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African Journal of AIDS Research: AJAR

Amanda Joynt
No abstract text is available yet for this article.
November 23, 2018: African Journal of AIDS Research: AJAR
Joseph O Mugisha, Enid J Schatz, Christian Hansen, Emily Leary, Joel Negin, Paul Kowal, Janet Seeley
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. A standardised questionnaire adapted from the World Health Organization study on global AGEing and adult health (SAGE) was administered through face-to-face interviews at both survey waves...
November 23, 2018: African Journal of AIDS Research: AJAR
Ana Luísa Patrão, Teresa McIntyre
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. Women (173), patients at a public hospital and at risk for HIV infection, completed measures of condom use negotiation self-efficacy, perceived barriers against safer sex, current sexual activity and condom use...
November 23, 2018: African Journal of AIDS Research: AJAR
Kgope P Moalusi
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. The findings reveal that the participants concealed their HIV-positive status because they feared that the co-workers and managers might stigmatise them and breach confidentiality...
November 23, 2018: African Journal of AIDS Research: AJAR
Pinky Mahlangu, Jo Vearey, Jane Goudge
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...
November 23, 2018: African Journal of AIDS Research: AJAR
Fred Besthorn, Eveline N Kalomo, Elizabeth Lightfoot, Minli Liao
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. These findings point to the need for the development of more culturally and age specific interventions that enhance social support among children living with HIV, especially those in high-prevalence and socio-economically deprived settings...
November 22, 2018: African Journal of AIDS Research: AJAR
Sonja Klingberg, Rachel King, Janet Seeley, Resty Lubwama, Margaret Namuganga, Barbara Nabiryo, Monica Etima, Philippa Musoke, Lisa M Butler
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. This qualitative study explored how caregivers of HIV-positive children aged 7-12 years perceived and related to a video used as part of a larger behavioural intervention to promote full disclosure to children by age 12 years...
September 2018: African Journal of AIDS Research: AJAR
Ken Ondenge, Isdorah Odero, Eucabeth Awuonda, Tereza Omoro, Michael Kibogo, George Otieno, Pauline Ongwena, Deborah A Gust
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. In addition, to understand the community perspective, in-depth interviews (IDI) (n = 26) and focus group discussions (FGD) (n = 10) were conducted with community opinion leaders, healthcare workers and members of discordant couples...
September 2018: African Journal of AIDS Research: AJAR
Samantha Willan
No abstract text is available yet for this article.
September 2018: African Journal of AIDS Research: AJAR
Allison K Groves, Denise D Hallfors, Bonita J Iritani, Stuart Rennie, Fredrick S Odongo, Daniel Kwaro, Nyaguara Amek, Winnie K Luseno
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. We use empirical data to describe the perspectives of Kenyan adolescents on parental involvement in consent and disclosure of HIV test results within a research study context...
September 2018: African Journal of AIDS Research: AJAR
Minilik Demissie, Lisa G Johnston, Mekonnen Muleta, Dires Desyebelew, Wudinesh Belete, Atsbeha G/Egxiabehre, Nigussie Gezahegn, Desta Kassa, Yibeltal Aseffa
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. METHODS: A cross-sectional study using respondent-driven sampling was conducted among people reported to have injected illicit drugs within 6 months before the study...
September 2018: African Journal of AIDS Research: AJAR
Edith A Ogalo, Japheth O Adina, Hesbon Ooko, James Batuka, Sylvester Kimaiyo
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. We compared the transmission rates amongst mothers known to have a positive HIV status before conception (known positives/KPs) versus the transmission amongst those who were newly diagnosed during maternal and child health (MCH) clinic attendance (new positives/NPs)...
September 2018: African Journal of AIDS Research: AJAR
Megan S McHenry, Edith Apondi, Carole I McAteer, Winstone M Nyandiko, Lydia J Fischer, Ananda R Ombitsa, Josephine Aluoch, Michael L Scanlon, Rachel C Vreeman
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...
September 2018: African Journal of AIDS Research: AJAR
Anastasia Yenban Bongajum, Divine Mbiydzenyuy Dufe, Paul Théodore Biyaga Tjek, Daniel Ter Goon, Céline Nguefeu Nkenfou, Julius Mbekem Nwobegahay, Robinson Mbu
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)...
September 2018: African Journal of AIDS Research: AJAR
Rachel Kawuma, Janet Seeley, Zivai Mupambireyi, Frances Cowan, Sarah Bernays
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. Each participant had 2 interviews (1 after 4 weeks of participation in the trial the other after 12 weeks)...
September 2018: African Journal of AIDS Research: AJAR
Markus Haacker, Charles Birungi
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...
July 2018: African Journal of AIDS Research: AJAR
Cecilia Milford, Letitia Rambally Greener, Mags Beksinska, Ross Greener, Zonke Mabude, Jenni Smit
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. Baseline data were collected via focus group discussions (FGDs) and a cross-sectional survey, and were used to inform the development of a model for integrating SRH and HIV services...
July 2018: African Journal of AIDS Research: AJAR
Smart Z Mabweazara, Clemens Ley, Lloyd L Leach
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. In addition, limited resources constitute socio-ecological barriers predisposing such individuals to physical inactivity. The purpose of this narrative review is to examine the available literature on physical activity, social support and SES and to generate recommendations for designing and implementing physical activity interventions targeting people living with HIV and AIDS (PLWHA) of low SES...
July 2018: African Journal of AIDS Research: AJAR
Anthony Brown, Lesley Wood
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...
July 2018: African Journal of AIDS Research: AJAR
Deborah Simpson
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...
July 2018: African Journal of AIDS Research: AJAR
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