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  1. Hazardous Alcohol Use among Persons Living with Human Immunodeficiency Virus Infection in the Eastern Cape, South Africa

    Hazardous Alcohol Use among Persons Living with Human Immunodeficiency Virus Infection in the Eastern Cape, South Africa

    Item type: Journal Article • Journal: Journal of Psychology in Africa • Authors: Karl Peltzer --- Human Sciences Research Council & University of the Free State, Nancy Phaswana-Mafuya --- Human Sciences Research Council & University of the Western Cape, George Petros --- Human Sciences Research Council, South Africa
    The study assessed the prevalence of hazardous alcohol use among people living with HIV (PLHIV) and its correlates with socio-economic characteristics, disease variables and ART adherence in South Africa. The sample included 607 PLHIV (males =475, females =132; age range...
  2. Adherence to Antiretroviral Therapy in Low Socioeconomic Status Community Sample

    Adherence to Antiretroviral Therapy in Low Socioeconomic Status Community Sample

    Item type: Journal Article • Journal: Journal of Psychology in Africa • Authors: Karl Peltzer --- Human Sciences Research Council, University of the Free State, South Africa
    The study reports on antiretroviral treatment adherence in a KwaZulu-Natal sample with a follow-up period of 20 months. Participants were 498 predominatly Black females living with HIV and AIDS. Four-hundred and ninety-six of the participants (91.6%) were found to be...
  3. Spirituality and Religion in Antiretroviral Therapy (ART) in Kwazulu-natal, South Africa: A Longitudinal Study

    Spirituality and Religion in Antiretroviral Therapy (ART) in Kwazulu-natal, South Africa: A Longitudinal Study

    Item type: Journal Article • Journal: Journal of Psychology in Africa • Authors: Karl Peltzer --- Human Sciences Research Council, Pretoria and University of Limpopo,
    This study assesses the effects of spirituality and religion in health outcomes of patients on ART in KwaZulu-Natal, South Africa. Participants were 735 patients who attended three HIV clinics for ART over a period of 20 months as follows: 519...
  4. The impact of reduced drug prices on the cost-effectiveness of HAART in South Africa

    The impact of reduced drug prices on the cost-effectiveness of HAART in South Africa

    Item type: Journal Article • Journal: African Journal of AIDS Research • Authors: Nicoli Nattrass Nathan Geffen
    South Africa has started 'rolling out' highly active anti-retroviral therapy (HAART) through the public health sector, but implementation has been slow. Studies have shown that in Africa AIDS prevention may be more cost-effective than providing HAART; such published results provide...
  5. ‘Every disease has its cure’: faith and HIV therapies in Islamic northern Nigeria

    ‘Every disease has its cure’: faith and HIV therapies in Islamic northern Nigeria

    Item type: Journal Article • Journal: African Journal of AIDS Research • Authors: Jack Ume Tocco --- Department of Anthropology, United States
    Northern Nigeria has one of the highest levels of HIV prevalence among societies that are predominantly Muslim. In the last decade the region has experienced marked expansion of religiously-oriented healing practices following the formal adoption of Islamic sharia law. Since...
  6. Religion, authority and their interplay in the shaping of antiretroviraltreatment in western Uganda

    Religion, authority and their interplay in the shaping of antiretroviraltreatment in western Uganda

    Item type: Journal Article • Journal: African Journal of AIDS Research • Authors: AlexanderMJ Leusenkamp --- , The Netherlands
    The article explores how religious actors have increasingly shaped the nature of antiretroviral treatment (ART) services in Kabarole district, western Uganda. As have the regular health services, Christian donors, non-governmental organisations (NGOs), and churches in the district have also stepped...
  7. A critical historical analysis of the South African Catholic Church's HIV/AIDS response between 2000 and 2005

    A critical historical analysis of the South African Catholic Church's HIV/AIDS response between 2000 and 2005

    Item type: Journal Article • Journal: African Journal of AIDS Research • Authors: Stephen Muoki Joshua --- School of Religion and Theology, Department of History of Christianity, South Africa
    The South African HIV and AIDS experience is unique in many ways considering the country's delayed and robust epidemic, the apartheid context, and successive HIV-denialist government regimes. While the struggle for democracy may have overshadowed the enormity of the unfolding...
  8. Complex negotiations: ‘spiritual’ therapy and living with HIV in Ghana

    Complex negotiations: ‘spiritual’ therapy and living with HIV in Ghana

    Item type: Journal Article • Journal: African Journal of AIDS Research • Authors: Benjamin Kobina Kwansa --- Amsterdam School for Social Science Research, The Netherlands
    Many people living with HIV in Ghana make use of spiritual therapy, however complex. This paper describes the complexities of these therapies in the context of increasing access to antiretroviral (ARV) drugs and high levels of HIV stigma. The study...
  9. ‘Keeping healthy in the backseat’: How motherhood interrupted HIV treatment in recently delivered women in Kenya

    ‘Keeping healthy in the backseat’: How motherhood interrupted HIV treatment in recently delivered women in Kenya

    Item type: Journal Article • Journal: African Journal of AIDS Research • Authors: Opondo Awiti-Ujiji --- Department of Public Health Sciences, Division of Global Health, Sweden Anna Mia Ekström --- Department of Public Health Sciences, Division of Global Health, Sweden Festus Ilako --- , Kenya Dorcas Indalo --- , Kenya Abigael Lukhwaro --- , Kenya David Wamalwa --- , Kenya Birgitta Rubenson --- Department of Public Health Sciences, Division of Global Health, Sweden
    Although there is a large body of literature related to the experiences of motherhood and aspects of the change that it brings about, how the experience of motherhood affects the healthcare of women with chronic illness is less documented. This...
  10. Does accessibility to antiretroviral care improve after down-referral of patients from hospitals to health centres in rural South Africa?

    Does accessibility to antiretroviral care improve after down-referral of patients from hospitals to health centres in rural South Africa?

    Item type: Journal Article • Journal: African Journal of AIDS Research • Authors: Mosa Moshabela --- , Helen Schneider --- , South Africa SusanM Cleary --- Health Economics Unit, South Africa PaulM Pronyk --- , John Eyles --- School of Geography and Earth Sciences, Canada
    We conducted an evaluation of healthcare accessibility among patients taking antiretroviral treatment (ART) after they were ‘down-referred’ from hospital-based programmes to primary healthcare (PHC) centres in a rural South African setting. A cross-sectional design was used to study 109 PHC...
  11. Evaluating adverse drug reactions among HAART patients in a resource-constrained province of South Africa

    Evaluating adverse drug reactions among HAART patients in a resource-constrained province of South Africa

    Item type: Journal Article • Journal: African Journal of AIDS Research • Authors: Viloshini Krishna Manickum --- School of Health Sciences, South Africa Fatima Suleman --- School of Health Sciences, South Africa
    The high prevalence of HIV in KwaZulu-Natal Province, South Africa, has greatly increased the demand for antiretroviral therapy (ART), resulting in an exponential increase in the number of patients initiated on highly active antiretroviral treatment (HAART). However, little information about...
  12. Cognitive dissonance as an explanation of the genesis, evolution and persistence of Thabo Mbeki's HIV denialism

    Cognitive dissonance as an explanation of the genesis, evolution and persistence of Thabo Mbeki's HIV denialism

    Item type: Journal Article • Journal: African Journal of AIDS Research • Authors: Chris Kenyon
    The ongoing damage that the newer forms of HIV denialism are visiting upon our country is evidenced by the recent firing of Nozizwe Madlala-Routledge, the South African Deputy Minister of Health. It is widely believed that the underlying reason for...
  13. HIV pre-exposure prophylaxis trials: socio-economic and ethical perspectives for sub-Saharan Africa

    HIV pre-exposure prophylaxis trials: socio-economic and ethical perspectives for sub-Saharan Africa

    Item type: Journal Article • Journal: African Journal of AIDS Research • Authors: Mpho Selemogo
    The advent of HIV pre-exposure prophylaxis (PrEP) as a HIV-prevention strategy has received optimistic support among HIV researchers. However, discourse on PrEP trials has tended to be dominated by the disputes arising between some activist groups and researchers about the...
  14. Migration, pastoralists, HIV infection and access to care: the nomadic Fulani of northern Nigeria

