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African Journal of AIDS Research: AJAR

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https://read.qxmd.com/read/30782082/-i-don-t-want-them-to-know-how-stigma-creates-dilemmas-for-engagement-with-treat-all-hiv-care-for-people-living-with-hiv-in-eswatini
#1
Shona Horter, Sarah Bernays, Zanele Thabede, Velibanti Dlamini, Bernhard Kerschberger, Munyaradzi Pasipamire, Barbara Rusch, Alison Wringe
"Treat-all" programmes aim to improve clinical outcomes and to reduce HIV transmission through regular HIV testing and immediate offer of antiretroviral therapy (ART) for those diagnosed HIV-positive, irrespective of immunological status and symptoms of disease. Global narratives on the benefits of Treat-all anticipate reduced HIV-related stigma and increased "normalisation" of HIV with Treat-all implementation, whereby HIV is remoulded as a manageable, chronic condition where stigmatising symptoms can be concealed...
February 19, 2019: African Journal of AIDS Research: AJAR
https://read.qxmd.com/read/30782058/hiv-prevalence-and-related-behaviours-of-older-people-in-botswana-secondary-analysis-of-the-botswana-aids-impact-survey-bais-iv
#2
Kabo Matlho, Madeleine Randell, Refelwetswe Lebelonyane, Joseph Kefas, Tim Driscoll, Joel Negin
The focus of HIV interventions in Botswana, a country with the second highest prevalence of HIV in the world, remains targeted at those aged 15-49 years despite a growing cohort of older people living with the disease - driven largely by the successful roll-out of antiretroviral therapy (ART). Primarily utilising the Botswana AIDS Impact Survey IV, we set out to examine HIV related characteristics and behaviours of this often ignored older cohort (50-64 years) relative to younger (25-49 years) adults. Analysis revealed that more than 80% of older people living with HIV were on ART...
February 19, 2019: African Journal of AIDS Research: AJAR
https://read.qxmd.com/read/30668303/psycho-educational-and-social-interventions-provided-for-orphans-and-vulnerable-children-at-a-community-based-organisation-in-soweto-south-africa
#3
Emily Chepngetich Sitienei, Jace Pillay
This qualitative study explored the psycho-educational and social interventions provided for orphans and vulnerable children (OVC) in a community-based organisation (CBO) in Soweto, South Africa. The study involved 12 OVC (males = 40%, and females = 60%; aged 10 to 18 years). Data was collected using individual interviews, focus group discussions, and autobiographies. The thematically analysed data revealed that the OVC received psychological interventions through mentorship and peer-group support in the CBO...
January 22, 2019: African Journal of AIDS Research: AJAR
https://read.qxmd.com/read/30560732/stunted-scale-up-of-a-performance-based-financing-program-on-hiv-and-maternal-child-health-services-in-mozambique-a-policy-analysis
#4
Jessica Gergen, Joana Falcao, Yogesh Rajkotia
OBJECTIVE: A performance-based financing (PBF) program was implemented for services for HIV, prevention of mother-to-child transmission (PMTCT) and maternal/child health (MCH) in two provinces of Mozambique. This study investigates the determinants of policy scale-up to help accelerate the expansion of PBF in Mozambique and globally from pilot projects to national policies. METHODS: A retrospective policy programme analysis was carried out using in-depth key informant interviews...
December 2018: African Journal of AIDS Research: AJAR
https://read.qxmd.com/read/30560731/health-and-aids-in-2019-and-beyond
#5
Alan Whiteside, David Wilson
No abstract text is available yet for this article.
December 2018: African Journal of AIDS Research: AJAR
https://read.qxmd.com/read/30560730/unpacking-the-practice-of-ukujola-in-contemporary-south-africa-understanding-informal-casual-sexual-relations-of-young-african-adults-in-the-context-of-hiv-and-aids
#6
Themba Mgwaba, Pranitha Maharaj
HIV and AIDS continue to pose a global health and development challenge, particularly in sub-Saharan Africa. South Africa has the largest number of people living with HIV (PLHIV) in the world. In spite of the accelerated efforts to combat the HIV and AIDS epidemic, there still remains an unabated challenge, i.e. continuing new infections, particularly among young African adults. HIV is largely transmitted through unprotected vaginal and anal sexual intercourse. This study sought to unpack the meaning of ukujola (casual or informal sexual relationships) as socially constructed by Zulu people, and to identify underlying socio-economic factors for ukujola...
December 2018: African Journal of AIDS Research: AJAR
https://read.qxmd.com/read/30466370/cooking-data-culture-and-politics-in-an-african-research-world
#7
Amanda Joynt
No abstract text is available yet for this article.
November 23, 2018: African Journal of AIDS Research: AJAR
https://read.qxmd.com/read/30466365/social-engagement-and-survival-in-people-aged-50-years-and-over-living-with-hiv-and-without-hiv-in-uganda-a-prospective-cohort-study
#8
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
https://read.qxmd.com/read/30466355/socio-demographic-marital-and-psychosocial-predictors-of-safe-sex-behaviour-among-mozambican-women-at-risk-for-hiv-aids
#9
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
https://read.qxmd.com/read/30466350/employees-experiences-of-the-stigma-of-hiv-in-a-retail-organisation-secrecy-privacy-or-trust
#10
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
https://read.qxmd.com/read/30466345/multisectoral-in-action-towards-effective-mainstreaming-of-hiv-in-public-sector-departments-in-south-africa
#11
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
https://read.qxmd.com/read/30466364/the-relationship-between-social-support-and-anxiety-amongst-children-living-with-hiv-in-rural-northern-namibia
#12
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
https://read.qxmd.com/read/30355059/courage-and-confidence-to-stop-lying-caregiver-perspectives-on-a-video-to-support-paediatric-hiv-disclosure-in-kampala-uganda
#13
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
https://read.qxmd.com/read/30355058/community-perceptions-and-personal-accounts-of-hiv-discordance-in-rural-western-kenya
#14
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
https://read.qxmd.com/read/30355057/gender-and-hiv-in-south-africa-advancing-women-s-health-and-capabilities
#15
Samantha Willan
No abstract text is available yet for this article.
September 2018: African Journal of AIDS Research: AJAR
https://read.qxmd.com/read/30319046/-i-think-the-parent-should-be-there-because-no-one-was-born-alone-kenyan-adolescents-perspectives-on-parental-involvement-in-hiv-research
#16
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
https://read.qxmd.com/read/30319040/prevalence-of-hiv-and-other-infections-and-injection-behaviours-among-people-who-inject-drugs-in-addis-ababa-ethiopia
#17
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
https://read.qxmd.com/read/30319032/mother-baby-dyads-enrolled-in-pmtct-care-in-western-kenya-characteristics-and-implications-for-art-programmes
#18
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
https://read.qxmd.com/read/30319030/tablet-based-disclosure-counselling-for-hiv-infected-children-adolescents-and-their-caregivers-a-pilot-study
#19
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
https://read.qxmd.com/read/30319023/an-assessment-of-antiretroviral-drug-initiation-to-pregnant-women-of-unknown-hiv-status-during-labour-and-delivery-in-cameroon
#20
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
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