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African Journal of AIDS Research: AJAR

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https://www.readbyqxmd.com/read/29745291/programmatic-mapping-to-determine-the-size-and-dynamics-of-sex-work-and-injecting-drug-use-in-mauritius
#1
Amita Pathack, Ahmed Saumtally, Sarah Soobhany, Carly A Comins, Said A H Kinoo, Faran Emmanuel
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. From May to July 2014 a programmatic mapping approach determined national estimates and information on the specific locations, "hotspots", frequented by KPs in Mauritius...
May 10, 2018: African Journal of AIDS Research: AJAR
https://www.readbyqxmd.com/read/29745290/healthcare-providers-understanding-of-hiv-serodiscordance-in-south-africa-and-uganda-implications-for-hiv-prevention-in-sub-saharan-africa
#2
Ross Greener, Cecilia Milford, Francis Bajunirwe, Faith N Mosery, Claudia K Ng, Rachel Rifkin, Jasmine Kastner, Lavanya Pillay, Angela Kaida, David R Bangsberg, Jennifer A Smit, Lynn T Matthews
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., antiretroviral treatment (ART), pre-exposure prophylaxis (PrEP), medical male circumcision, and couples-based HIV counselling and testing). These interventions require a clinical encounter with a provider who recognises prevention opportunities within these partnerships...
May 10, 2018: African Journal of AIDS Research: AJAR
https://www.readbyqxmd.com/read/29745288/late-entry-to-hiv-and-aids-care-and-treatment-juba-teaching-hospital-juba-south-sudan-2013-2016
#3
Muki Johnson, Benjamin L Lemi, Hillary L Tonny, Adelina D David, Waqo Boru, James Ransom
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. Demographic, clinical, and laboratory data were entered into and descriptive statistics were calculated using Microsoft Excel. We identified 401 patients, with mean age 33.71±4.54 years, 235 (59%) were female, 307 (77%) were late entry, 64 (16%) were lost to follow-up, and 57 (14%) died within 12 months of diagnosis...
May 10, 2018: African Journal of AIDS Research: AJAR
https://www.readbyqxmd.com/read/29690829/psychosocial-characteristics-of-primary-care-seeking-long-distance-truck-drivers-in-kenya-and-associations-with-hiv-testing
#4
Matthew L Romo, Gavin George, Joanne E Mantell, Eva Mwai, Eston Nyaga, Jacob O Odhiambo, Kaymarlin Govender, Elizabeth A Kelvin
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...
April 24, 2018: African Journal of AIDS Research: AJAR
https://www.readbyqxmd.com/read/29669456/perceived-hiv-related-stigma-among-university-students-in-south-africa-implications-for-hiv-testing
#5
Firoza Haffejee, Brendan Maughan-Brown, Thulasizwe Buthelezi, Ayesha B M Kharsany
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...
April 18, 2018: African Journal of AIDS Research: AJAR
https://www.readbyqxmd.com/read/29514590/effects-of-exposure-to-an-intensive-hiv-prevention-programme-on-behavioural-changes-among-female-sex-workers-in-nairobi-kenya
#6
Ravi Prakash, Parinita Bhattacharjee, Andrea Blanchard, Helgar Musyoki, John Anthony, Joshua Kimani, Gloria Gakii, Martin Sirengo, Nicholas Muraguri, Elizabeth Mziray, Lombe Kasonde, James Blanchard, Shajy Isac, Stephen Moses
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...
March 8, 2018: African Journal of AIDS Research: AJAR
https://www.readbyqxmd.com/read/29504507/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
#7
Nothando Ngwenya, Dumile Gumede, Maryam Shahmanesh, Nuala McGrath, Alison Grant, Janet Seeley
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...
March 2018: African Journal of AIDS Research: AJAR
https://www.readbyqxmd.com/read/29504506/the-role-of-children-in-their-hiv-positive-parents-management-of-antiretroviral-therapy-in-uganda
#8
Ruth Nalugya, Steven Russell, Flavia Zalwango, Janet Seeley
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. They were randomly selected from people accessing ART from three delivery sites in Wakiso district, Uganda...
March 2018: African Journal of AIDS Research: AJAR
https://www.readbyqxmd.com/read/29504505/estimating-risk-factors-for-hiv-infection-among-women-in-mozambique-using-population-based-survey-data
#9
Sara S Dias, Francisco Mbofana, Sheyla R Cassy, Sónia Dias, Gonçalo F Augusto, Victor Agadjanian, Maria R O Martins
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. The paper provides a complex survey logistic regression model to explain the variation in HIV seropositivity using demographic, socio-economic and behavioural factors...
March 2018: African Journal of AIDS Research: AJAR
https://www.readbyqxmd.com/read/29504504/the-role-of-community-health-workers-in-supporting-south-africa-s-hiv-aids-treatment-programme
#10
Shauna Mottiar, Tom Lodge
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. Finally, the paper addresses issues about the sustainability of a programme that depends on a group of workers who are not yet fully incorporated into the public sector...