    Migration, pastoralists, HIV infection and access to care: the nomadic Fulani of northern Nigeria

    Item type: Journal Article • Journal: African Journal of AIDS Research • Authors: Abdulrazaq Garba Habib Jibril Jumare
    The burden of HIV infection among the nomadic Fulani of northern Nigeria is unknown. Migration — a way of life for this population — is known to increase the rate of HIV transmission and may limit individuals' access to treatment...
  15. Health-related quality of life in a sample of HIV-infected South Africans

    Health-related quality of life in a sample of HIV-infected South Africans

    Item type: Journal Article • Journal: African Journal of AIDS Research • Authors: Karl Peltzer Nancy Phaswana-Mafuya
    The study aims to assess the health-related quality of life and HIV symptoms of a sample of people living with HIV (PLHIV) in South Africa. The sample included 607 PLHIV from all districts of the Eastern Cape Province, recruited either...
  16. Habitual physical activity levels are positively correlated with CD4 counts in an HIV-positive South African population

    Habitual physical activity levels are positively correlated with CD4 counts in an HIV-positive South African population

    Item type: Journal Article • Journal: African Journal of AIDS Research • Authors: Kirsten Kinsey Joanne McVeigh Ingrid Chantler
    In order to assess the relationship between CD4 cell count, habitual physical activity levels and functional independence in a South African adult population positive for HIV, we administered a questionnaire concerning lifestyle and physical activity. Data collection took place at...
  17. Disclosure of HIV status: experiences of patients enrolled in an integrated TB and HAART pilot programme in South Africa

    Disclosure of HIV status: experiences of patients enrolled in an integrated TB and HAART pilot programme in South Africa

    Item type: Journal Article • Journal: African Journal of AIDS Research • Authors: HirutT Gebrekristos MarkN Lurie Nkosinathi Mthethwa Quarraisha Abdool Karim
    The convergence between the tuberculosis (TB) and HIV epidemics has led to studies investigating strategies for integrated HIV and TB care. We present the experiences of a cohort of 17 patients enrolled in the first integrated TB and HIV treatment...
  18. The relation of HIV testing and treatment to identity formation in Zambia

    The relation of HIV testing and treatment to identity formation in Zambia

    Item type: Journal Article • Journal: African Journal of AIDS Research • Authors: Emily Frank --- Anthropology Department, United States
    Why would many Zambians be reluctant to access lifesaving antiretroviral treatment? Does the process of accessing an HIV test in Zambia promote an identity that can change individuals' livelihood strategies? What happens to individuals when people access treatment? Voluntary testing...
  19. Mitochondrial dysfunction and human immunodeficiency virus infection

    Mitochondrial dysfunction and human immunodeficiency virus infection

    Item type: Journal Article • Journal: Journal of Endocrinology, Metabolism and Diabetes of South Africa • Authors: G Van der Watt --- Division of Chemical Pathology,
    Human immunodeficiency virus (HIV) infection and the pharmacological treatment thereof have both been shown to affect mitochondrial function in a number of tissues, and each may cause specific organ pathology through specific mitochondrial pathways. HIV has been shown to kill...
  20. Comprehensive approach to HIV/AIDS services: the way to go in resource-limited settings

    Comprehensive approach to HIV/AIDS services: the way to go in resource-limited settings

    Item type: Journal Article • Journal: South African Family Practice • Authors: A Adefolalu --- Department of Family Medicine, South Africa
    The response to the HIV/AIDS epidemic by the various health systems in sub-Saharan Africa, that has the highest prevalence of the disease, has been quite significant in recent years. Millions of people are now benefiting from the services rendered for...
  21. Secondary dyslipidaemia

    Secondary dyslipidaemia

    Item type: Journal Article • Journal: South African Family Practice • Authors: DJ Blom --- Division of Lipidology, Department of Medicine,
    Plasma lipid levels are determined by the interplay of environmental and genetic factors. Occasionally environmental factors may alter lipid levels significantly, resulting in secondary dyslipidaemia. The lipid phenotype in secondary dyslipidaemia is very variable (e.g. predominant hypercholesterolaemia, hypertriglyceridaemia or changes...
  22. Measuring adherence to antiretroviral treatment and assessing factors affecting adherence in a state primary healthcare clinic, Mitchells Plain Community Health Centre

    Measuring adherence to antiretroviral treatment and assessing factors affecting adherence in a state primary healthcare clinic, Mitchells Plain Community Health Centre

    Item type: Journal Article • Journal: South African Family Practice • Authors: T Engel --- Family Medicine and Primary Care, University of Stellenbosch, AC Schlemmer --- Family Medicine and Primary Care, University of Stellenbosch,
    Background: A need was identified to measure adherence levels to antiretroviral treatment (ART) in a resource-poor setting and to assess the impact on adherence to ART of partner disclosure, partner support, other support, and length of time between diagnosis and...
  23. The association between depression and adherence to antiretroviral therapy in HIV-positive patients, KwaZulu-Natal, South Africa

    The association between depression and adherence to antiretroviral therapy in HIV-positive patients, KwaZulu-Natal, South Africa

    Item type: Journal Article • Journal: South African Family Practice • Authors: C Kitshoff --- Department of Family Medicine, L Campbell --- Department of Family Medicine, SS Naidoo --- Department of Family Medicine,
    Background: Depressive disorders are associated with poorer health outcomes in people living with human immunodeficiency virus infection and acquired immunodeficiency syndrome (PLHIV) and have been shown to contribute to non-adherence to antiretroviral therapy (ART) in Western contexts. Limited data from...
  24. The challenges experienced by nongovernmental organisations with regard to the roll-out of antiretroviral therapy in KwaZulu-Natal

    The challenges experienced by nongovernmental organisations with regard to the roll-out of antiretroviral therapy in KwaZulu-Natal

    Item type: Journal Article • Journal: South African Family Practice • Authors: J Michel --- Department of Health Studies, MC Matlakala --- Department of Health Studies,
    Background: Successful administration of antiretroviral therapy (ART) requires full adherence to the regimen by the patient. The introduction of ART needs a well-functioning health system with adequately trained health professionals, laboratory support, a constant supply of drugs and social systems...
  25. How children access antiretroviral treatment at Kgapane District Hospital, Limpopo, South Africa

    How children access antiretroviral treatment at Kgapane District Hospital, Limpopo, South Africa

    Item type: Journal Article • Journal: South African Family Practice • Authors: J Railton --- Division of Family Medicine and Primary Care, R Mash --- Division of Family Medicine and Primary Care,
    Background: At Kgapane Hospital, Limpopo Province, only 20% of eligible children initiated antiretroviral treatment (ART) in 2007. The aim of this study was to improve the ART programme by assessing how children were accessing ART, and to explore the factors...
  26. The perspectives of users of antiretroviral therapy on structural barriers to adherence in South Africa

    The perspectives of users of antiretroviral therapy on structural barriers to adherence in South Africa

    Item type: Journal Article • Journal: South African Family Practice • Authors: A Kagee --- Department of Psychology, J Nothling --- Department of Psychology, B Coetzee --- Department of Psychology,
    Background: The effectiveness of antiretroviral therapy (ART) and the importance of adherence to treatment regimens are widely known. Yet, suboptimal adherence to ART and retention in care of patients still persists and, by many accounts, is fairly widespread. The aim...
  27. Delays by people living with HIV/AIDS in accessing antiretroviral therapy

    Delays by people living with HIV/AIDS in accessing antiretroviral therapy

    Item type: Journal Article • Journal: South African Family Practice • Authors: D Semakula --- Potchefstroom Hospital, C Van Deventer --- Department of Family Medicine and Rural Health,
    Objective: To understand, by qualitative enquiry, the underlying reasons and narratives for patients that delay in accessing antiretroviral treatment.
  28. End-user centeredness in antiretroviral therapy services in Nigerian public health facilities

    End-user centeredness in antiretroviral therapy services in Nigerian public health facilities

    Item type: Journal Article • Journal: South African Family Practice • Authors: RJ Chiegil --- Department of Health Studies, LI Zungu --- Department of Health Studies, K Jooste --- School of Nursing, University of Western Cape,
    Objective: To describe the perception of end users with regard to end-user centeredness in antiretroviral therapy (ART) service provision in Nigerian public health facilities.
  29. ‘Children will always be children’: Exploring perceptions and experiences of HIV-positive children who may not take their treatment and why they may not tell

