse groups of infected adolescents. We highlight a range of adolescent perspectives on HIV services, including those who acquired HIV perinatally or sexually and those who were either in care, had dropped out of care, or had never enrolled in care. We conducted semi-structured interviews with 29 adolescents (aged 15-19) and 14 caregivers in western Kenya. Data were analysed using a descriptive analytical approach. Adolescents who were successfully linked had a supportive adult present during diagnosis; tested during hospitalisation or treatment for a recurrent or severe illness; and initiated treatment soon after diagnosis...
September 2017: African Journal of AIDS Research: AJAR
https://www.readbyqxmd.com/read/28978293/hiv-antiretroviral-medication-stock-outs-in-ghana-contributors-and-consequences
#19
Rebecca A Poku, Adobea Yaa Owusu, Patricia Dolan Mullen, Christine Markham, Sheryl A McCurdy
Drug stock-outs are an unfortunate yet common reality for patients living in low and middle income countries, particularly in sub-Saharan Africa where trouble with consistent stock of antiretroviral medications (ARVs) continues. Our study takes a snapshot of this problem in Ghana. Although the country launched its antiretroviral therapy (ART) programme in 2003, progress toward realising the full benefit of ART for treated individuals has been limited, in part, because of stock-outs. In Ghana's Greater Accra region, we conducted semi-structured interviews with 40 women living with HIV (WLHIV) and 15 individuals with a history of HIV-related work in government or non-governmental organisations, or healthcare facilities...
September 2017: African Journal of AIDS Research: AJAR
https://www.readbyqxmd.com/read/28978292/factors-associated-with-the-take-up-of-voluntary-medical-male-circumcision-amongst-learners-in-rural-kwazulu-natal
#20
Gavin George, Kaymarlin Govender, Sean Beckett, Carl Montague, Janet Frohlich
Voluntary medical male circumcision (VMMC) is an integral part of South Africa's HIV prevention programme. School-going males, in particular, are considered a cost-effective target population. However, ambitious policy targets have not been achieved due to the plateau in demand for VMMC. This study documents the factors influencing demand for VMMC amongst school-going males. Data were collected from 750 learners (251 circumcised and 499 uncircumcised) from 42 secondary schools in KwaZulu-Natal, South Africa...
September 2017: African Journal of AIDS Research: AJAR
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