March 2018: African Journal of AIDS Research: AJAR
https://www.readbyqxmd.com/read/29504503/managing-hiv-positive-sero-status-in-ghana-s-most-hiv-concentrated-district-self-perceived-explanations-and-theoretical-discourse
#11
Adobea Y Owusu, Amos Laar
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 1.47%. Agormanya, one of the HIV sentinel sites in the county and where this study was conducted, has current prevalence of 11.6%. This makes it critical to explore how persons infected with HIV manage their lives, especially in the midst of entrenched stigma and discrimination...
March 2018: African Journal of AIDS Research: AJAR
https://www.readbyqxmd.com/read/29504502/teenage-pregnancies-in-mozambique-the-experience-of-servicios-amigos-dos-adolescentes-clinics-in-beira
#12
Damiano Pizzol, Francesco Di Gennaro, Chiara Boscardin, Giovanni Putoto, Elena Cuppini, Graciana Pita, Alexandra George, Laura Monno, Annalisa Saracino, Liviana Da Dalt, Angela De Palma
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. Analysis of that record, with disaggregation of the patients according to age (9 years or less; 10-14; 15-19; 20-24; 25 and older), show that 3 021 (36%) were pregnant or had previously been pregnant; most being girls in the 15-19 age band (59%)...
March 2018: African Journal of AIDS Research: AJAR
https://www.readbyqxmd.com/read/29504501/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
#13
David Morton, Thoko Mayekiso, Peter Cunningham
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. The researchers used two focus group discussions with key informants (each with four participants), and semi-structured interviews with six key informants to collect data relating to the meaning of quality CHBC...
March 2018: African Journal of AIDS Research: AJAR
https://www.readbyqxmd.com/read/29471737/erratum
#14
(no author information available yet)
No abstract text is available yet for this article.
March 2018: African Journal of AIDS Research: AJAR
https://www.readbyqxmd.com/read/29471736/incursions-from-the-epicentre-southern-theory-social-science-and-the-global-hiv-research-domain
#15
Rebecca Hodes, Robert Morrell
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. Southern theory provides a framework for greater critical engagement with knowledge produced by researchers within the global South...
March 2018: African Journal of AIDS Research: AJAR
https://www.readbyqxmd.com/read/29471733/the-influence-of-lotteries-on-employees-workplace-hiv-testing-behaviour
#16
Martin Weihs, Anna Meyer-Weitz, Friederike Baasner-Weihs
The aim of the study was to understand how lottery incentives influenced the HIV counselling and testing (HCT) behaviour and behaviour intention of shop-floor workers who participated in a workplace HCT campaign initiative in two companies in the Nelson Mandela Bay municipality, South Africa. A post-test only quasi-experimental approach was used. The data were first collected, using a self-administered cross-sectional survey instrument, among the control group (n = 88) followed by the experimental group (n = 110) after the advent of HIV testing and lotteries was announced...
March 2018: African Journal of AIDS Research: AJAR
https://www.readbyqxmd.com/read/29471730/perceptions-of-why-malawians-engage-in-concurrent-sexual-partnerships-among-a-select-population-of-radio-listeners-findings-from-an-exploratory-study
#17
Rupali J Limaye, Amanda Berman, Jane Brown, Triza Kakhobwe
Concurrent sexual partnerships have been identified as a potential driver in the HIV epidemic in Southern Africa. This study utilised an innovative approach to explore perceptions of why Malawians may engage in these relationships, and their suggestions for reducing the practice among a select population of radio listeners. Using radio listener feedback in the form of text messages, we analysed approximately 1 000 text messages sent by individuals who listened to a reality radio programme that included real stories, told by Malawians, on topics related to HIV/AIDS...
March 2018: African Journal of AIDS Research: AJAR
https://www.readbyqxmd.com/read/29471726/exploring-dual-disclosures-for-men-who-have-sex-with-men-in-mpumalanga-south-africa-a-report-from-the-field
#18
Joseph Daniels, Tim Lane, Kabelo Maleke, Wini Mogos, Ryan Assaf, Helen Struthers, James McIntyre, Tom Coates
We explored to whom rural men who have sex with men (MSM) disclose their sexual identity and HIV status in Mpumalanga, South Africa. Participants were recruited using a modified snowball sampling method in order to complete a questionnaire. Descriptive and logistic regression analyses were conducted. There were 47 participants of whom 22 self-reported as HIV-positive. Most participants disclosed their sexuality and HIV status to immediate family members and gay-identified friends. We found that the longer someone had identified as MSM, the more likely they were to be HIV-positive and not go to clinic...
March 2018: African Journal of AIDS Research: AJAR
https://www.readbyqxmd.com/read/29132291/hiv-prevention-needs-for-men-who-have-sex-with-men-in-swaziland
#19
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
#20
Khanyakwezwe Mabuza, Tengetile Dlamini
No abstract text is available yet for this article.
December 2017: African Journal of AIDS Research: AJAR
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