    ‘Children will always be children’: Exploring perceptions and experiences of HIV-positive children who may not take their treatment and why they may not tell

    Item type: Journal Article • Journal: African Journal of AIDS Research • Authors: Rachel Kawuma --- Medical Research Council/Uganda Virus Research Institute (MRC/UVRI) Uganda Research Unit on AIDS, Uganda Sarah Bernays --- London School of Hygiene and Tropical Medicine, United Kingdom Godfrey Siu --- Medical Research Council/Uganda Virus Research Institute (MRC/UVRI) Uganda Research Unit on AIDS, Uganda Tim Rhodes --- London School of Hygiene and Tropical Medicine, United Kingdom Janet Seeley --- Medical Research Council/Uganda Virus Research Institute (MRC/UVRI) Uganda Research Unit on AIDS, Uganda
    HIV-positive children and young people may face substantial social barriers to maintaining appropriate levels of adherence to antiretroviral therapy (ART) during childhood and adolescence. In this paper, we focus on these children's voices and the challenges they face growing up...
  30. Lactic acidosis, risk factors and predictive laboratory markers: a nested case control study in South Africa

    Lactic acidosis, risk factors and predictive laboratory markers: a nested case control study in South Africa

    Item type: Journal Article • Journal: South African Family Practice • Authors: CA Luke --- Discipline of Family Medicine, MYS Moosa --- Department of Infectious Disease, TM Esterhuizen --- Program of Bio Research Ethics and Medical Law, Division of Public Health Medicine, SE Knight --- Discipline of Public Health Medicine, S Saman --- Port Shepstone Hospital, A Ross --- Discipline of Family Medicine,
    Background: The incidence of antiretroviral therapy (ART)-induced lactic acidosis and its associated mortality may be reduced by appropriate dosing, risk stratification and early detection.
  31. Is there still a role for Caesarean section in preventing vertical HIV transmission in the era of highly active antiretroviral therapy?

    Is there still a role for Caesarean section in preventing vertical HIV transmission in the era of highly active antiretroviral therapy?

    Item type: Journal Article • Journal: South African Family Practice • Authors: HM Sebitloane --- Department of Obstetrics and Gynaecology,
    Human immunodeficiency virus (HIV) may be transmitted from an infected mother to her child during pregnancy, delivery or breastfeeding. Without any intervention, transmission rates may range from 15–45%. However, this can be reduced to < 5% with effective drug therapy...
  32. Contraceptive knowledge and practice among HIV-positive women receiving antiretroviral therapy at a district hospital in KwaZulu-Natal

    Contraceptive knowledge and practice among HIV-positive women receiving antiretroviral therapy at a district hospital in KwaZulu-Natal

    Item type: Journal Article • Journal: South African Family Practice • Authors: YS Somera --- ART Department, GJ Crookes Hospital Department of Family Medicine, A Ross --- Department of Family Medicine,
    Objectives: To determine the knowledge and use of contraceptives by HIV-positive women attending an ART clinic.
  33. HIV-serostatus disclosure in the context of free antiretroviral therapy and socio-economic dependency: experiences among women living with HIV in Tanzania

    HIV-serostatus disclosure in the context of free antiretroviral therapy and socio-economic dependency: experiences among women living with HIV in Tanzania

    Item type: Journal Article • Journal: African Journal of AIDS Research • Authors: Leah F Bohle --- Institute for Medical Microbiology, Germany Hansj&ouml;rg Dilger --- Institute of Social and Cultural Anthropology, Germany Uwe Gro&szlig; --- Institute for Medical Microbiology, Germany
    The worldwide implementation of free antiretroviral therapy (ART) raised great hopes among policy makers and health organisations about the positive changes it would bring about in attitudes and behaviours towards HIV and AIDS, as well as for infected people's lives...
  34. Reproductive behaviour among women on antiretroviral therapy in Botswana: mismatched pregnancy plans and contraceptive use

    Reproductive behaviour among women on antiretroviral therapy in Botswana: mismatched pregnancy plans and contraceptive use

    Item type: Journal Article • Journal: African Journal of AIDS Research • Authors: Michelle M Schaan --- University of Kwazulu-Natal, South Africa Myra Taylor --- University of Kwazulu-Natal, South Africa Richard Marlink --- Harvard School of Public Health AIDS Initiative, USA
    Understanding pregnancy planning and contraceptive use is important in preventing unplanned/unwanted pregnancies among women on antiretroviral therapy (ART). Through a cross-sectional survey of 155 women living with HIV on ART in Botswana (mean age = 36), bivariate/multivariate analyses were used...
  35. Perceptions of alcohol risk among people on antiretroviral treatment in South Africa: a qualitative study

    Perceptions of alcohol risk among people on antiretroviral treatment in South Africa: a qualitative study

    Item type: Journal Article • Journal: Journal of Psychology in Africa • Authors: Supa Pengpid --- University of Limpopo, Turfloop Campus, South Africa Karl Peltzer --- University of Limpopo, Turfloop Campus, South Africa
    This study explored perceptions of alcohol abuse risk among people on antiretroviral treatment (ART) who self-identified as alcohol users. Twenty six people receiving ART from an out-patient setting were interviewed on their alcohol abuse risk perception. Data were thematically analysed...
  36. HIV in Harare: The role and relevance of social stigma

    HIV in Harare: The role and relevance of social stigma

    Item type: Journal Article • Journal: African Journal of AIDS Research • Authors: Stephen O&#039;Brien --- School of Humanities and Social Science, Australia Alex Broom --- School of Social Science, Australia
    HIV is a significant social, political and economic problem in Zimbabwe. However, few researchers have explored peoples’ experiences of living with HIV in that country. Drawing on 60 qualitative interviews conducted with Zimbabweans living in Harare in 2010, this paper...
  37. Communication characteristics of young children with HIV in South Africa as reported by some physicians

    Communication characteristics of young children with HIV in South Africa as reported by some physicians

    Item type: Journal Article • Journal: African Journal of AIDS Research • Authors: Michelle Hattam --- Con Amore School, South Africa Brenda Louw --- Department of Audiology and Speech-Language Pathology, United States Salome Geertsema --- Communication Pathology, South Africa
    HIV has been shown to have significant effects on the development of a child. Currently, there is limited South African research regarding HIV and specific characteristics of communication development, and the treatment thereof, in the child infected with HIV. The...
  38. Self-efficacy, medication beliefs and adherence to antiretroviral therapy by patients attending a health facility in Pretoria

    Self-efficacy, medication beliefs and adherence to antiretroviral therapy by patients attending a health facility in Pretoria

    Item type: Journal Article • Journal: South African Family Practice • Authors: Adegoke Adefolalu --- Department of Health Studies, South Africa Zerish Nkosi --- Department of Health Studies, South Africa Steve Olorunju --- Biostatistics Unit, South Africa Palesa Masemola --- , South Africa
    Background: Self-efficacy and medication beliefs are known factors that influence adherence to treatment in chronic medical conditions. We carried out a cross-sectional study on human immunodeficiency virus (HIV)-infected patients with the aim of determining the predictive relationship between these two...
  39. Predictors of quality of life enjoyment and satisfaction in individuals living with HIV and AIDS in a resource-constrained setting in South Africa

    Predictors of quality of life enjoyment and satisfaction in individuals living with HIV and AIDS in a resource-constrained setting in South Africa

    Item type: Journal Article • Journal: Journal of Psychology in Africa • Authors: Kim Jonas --- Population Health, Health Systems and Innovation, Human Sciences Research Council, South Africa Pamela Naidoo --- Population Health, Health Systems and Innovation, Human Sciences Research Council, South Africa Nicolette Vanessa Roman --- Faculty of Community and Health Sciences, South Africa Luis Angel Sa&uacute;l Guti&eacute;rrez --- Facultad de Psicolog&iacute;a, UNED, Guillem Feixas --- University of Barcelona, Spain
    The burden of HIV disease is concentrated in sub-Saharan Africa, particularly in South Africa (SA). Whilst there have been many studies conducted on the biomedical and socio-psychological aspects of HIV and AIDS, insufficient attention has been paid to the quality...
  40. Making meaning in the time of AIDS: longitudinal narratives from the Malawi Journals Project

    Making meaning in the time of AIDS: longitudinal narratives from the Malawi Journals Project

    Item type: Journal Article • Journal: African Journal of AIDS Research • Authors: Amy Kaler --- Department of Sociology and School of Public Health, Canada Susan Cotts Watkins --- California Center for Population Research, USA Nicole Angotti --- Department of Sociology and Center on Health, Risk and Society, USA
    The Malawi Journals Project is one of the longest-running observational field studies in rural sub-Saharan Africa, ongoing since 1999. The journals provide real-time accounts of the unfolding epidemic, from the days when AIDS was considered by rural Malawians to be...
  41. Factors affecting the implementation of nurse-initiated antiretroviral treatment in primary health care clinics of Limpopo Province, South Africa

    Factors affecting the implementation of nurse-initiated antiretroviral treatment in primary health care clinics of Limpopo Province, South Africa

    Item type: Journal Article • Journal: South African Family Practice • Authors: T Mabelane --- Department of Family Medicine, South Africa GJO Marincowitz --- Department of Family Medicine, South Africa GA Ogunbanjo --- Department of Family Medicine &amp; Primary Health Care, South Africa I Govender --- Department of Family Medicine &amp; Primary Health Care, South Africa
    Introduction: The implementation of nurse-initiated antiretroviral (ARV) treatment at primary health care clinics was introduced in 2010 as a response to lower the HIV prevalence rate in the community.
  42. New insights into HIV epidemic in South Africa: key findings from the National HIV Prevalence, Incidence and Behaviour Survey, 2012

    New insights into HIV epidemic in South Africa: key findings from the National HIV Prevalence, Incidence and Behaviour Survey, 2012

    Item type: Journal Article • Journal: African Journal of AIDS Research • Authors: Khangelani Zuma --- Human Sciences Research Council, South Africa Olive Shisana --- Human Sciences Research Council, South Africa Thomas M. Rehle --- Human Sciences Research Council, South Africa Leickness C. Simbayi --- Human Sciences Research Council, South Africa Sean Jooste --- Human Sciences Research Council, South Africa Nompumelelo Zungu --- Human Sciences Research Council, South Africa Demetre Labadarios --- Human Sciences Research Council, South Africa Dorina Onoya --- Human Sciences Research Council, South Africa Meredith Evans --- Human Sciences Research Council, South Africa Sizulu Moyo --- Human Sciences Research Council, South Africa Fareed Abdullah --- South African National AIDS Council, South Africa
    This article presents key findings from the 2012 HIV prevalence, incidence and behaviour survey conducted in South Africa and explores trends in the HIV epidemic. A representative household based survey collected behavioural and biomedical data among people of all ages...
  43. Retrospective comparison of cytological and histological bone marrow morphology in adult antiretroviral-na&iuml;ve and antiretroviral experienced human immunodeficiency virus-infected patients with peripheral blood cytopaenias

    Retrospective comparison of cytological and histological bone marrow morphology in adult antiretroviral-naïve and antiretroviral experienced human immunodeficiency virus-infected patients with peripheral blood cytopaenias

    Item type: Journal Article • Journal: Southern African Journal of Infectious Diseases • Authors: Suraya Naidoo --- Department of Haematology, South Africa Vincent Louis Naicker --- National Health Laboratory Services, South Africa
    Background: A cohort of human immunodeficiency virus (HIV)-positive patients presenting to a quaternary hospital in KwaZulu-Natal, South Africa over a period of one year was identified and morphological analyses of their bone marrow aspirates and trephine biopsies (BMAT) undertaken.
  44. Patient experiences with designated service provider medication delivery in a rural general practice in KwaZulu-Natal: a cross-sectional study on HIV patients

    Patient experiences with designated service provider medication delivery in a rural general practice in KwaZulu-Natal: a cross-sectional study on HIV patients

    Item type: Journal Article • Journal: South African Family Practice • Authors: VV Reddy --- General practitioner in independent private practice , OH Mahomed --- Discipline of Public Health Medicine, South Africa
    Background: Healthcare funders (medical schemes) have established disease management programmes (DMPs) and designated service providers (DSPs) to reduce costs and improve patient outcomes to meet legislative requirements. However, there is a paucity of studies that have researched patient experiences and...
  45. Antiretroviral adherence and virological outcomes in HIV-positive patients in Ugu district, KwaZulu-Natal province

    Antiretroviral adherence and virological outcomes in HIV-positive patients in Ugu district, KwaZulu-Natal province

    Item type: Journal Article • Journal: African Journal of AIDS Research • Authors: Germain Kapiamba --- Department of Health Studies, South Africa Thembekile Masango --- Department of Health Studies, South Africa Ditaba Mphuthi --- Department of Health Studies, South Africa
    Adherence to antiretroviral therapy is crucial to ensure viral suppression. In the scientific community it is widely accepted that an adherence level of at least 90% is necessary to achieve viral suppression. This study uses pharmacy refill records to describe...
  46. The intersection of antiretroviral therapy, peer support programmes, and economic empowerment with HIV stigma among HIV-positive women in West Nile Uganda

    The intersection of antiretroviral therapy, peer support programmes, and economic empowerment with HIV stigma among HIV-positive women in West Nile Uganda

    Item type: Journal Article • Journal: African Journal of AIDS Research • Authors: Nicole Coffey Kellett --- Department of Anthropology, USA Katherine Gnauck --- University of New Mexico Health Sciences Center, University of New Mexico, USA
    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...
  47. Experiences of alcohol consumption and taking antiretroviral medication among men living with HIV in Tshwane, South Africa

    Experiences of alcohol consumption and taking antiretroviral medication among men living with HIV in Tshwane, South Africa

    Item type: Journal Article • Journal: African Journal of AIDS Research • Authors: Sebenzile Nkosi --- Alcohol, Tobacco &amp; Other Drug Research Unit, South African Medical Research Council, South Africa Eileen P. Rich --- Alcohol, Tobacco &amp; Other Drug Research Unit, South African Medical Research Council, South Africa Connie T. Kekwaletswe --- Alcohol, Tobacco &amp; Other Drug Research Unit, South African Medical Research Council, South Africa Neo K. Morojele --- Alcohol, Tobacco &amp; Other Drug Research Unit, South African Medical Research Council, South Africa
    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...
  48. HIV antiretroviral medication stock-outs in Ghana: contributors and consequences

    HIV antiretroviral medication stock-outs in Ghana: contributors and consequences

    Item type: Journal Article • Journal: African Journal of AIDS Research • Authors: Rebecca A Poku --- The University of Texas Health Science Center at Houston School of Public Health, USA Adobea Yaa Owusu --- Institute of Statistical, Social, and Economic Research, University of Ghana, Ghana Patricia Dolan Mullen --- The University of Texas Health Science Center at Houston School of Public Health, USA Christine Markham --- The University of Texas Health Science Center at Houston School of Public Health, USA Sheryl A McCurdy --- The University of Texas Health Science Center at Houston School of Public Health, USA
    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...
  49. Retrospective clinical analysis of adverse drug reactions associated with antiretroviral therapy in Tlokwe district, South Africa

    Retrospective clinical analysis of adverse drug reactions associated with antiretroviral therapy in Tlokwe district, South Africa

    Item type: Journal Article • Journal: South African Family Practice • Authors: Rentia van Graan --- Centre of Excellence for Pharmaceutical Sciences (PharmaCen), Division of Pharmacology, South Africa Michelle Viljoen --- Centre of Excellence for Pharmaceutical Sciences (PharmaCen), Division of Pharmacology, South Africa Malie Rheeders --- Centre of Excellence for Pharmaceutical Sciences (PharmaCen), Division of Pharmacology, South Africa Fadeela Motara --- Potchefstroom Hospital, Pharmacy, South Africa
    Background: South Africa has the highest number of patients on antiretroviral therapy (ART) globally. Various obstacles were identified that influence effective reporting of adverse drug reactions (ADRs) in resource-limited countries. This investigation aimed to identify, classify and analyse the prevalence...
  50. Factors associated with delivering premature and/or low birth weight infants among pregnant HIV-positive women on antiretroviral treatment at Dr George Mukhari Hospital, South Africa

    Factors associated with delivering premature and/or low birth weight infants among pregnant HIV-positive women on antiretroviral treatment at Dr George Mukhari Hospital, South Africa

    Item type: Journal Article • Journal: Southern African Journal of Infectious Diseases • Authors: NN Gibango --- Department of Paediatrics and Child Health, South Africa S Mda --- Department of Paediatrics and Child Health, South Africa TS Ntuli --- Department of Public Health, South Africa
    Background: Prematurity and low birthweight (LBW) deliveries amongst pregnant women infected with the human immunodeficiency virus (HIV) remain a challenge worldwide. The association between prematurity, LBW and antiretroviral therapy (ART) or prophylactic antiretroviral drug (ARV) exposure in pregnancy is unclear...
  51. Healthcare providers&rsquo; understanding of HIV serodiscordance in South Africa and Uganda: implications for HIV prevention in sub-Saharan Africa

    Healthcare providers’ understanding of HIV serodiscordance in South Africa and Uganda: implications for HIV prevention in sub-Saharan Africa

    Item type: Journal Article • Journal: African Journal of AIDS Research • Authors: Ross Greener --- MatCH Research (Maternal, Adolescent, and Child Health Research) Unit, Department of Obstetrics and Gynaecology, Faculty of Health Sciences, South Africa Cecilia Milford --- MatCH Research (Maternal, Adolescent, and Child Health Research) Unit, Department of Obstetrics and Gynaecology, Faculty of Health Sciences, South Africa Francis Bajunirwe --- Mbarara University of Science and Technology, Uganda Faith N Mosery --- MatCH Research (Maternal, Adolescent, and Child Health Research) Unit, Department of Obstetrics and Gynaecology, Faculty of Health Sciences, South Africa Claudia K Ng --- Harvard T.H. Chan School of Public Health, USA Rachel Rifkin --- Massachusetts General Hospital, Center for Global Health and Division of Infectious Disease, USA Jasmine Kastner --- McGill University Research Centre, Canada Lavanya Pillay --- MatCH Research (Maternal, Adolescent, and Child Health Research) Unit, Department of Obstetrics and Gynaecology, Faculty of Health Sciences, South Africa Angela Kaida --- Simon Fraser University, Canada David R Bangsberg --- Massachusetts General Hospital, Center for Global Health and Division of Infectious Disease, USA Jennifer A Smit --- MatCH Research (Maternal, Adolescent, and Child Health Research) Unit, Department of Obstetrics and Gynaecology, Faculty of Health Sciences, South Africa Lynn T Matthews --- Massachusetts General Hospital, Center for Global Health and Division of Infectious Disease, USA
    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...
  52. Late entry to HIV and AIDS care and treatment, Juba Teaching Hospital, Juba, South Sudan, 2013&ndash;2016

    Late entry to HIV and AIDS care and treatment, Juba Teaching Hospital, Juba, South Sudan, 2013–2016

    Item type: Journal Article • Journal: African Journal of AIDS Research • Authors: Muki Johnson --- Immunization and Field Epidemiology Training Project, South Sudan Benjamin L Lemi --- Juba Teaching Hospital, South Sudan Hillary L Tonny --- Juba Teaching Hospital, South Sudan Adelina D David --- Juba Teaching Hospital, South Sudan Waqo Boru --- Field Epidemiology and Laboratory Training Program, Kenya James Ransom --- Field Epidemiology and Laboratory Training Program, Kenya
    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...
  53. &ldquo;Treatment is not yet necessary&rdquo;: delays in seeking access to HIV treatment in Uganda and Zimbabwe

    “Treatment is not yet necessary”: delays in seeking access to HIV treatment in Uganda and Zimbabwe

    Item type: Journal Article • Journal: African Journal of AIDS Research • Authors: Rachel Kawuma --- Medical Research Council/Uganda Virus Research Institute and London School of Hygiene &amp; Tropical Medicine (MRC/UVRI and LSHTM), Uganda Janet Seeley --- Medical Research Council/Uganda Virus Research Institute and London School of Hygiene &amp; Tropical Medicine (MRC/UVRI and LSHTM), Uganda Zivai Mupambireyi --- Centre for Sexual Health and HIV/AIDS Research, Zimbabwe Frances Cowan --- International Public Health Department, UK Sarah Bernays --- School of Public Health, Australia --- Medical Research Council/Uganda Virus Research Institute and London School of Hygiene &amp; Tropical Medicine (MRC/UVRI and LSHTM), Uganda
    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...
  54. Social engagement and survival in people aged 50 years and over living with HIV and without HIV in Uganda: a prospective cohort study

    Social engagement and survival in people aged 50 years and over living with HIV and without HIV in Uganda: a prospective cohort study

    Item type: Journal Article • Journal: African Journal of AIDS Research • Authors: Joseph O Mugisha --- Medical Research Council/Uganda Virus Research Institute and London School of Hygiene and Tropical Medicine, Uganda Enid J Schatz --- Department of Health Sciences, USA Christian Hansen --- Medical Research Council/Uganda Virus Research Institute and London School of Hygiene and Tropical Medicine, Uganda Emily Leary --- Biostatistics and Research Design Unit, School of Medicine, USA Joel Negin --- School of Public Health, Australia Paul Kowal --- World Health Organization study on global AGEing and adult health, Switzerland Janet Seeley --- Medical Research Council/Uganda Virus Research Institute and London School of Hygiene and Tropical Medicine, Uganda
    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...
  55. The role of support groups in linking and retaining newly diagnosed clients in HIV care in a peri-urban location in South Africa

    The role of support groups in linking and retaining newly diagnosed clients in HIV care in a peri-urban location in South Africa

    Item type: Journal Article • Journal: African Journal of AIDS Research • Authors: Siyabonga Kave --- Department of Rural Health, South Africa Nelisiwe F Khuzwayo --- Department of Rural Health, South Africa Abigail Hatcher --- School of Public Health, South Africa Yandisa Sikweyiya --- Gender &amp; Health Research Unit, School of Public Health, South Africa
    Although South Africa has the largest number of people on antiretroviral therapy (ART) in the world, many HIV clients drop out of care immediately after HIV diagnosis. This qualitative study explored the perceptions and experiences of newly diagnosed clients on...
  56. Factors associated with adherence to ARV treatment in people living with HIV/AIDS in a rural area (Koula-Moutou) in East Gabon

    Factors associated with adherence to ARV treatment in people living with HIV/AIDS in a rural area (Koula-Moutou) in East Gabon

    Item type: Journal Article • Journal: African Journal of AIDS Research • Authors: Arnaud Mongo-Delis --- HIV/AIDS Outpatient Treatment Centre of Koula-Moutou, Gabon Landry E Mombo --- Laboratory of Molecular and Cellular Biology, Gabon Patrick Mickala --- Laboratory of Molecular and Cellular Biology, Gabon Wenceslas Bouassa --- HIV/AIDS Outpatient Treatment Centre of Koula-Moutou, Gabon Wilfried S Bouedy --- HIV/AIDS Outpatient Treatment Centre of Koula-Moutou, Gabon Bertrand M&rsquo;batchi --- Laboratory of Molecular and Cellular Biology, Gabon Cyrille Bisseye --- Laboratory of Molecular and Cellular Biology, Gabon
    The goal of this study was to evaluate the impact of socio-clinical factors on adherence to antiretroviral treatment in people living with HIV/AIDS in Koula-Moutou (a rural area of Gabon). Two adherence assessment methods based on patient declaration and compliance...
  57. Nevirapine in African surface waters induces liver histopathology in &lt;em&gt;Oreochromis mossambicus:&lt;/em&gt; A laboratory exposure study

    Nevirapine in African surface waters induces liver histopathology in Oreochromis mossambicus: A laboratory exposure study

    Item type: Journal Article • Journal: African Journal of Aquatic Science • Authors: UMC Nibamureke --- Department of Zoology, South Africa IEJ Barnhoorn --- Department of Zoology, South Africa GM Wagenaar --- Department of Zoology, South Africa
    Nevirapine (NVP) is one of the HIV antiretrovirals detected recurrently in African surface waters. Liver side effects in humans were reported. Because the effects on fish are unknown, this study investigated the potential effects of NVP on selected biometric indices...
  58. Evaluation of the early warning indicators of HIV drug resistance surveillance system in Manicaland province, Zimbabwe

    Evaluation of the early warning indicators of HIV drug resistance surveillance system in Manicaland province, Zimbabwe

    Item type: Journal Article • Journal: African Journal of AIDS Research • Authors: Anesu Marume --- Department of Community Medicine, College of Health Sciences, Zimbabwe Admire Zikiti --- Department of Community Medicine, College of Health Sciences, Zimbabwe Byron Chapoterera --- Department of Community Medicine, College of Health Sciences, Zimbabwe Julita Maradzika --- Department of Community Medicine, College of Health Sciences, Zimbabwe
    More than 1.1 million people currently receive lifelong antiretroviral treatment in Zimbabwe following the adoption of the test and treat strategy in 2017. The huge numbers of people on antiretroviral therapy (ART), combined with HIV’s error-prone replication, increases the probability...
  59. Effects of tobacco use on non-adherence to antiretroviral therapy among HIV-positive patients in South Africa

    Effects of tobacco use on non-adherence to antiretroviral therapy among HIV-positive patients in South Africa

    Item type: Journal Article • Journal: Journal of Psychology in Africa • Authors: Supa Pengpid --- ASEAN Institute for Health Development, Thailand Diana Huis in &lsquo;t Veld --- Department of Internal Medicine and Infectious Diseases, Belgium Karl Peltzer --- Department for Management of Science and Technology Development, Vietnam
    This study aimed to estimate the relationship between tobacco use and non-adherence to antiretroviral therapy (ART) in a South African sample. Participants were 1 963 HIV patients who attended a primary care clinic in Pretoria (female = 68.5%; black African...
  60. Smart cascades: using cost analysis to improve HIV care and treatment interventions to achieve global 95&ndash;95&ndash;95 goals

    Smart cascades: using cost analysis to improve HIV care and treatment interventions to achieve global 95–95–95 goals

    Item type: Journal Article • Journal: African Journal of AIDS Research • Authors: Catherine Barker Cantelmo --- Health Policy Plus Project (HP+), USA Bryant Lee --- Health Policy Plus Project (HP+), USA Arin Dutta --- Health Policy Plus Project (HP+), USA
    Background: HIV programmes are achieving significant scale, even as external financing plateaus. Maximising achievement from identification to viral suppression is key to epidemic control and reaching global 95-95-95 goals. Cost and technical efficiency analyses can help programs understand why losses...
  61. Using information on ART costs and benefits to mobilise resources &ndash; comparing different methods and contexts

    Using information on ART costs and benefits to mobilise resources – comparing different methods and contexts

    Item type: Journal Article • Journal: African Journal of AIDS Research • Authors: Anthony Kinghorn --- Perinatal HIV Research Unit, South Africa
    Sustaining HIV and AIDS responses depends on a mix of donor, government and private funders. Their decisions about investing in HIV treatment may be informed by various types of economic evaluations, which may be more or less useful for different...
  62. Long-term outcomes in perinatally HIV-infected adolescents and young adults on antiretroviral therapy: a review of South African and global literature

    Long-term outcomes in perinatally HIV-infected adolescents and young adults on antiretroviral therapy: a review of South African and global literature

    Item type: Journal Article • Journal: African Journal of AIDS Research • Authors: Kim Anderson --- School of Public Health and Family Medicine, South Africa Rudzani Muloiwa --- Department of Paediatrics, South Africa Mary-Ann Davies --- School of Public Health and Family Medicine, South Africa
    Paediatric antiretroviral programmes have been implemented globally for more than a decade, yet information on long-term treatment outcomes in perinatally HIV-infected adolescents is limited. Published literature on long-term treatment outcomes was reviewed, including virologic, immunologic and growth outcomes, as well...
  63. The psychosocial determinants of the intention to test for HIV among young men in KwaZulu-Natal province, South Africa

    The psychosocial determinants of the intention to test for HIV among young men in KwaZulu-Natal province, South Africa

    Item type: Journal Article • Journal: African Journal of AIDS Research • Authors: Thabang Manyaapelo --- , South Africa Robert AC Ruiter --- , The Netherlands Sibusiso Sifunda --- , South Africa Anam Nyembezi --- , South Africa Bart van den Borne --- , The Netherlands Priscilla Reddy --- , South Africa
    Background: Voluntary counselling and testing is one of the effective prevention strategies against the HIV/AIDS epidemic. This study investigated the psychosocial determinants of the intention to be tested for HIV among young men in South Africa’s KwaZulu-Natal province using the...
  64. Predictors of mortality among people living with HIV in the test and treat era within rural Uganda: a retrospective cohort study

    Predictors of mortality among people living with HIV in the test and treat era within rural Uganda: a retrospective cohort study

    Item type: Journal Article • Journal: African Journal of AIDS Research • Authors: Anacret Byamukama --- , Uganda Pauline M Golding --- , United Kingdom
    Background: Uganda adopted the test and treat strategy in 2016 where all people living with HIV are initiated on antiretroviral drugs irrespective of CD4 count and WHO clinical stage, as one of the major strategies to end the HIV epidemic...
  65. Treating AIDS: Dilemmas of unequal access in Uganda

    Treating AIDS: Dilemmas of unequal access in Uganda

    Item type: Journal Article • Journal: SAHARA-J: Journal of Social Aspects of HIV/AIDS • Authors: Susan Reynolds Whyte --- Institute of Anthropology, University of Copenhagen, Michael A. Whyte --- Institute of Anthropology, University of Copenhagen, Lotte Meinert --- Department of Social Anthropology, University of Aarhus, Betty Kyaddondo --- AIDS Information Centre,
    The price of antiretroviral (ARV) medicines in Uganda has fallen dramatically in recent years and more people are under treatment. By mid-2003 it was estimated that 10 000 people were taking ARVs. Drawing on participant observation, qualitative interviews, work with...
  66. Willingness to pay for treatment with highly active antiretroviral (HAART) drugs: a rural case study in Cameroon

    Willingness to pay for treatment with highly active antiretroviral (HAART) drugs: a rural case study in Cameroon

    Item type: Journal Article • Journal: SAHARA-J: Journal of Social Aspects of HIV/AIDS • Authors: Kenneth Ngwambokong Muko --- Catholic Health Service of the archdiocese of Bamenda, Valentine Che Ngwa --- St James University Hospital, UK Leslie Chigang --- St Louis Clinic Bamenda, Igbinosum Gladys Ngwa --- St Martin De Porres Hospital, Anke Meiburg --- St Martin De Porres Hospital, Elvis Neba Shu --- Department of pharmacology, College of Medicine, University of Nigeria Nsukka,
    This paper reports on the willingness of HIV/AIDS patients to pay for the most affordable triple therapy combination of antiretrovirals in a local setting in Cameroon. Questionnaires were used to evaluate willingness to pay, and patients who could still afford...
  67. Estimates of eligibility for antiretroviral treatment (ART) and projected ART impact on AIDS mortality among South African educators

    Estimates of eligibility for antiretroviral treatment (ART) and projected ART impact on AIDS mortality among South African educators

    Item type: Journal Article • Journal: SAHARA-J: Journal of Social Aspects of HIV/AIDS • Authors: Thomas M Rehle --- HSRC&#039;s Social Aspects of HIV/AIDS and Health Programme, Olive Shisana --- South African Human Sciences Research Council,
    The study assessed the proportion of HIV-infected educators that need antiretroviral treatment (ART) according to current criteria, and estimated the impact of ART on AIDS mortality by modelling scenarios with and without access to ART. Specimens for HIV testing were...
  68. The political context of AIDS-related stigma and knowledge in a South African township community

    The political context of AIDS-related stigma and knowledge in a South African township community

    Item type: Journal Article • Journal: SAHARA-J: Journal of Social Aspects of HIV/AIDS • Authors: Brian Forsyth --- Yale University, Alain Vandormael --- Department of Sociology, University of Pretoria, Trace Kershaw --- Yale University School of Public Health, Janis Grobbelaar --- Department of Sociology, University of Pretoria,
    The purpose of this study was to examine the presentation of AIDS-related stigma and knowledge within the political context of the South African government's response to the AIDS epidemic. It was during the 2000 – 2004 period that key government...
  69. Resources and infrastructure for the delivery of antiretroviral therapy at primary health care facilities in the Free State Province, South Africa

    Resources and infrastructure for the delivery of antiretroviral therapy at primary health care facilities in the Free State Province, South Africa

    Item type: Journal Article • Journal: SAHARA-J: Journal of Social Aspects of HIV/AIDS • Authors: Ega Janse van Rensburg-Bonthuyzen --- Centre for Health Systems Research and Development, University of the Free State, Michelle Engelbrecht --- Centre for Health Systems Research and Development, University of the Free State, Francois Steyn --- Centre for Health Systems Research and Development, University of the Free State, Nandi Jacobs --- Centre for Health Systems Research and Development, University of the Free State, Helen Schneider --- Centre for Health Policy, University of Witwatersrand, Dingie van Rensburg --- Centre for Health Policy, University of Witwatersrand,
    There are concerns as to whether South Africa's public health system has sufficient resources, human and otherwise, to ensure universal access to antiretroviral treatment (ART). We report on public sector implementation of the Comprehensive Care Management and Treatment (CCMT) programme...
  70. Barriers and facilitators to patients&#039; adherence to antiretroviral treatment in Zambia: a qualitative study

    Barriers and facilitators to patients' adherence to antiretroviral treatment in Zambia: a qualitative study

    Item type: Journal Article • Journal: SAHARA-J: Journal of Social Aspects of HIV/AIDS • Authors: Nawa Sanjobo --- Copperbelt University, Jan C Frich --- Research Unit for General Practice, University of Oslo, Atle Fretheim --- Preventive and International Health Care Unit, Norwegian Knowledge Centre for Health Services, Norway
    Patients' adherence to antiretroviral therapy (ART) is important for effective medical treatment of HIV/AIDS. We conducted a qualitative interview study in the Copperbelt Province of Zambia in 2006. The aim of the study was to explore patients' and health care...
  71. Barriers and facilitators to antiretroviral medication adherence among HIV-infected paediatric patients in Ethiopia: A qualitative study

    Barriers and facilitators to antiretroviral medication adherence among HIV-infected paediatric patients in Ethiopia: A qualitative study

    Item type: Journal Article • Journal: SAHARA-J: Journal of Social Aspects of HIV/AIDS • Authors: Sibhatu Biadgilign --- John Hopkins University&#039;s Technical Support for the Ethiopian HIV/AIDS ART Initiative, Amare Deribew --- Department of Epidemiology, Jimma University, Alemayehu Amberbir --- Division of Epidemiology and Public Health, University of Nottingham, Kebede Deribe --- FIDA, Ethiopia
    Medication adherence is a complex behaviour with multiple determinants. Understanding the barriers and facilitators of adherence is invaluable for programme improvement, which assists the foundation of adherence intervention strategies. A qualitative study was conducted in six selected hospitals of Addis...
  72. High levels of psychosocial readiness for ART in an African population at the onset of treatment

    High levels of psychosocial readiness for ART in an African population at the onset of treatment

    Item type: Journal Article • Journal: SAHARA-J: Journal of Social Aspects of HIV/AIDS • Authors: Brent Wolff --- MRC/UVRI Uganda Research Unit on AIDS, Martin Mbonye --- MRC/UVRI Uganda Research Unit on AIDS, Alex Coutinho --- Infectious Diseases Institute, Makerere University, Uganda Barbara Amuron --- MRC/UVRI Uganda Research Unit on AIDS, Robert Nkabala --- The AIDS Support Organization (TASO), Uganda Shabbar Jaffar --- Department of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, UK Heiner Grosskurth --- MRC/UVRI Uganda Research Unit on AIDS,
    Adherence at the earliest stages of treatment is likely to be influenced by prior illness trajectories and future expectations, best captured (and addressed) before treatment begins. We examined the influence of illness trajectories and treatment expectations on psychosocial readiness to...
  73. The social and clinical characteristics of patients on antiretroviral therapy who are &lsquo;lost to follow-up&rsquo; in KwaZulu-Natal, South Africa: a prospective study

    The social and clinical characteristics of patients on antiretroviral therapy who are ‘lost to follow-up’ in KwaZulu-Natal, South Africa: a prospective study

    Item type: Journal Article • Journal: SAHARA-J: Journal of Social Aspects of HIV/AIDS • Authors: Karl Peltzer --- Human Sciences Research Council, South Africa Shandir Ramlagan --- University of Natal, Mohamed Salim Khan --- Ladysmith Provincial Hospital, South Africa Bernhard Gaede --- University of KwaZulu-Natal,
    A significant proportion of those initiating antiretroviral treatment (ART) for HIV infection are lost to follow-up. Causes (including HIV symptoms, quality of life, depression, herbal treatment and alcohol use) for discontinuing ART follow-up in predominantly rural resource-limited settings are not...
  74. Social grants for people living with HIV and on antiretroviral therapy in KwaZulu-Natal, South Africa: a longitudinal study

    Social grants for people living with HIV and on antiretroviral therapy in KwaZulu-Natal, South Africa: a longitudinal study

    Item type: Journal Article • Journal: SAHARA-J: Journal of Social Aspects of HIV/AIDS • Authors: Karl Peltzer [d231e18]
    The aim of this study was to assess the predictors of the receipt of a disability grant (DG) status and the impact of the DG on health outcomes of HIV patients and on antiretroviral therapy (ART) in a longitudinal study...
  75. &lsquo;We are left in the cold&rsquo;: Nurses&rsquo; perceptions and responses to antiretroviral treatment roll-out in the Free State, South Africa

    ‘We are left in the cold’: Nurses’ perceptions and responses to antiretroviral treatment roll-out in the Free State, South Africa

    Item type: Journal Article • Journal: SAHARA-J: Journal of Social Aspects of HIV/AIDS • Authors: Katinka de Wet [d217e18] Shirley du Plooy
    The unprecedented roll-out of antiretroviral therapy (ART) in South Africa is a complex process where no previous endeavour exists that can measure, predict, or direct an intervention of this scale. In the Free State province, unique characteristics and problems distinguish...
  76. Accessibility of antiretroviral therapy in Ghana: Convenience of access

    Accessibility of antiretroviral therapy in Ghana: Convenience of access

    Item type: Journal Article • Journal: SAHARA-J: Journal of Social Aspects of HIV/AIDS • Authors: Joyce Addo-Atuah [d138e18] Dick Gourley Greta Gourley Shelley I. White-Means Robin J. Womeodu Richard J. Faris Nii Akwei Addo
    The convenience of accessing antiretroviral therapy (ART) is important for initial access to care and subsequent adherence to ART. We conducted a qualitative study of people living with HIV/AIDS (PLWHA) and ART healthcare providers in Ghana in 2005. The objective...
  77. Efficacy of a lay health worker led group antiretroviral medication adherence training among non-adherent HIV-positive patients in KwaZulu-Natal, South Africa: Results from a randomized trial

    Efficacy of a lay health worker led group antiretroviral medication adherence training among non-adherent HIV-positive patients in KwaZulu-Natal, South Africa: Results from a randomized trial

    Item type: Journal Article • Journal: SAHARA-J: Journal of Social Aspects of HIV/AIDS • Authors: Karl Peltzer [d77e18] Shandir Ramlagan Deborah Jones Stephen M. Weiss Henry Fomundam Lucia Chanetsa
    There is a lack of theory-based randomized controlled trials to examine the effect of antiretroviral adherence in sub-Saharan Africa. We assessed the effectiveness of a lay health worker lead structured group intervention to improve adherence to antiretroviral therapy (ART) in...
  78. HIV-related symptoms and management in HIV and antiretroviral therapy patients in KwaZulu-Natal, South Africa: A longitudinal study

    HIV-related symptoms and management in HIV and antiretroviral therapy patients in KwaZulu-Natal, South Africa: A longitudinal study

    Item type: Journal Article • Journal: SAHARA-J: Journal of Social Aspects of HIV/AIDS • Authors: Karl Peltzer --- , South Africa
    Aim: The study aimed to determine the prevalence, predictors, and self-reported management of HIV- or ARV-related symptoms among HIV patients prior to antiretroviral therapy (ART) and over three time points while receiving ART in KwaZulu-Natal, South Africa. Method: A total...
  79. HIV in (and out of) the clinic: Biomedicine, traditional medicine and spiritual healing in Harare

    HIV in (and out of) the clinic: Biomedicine, traditional medicine and spiritual healing in Harare

    Item type: Journal Article • Journal: SAHARA-J: Journal of Social Aspects of HIV/AIDS • Authors: Stephen O&#039;Brien --- , , Australia Alex Broom --- , , Australia
    Contemporary lived experiences of the human immunodeficiency virus (HIV) are shaped by clinical and cultural encounters with illness. In sub-Saharan countries such as Zimbabwe, HIV is treated in very different ways in various therapeutic contexts including by biomedical experts, traditional...
  80. &lsquo;Dented&rsquo; and &lsquo;Resuscitated&rsquo; masculinities: The impact of HIV diagnosis and/or enrolment on antiretroviral treatment on masculine identities in rural eastern Uganda

    ‘Dented’ and ‘Resuscitated’ masculinities: The impact of HIV diagnosis and/or enrolment on antiretroviral treatment on masculine identities in rural eastern Uganda

    Item type: Journal Article • Journal: SAHARA-J: Journal of Social Aspects of HIV/AIDS • Authors: Godfrey E. Siu --- , Uganda Daniel Wight --- , United Kingdom Janet Seeley --- , , United Kingdom
    There is limited research on the impact of HIV or its treatment on men's identity construction and gender roles in sub-Saharan Africa. Based on in-depth research with 26 men in rural Uganda, this article discusses men's vulnerabilities and shifting gender...
  81. Disability and health outcomes &ndash; from a cohort of people on long-term anti-retroviral therapy

    Disability and health outcomes – from a cohort of people on long-term anti-retroviral therapy

    Item type: Journal Article • Journal: SAHARA-J: Journal of Social Aspects of HIV/AIDS • Authors: Hellen Myezwa --- , , South Africa Jill Hanass-Hancock --- , , South Africa Adedayo Tunde Ajidahun --- , , South Africa Bradley Carpenter --- , , South Africa
    Human-immunodeficiency virus (HIV)/Acquired immunodeficiency Syndrome (AIDS) remains a major health problem in South Africa – even after two decades since the introduction of antiretroviral therapy (ART). Long-term survival with HIV is associated with new health-related issues and a risk of...
  82. Investigating client satisfaction with antiretroviral treatment services in South-South Nigeria

    Investigating client satisfaction with antiretroviral treatment services in South-South Nigeria

    Item type: Journal Article • Journal: SAHARA-J: Journal of Social Aspects of HIV/AIDS • Authors: Omosivie Maduka --- , , Nigeria
    Client satisfaction is a key method of evaluating the quality of healthcare services. This research investigated client satisfaction with anti-retroviral treatment services in selected outpatient facilities in Rivers State. This study was a qualitative study carried out in four antiretroviral...
  83. &lsquo;If you are found taking medicine, you will be called names and considered less of a man&rsquo;: young men&rsquo;s engagement with HIV treatment and care during ulwaluko (traditional initiation and circumcision) in the Eastern Cape Province of South Africa

    ‘If you are found taking medicine, you will be called names and considered less of a man’: young men’s engagement with HIV treatment and care during ulwaluko (traditional initiation and circumcision) in the Eastern Cape Province of South Africa

    Item type: Journal Article • Journal: SAHARA-J: Journal of Social Aspects of HIV/AIDS • Authors: L. Gittings --- University of Cape Town, South Africa R. Hodes --- University of Cape Town, South Africa C. Colvin --- University of Cape Town, South Africa S. Mbula --- Mzantsi Wakho, South Africa P. Kom --- Mzantsi Wakho, South Africa
    This paper explores how HIV-positive abakhwetha (young male initiates) undergoing ulwaluko (traditional Xhosa initiation and circumcision) engage with HIV-related biomedical care and treatment. Health-focused life history narratives (n = 36), semi-structured interviews (n = 32) and analysis of health facility files (n = 41) with adolescent...
  84. Forgetting to take HIV antiretroviral therapy: a qualitative exploration of medication adherence in the third decade of the HIV epidemic in the United States

    Forgetting to take HIV antiretroviral therapy: a qualitative exploration of medication adherence in the third decade of the HIV epidemic in the United States

    Item type: Journal Article • Journal: SAHARA-J: Journal of Social Aspects of HIV/AIDS • Authors: R. Freeman --- , USA M. Gwadz --- New York University Silver School of Social Work, USA K. Francis --- New York University Silver School of Social Work, USA E. Hoffeld --- New York University Silver School of Social Work, USA
    Optimal adherence to HIV antiretroviral therapy (ART) is challenging, and racial/ethnic disparities in adherence rates are substantial. The most common reason persons living with HIV (PLWH) give for missed ART doses is forgetting. We took a qualitative exploratory approach to...
  85. Comparison of formulae for calculating the corrected QT (QTc) interval in an adult population attending a diabetes clinic at a rural hospital in South Africa.

    Comparison of formulae for calculating the corrected QT (QTc) interval in an adult population attending a diabetes clinic at a rural hospital in South Africa.

    Item type: Journal Article • Journal: Journal of Endocrinology, Metabolism and Diabetes of South Africa • Authors: BN Mkhwanazi --- University of KwaZulu-Natal, South Africa L Govender --- University of KwaZulu-Natal, South Africa S Pillay --- University of KwaZulu-Natal, South Africa
  86. Effect of multi-month antiretroviral dispensing on HIV clinic attendance at 68 Nigerian Army Reference Hospital, Yaba, Nigeria

    Effect of multi-month antiretroviral dispensing on HIV clinic attendance at 68 Nigerian Army Reference Hospital, Yaba, Nigeria

    Item type: Journal Article • Journal: African Journal of AIDS Research • Authors: Nkechinyere Harrison --- , Lagos Nigeria Ismail Lawal --- , Nigeria Kehinde Aribisala --- , Lagos Nigeria Kenneth Oruka --- , Lagos Nigeria Yakubu Adamu --- , Nigeria Patricia Agaba --- Walter Reed Army Institute of Research, USA Elizabeth Lee --- Walter Reed Army Institute of Research, USA Laura Chittenden --- , Nigeria Nathan Okeji --- , Nigeria
    Background: Multi-month dispensing (MMD) of antiretroviral therapy has demonstrated benefits for HIV patients and health service delivery systems, including reduced frequency of hospital visits and improved retention. We evaluated the effect of 6-monthly dispensing (MMD6) on patient clinic attendance at...
  87. Evaluating the implementation of prevention of mother-to-child transmission of HIV in Mwanza district hospital, Malawi

    Evaluating the implementation of prevention of mother-to-child transmission of HIV in Mwanza district hospital, Malawi

    Item type: Journal Article • Journal: African Journal of AIDS Research • Authors: John Bester Kalumbi --- Peking University, China
    Introduction: Globally, mother-to-child transmission (MTCT) of HIV significantly contributes to paediatric HIV infections. Effective prevention of mother-to-child transmission (PMTCT) programs aim to achieve the World Health Organization’s target of less than 5% transmission rates. This study evaluated the implementation of...
  88. Association between HIV infection, antiretroviral therapy and dysglycaemia prevalence in black South Africans: evidence from the Durban Diabetes Study

    Association between HIV infection, antiretroviral therapy and dysglycaemia prevalence in black South Africans: evidence from the Durban Diabetes Study

    Item type: Journal Article • Journal: Journal of Endocrinology, Metabolism and Diabetes of South Africa • Authors: D Perumal --- University of KwaZulu-Natal, South Africa FJ Pirie --- University of KwaZulu-Natal, South Africa TM Esterhuizen --- Stellenbosch University, South Africa B O&rsquo;Leary --- , South Africa EH Young --- Wellcome Trust Sanger Institute, UK MI McCarthy --- University of Oxford, UK MS Sandhu --- University of Cambridge, UK AA Motala --- University of KwaZulu-Natal, South Africa